Registered Nurse - RN Care Manager - VBC - Southwestern Health Resources

Registered Nurse – RN Care Manager - VBC - Southwestern Health Resources Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) Department Highlights Hybrid Position Gain a sense of accomplishment by contributing to a teamwork environment. Receive excellent mentorship, comprehensive training, and dedicated leadership resources. Contribute and work on a cross functional team What You Will Do Telephonically engage and enroll patients in designated programs based on chronic conditions or recent events. Utilizing self-management, motivational interviewing, coaching, and applying the Case Management Standards of Practice (Assess, Plan, Facilitate and Advocate) to manage care provided for assigned patient population. 25% Assess patient's current and future needs by evaluating patient/family understanding of diagnosis and health management goals, collaborating with physicians and team members, and reviewing pertinent clinical information to identify and address barriers to care. 25% Collaboratively develop and implement a plan of care that meets the patient's healthcare goals, promotes shared decision making, optimizes allocation of resources, and facilitates patient engagement and self-care management across the care continuum. 25% Revises the plan of care as needed to reflect changing needs, issues and goals and evaluates the progress of the patient at prescribed minimal intervals. 25% Establishes processes to monitor patient adherence to medical plan of care and utilizes teach back methods post education. 25% Facilitate symptom management and goals of care with providers and a multidisciplinary team. Address financial, logistical, and psychosocial barriers. Maintain proper documentation including patient assessment, notes, care plans, medication reconciliation and education. 15% Reviews and manages quality reports for potential gaps in care related to chronic disease and prevention, supporting clinicians/patients in achieving quality outcomes. 5% Focuses on prevention measures consistent with established guidelines and care process models. 5% Qualifications Education: Associate's Degree Nursing (Required), Bachelor's Degree Nursing (Preferred) Experience: 3 Years Related clinical experience, to include acute care or care management, pediatric clinical or care management, or maternity clinical care management experience as applicable. (Required). Pediatric, maternity clinical, or care management experience is preferred. Licenses and Certifications: RN - Registered Nurse (Upon Hire Required). CCM - Certified Case Manager (18 Months Preferred). Skills: Organized, detail oriented, individual with an ability to multi-task. Great communication skills and ability to work with minimal supervision. Utilizes critical thinking skills. Has compassion and can work in a remote environment. Supervision: This position manages people. ADA Requirements: Extreme Heat 1‑33%; Extreme Cold 1‑33%; Extreme Swings in Temperature 1‑33%; Extreme Noise 1‑33%; Working Outdoors 1‑33%; Working Indoors 67% or more; Mechanical Hazards 1‑33%; Electrical Hazards 1‑33%; Explosive Hazards 1‑33%; Fume/Odor Hazards 1‑33%; Dust/Mites Hazards 1‑33%; Chemical Hazards 1‑33%; Toxic Waste Hazards 1‑33%; Radiation Hazards 1‑33%; Wet Hazards 1‑33%; Heights 1‑33%; Other Conditions 1‑33%. Physical Demands: Sedentary. Travel Requirements: Local 10% Local DFW Home or Clinic Visits. Additional Information Job Field: RN/Registered Nurse Shift: Day Job Schedule: Full-time #J-18808-Ljbffr Southwestern Health Resources