RN Care Manager

Position Description

Essential Duties & Responsibilities

• Review and interpret lab results and diagnostic imaging/studies per established protocols and provide timely treatment, thorough notification, education and care coordination for patients with abnormal results. Monitor follow-up of abnormal results and referrals. Recognize and report changes in patient conditions.
• Identify patients for care management. Initiate, implement, and evaluate care plans for complex and high-risk patient cases in collaboration with an interdisciplinary team, including physicians, clinicians, and other healthcare workers.. Prioritize care management tasks based on acuity and required follow-up.
• Assess patients’ care needs, barriers, and goals, and implement a timely, action-oriented care plan. Discuss results and treatment plans, and provide accurate, personalized health education.. Provide strengths-focused health coaching to empower patients to participate in care.
• Determine the care options available and suitable for patients and educate patients about the options. Identify and effectively utilize community resources. Coordinate external referrals to specialty care providers, services, and resources to ensure timely, high-quality care for patients who require specialized services outside PPMI.
• Evaluate the effectiveness of the care plan and revise as needed. Make medication and treatment plan adjustments per protocol and in collaboration with the clinician/provider.
• Document accurately and thoroughly. Utilize reports to identify data trends. Collaborate with leadership to develop strategies and solutions to address gaps in care and refine processes to improve care quality.
• Review medical records. Contribute to risk/quality initiatives and mandatory reporting for reportable conditions.
• Demonstrate commitment to living out and modeling PPMI’s In This Together Workplace Values and Service Standards.
• Integrate equity and inclusion best practices into all job functions and patient interactions.
• Perform all duties in compliance with all applicable laws, PPMI policies and insurance guidelines.
• Perform other duties and responsibilities as assigned.

Qualifications and Experience

Required

• Registered Nurse licensure in Michigan. Two or more years of clinical case management, care management, and/or care coordination experience, preferably in an ambulatory/outpatient setting. Sexual/reproductive healthcare experience preferred.
• Caring, professional demeanor and excellent customer service skills. Commitment to caring for people of diverse backgrounds, cultures, and lifestyles, in a manner that engages on-going self-reflection, humility, and continual learning required.
• Excellent critical thinking, assessment, and problem-solving skills. Ability to work independently with minimal supervision, as well as collaborate with a care team, while demonstrating exceptional organization, attention to detail, and follow-through.
• Ability to effectively prioritize and manage multiple, rapidly changing priorities simultaneously with professionalism and flexibility. Demonstrate timely and accurate clinical documentation. Experience working in Electronic Medical Records, especially Epic.
• Ensure protection of patients’ privacy and Protected Health Information (PHI) in a home office environment. Reliable wi-fi.

Key Requirements

• Commitment to advancing race(+) equity in one's work: interested in expanding knowledge about the role that racial inequity plays in our society.
• Demonstrated ability to effectively communicate across differences, as well as hear and act on feedback related to identity and equity with an openness to learn.
• Commitment to Planned Parenthood's In This Together service ethos, workplace values, and service standards.

Originally posted on Himalayas