Primary Care Healthcare Home Nurse Care Manager Rn

Due to critical service need of the communities we serve, we are offering a $4,000 sign-on bonus. We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen!
The Nurse Care Manager is part of the person-centered integrated care team and provides direct clinical and medical services to persons enrolled in the Health Care Home through a whole person approach.
Responsibilities Include:
Responsible for case load of up to 250 Healthcare Home patients
Meet with assigned clients to yearly care plans.
Assist in developing treatment plan healthcare goals for individuals with co-occurring chronic disease
Meet with assigned clients prior to monitor/educate on clients medical needs as needed
Provide consultation and education for community and office-based staff about identifiable health conditions
Assist in contacting/collaborating with medical providers regarding significant health information
Provide education to clients on medical diseases, treatment, and medication
Monitor HIT tools and reports for treatment and medication alerts and hospital admissions/discharges
Review monthly DRVS reports, focusing on targeted population/indicators. The NCM will analyze the information and communicate/collaborate with providers, clinicians and patients
Perform Medication Reconciliations for HCH enrollees who have been discharged from the hospital
Aid in UDS measure documentation/tracking/reporting
Function as part of a multi-disciplinary team
Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member
Report to Regional Primary Care Nursing Director for guidance and questions regarding clinical supervision issues (PC only)
ESSENTIAL FUNCTIONS/CORE COMPETENCIES COMPANY WIDE
Regularly attends work except for approved absences
Attends all training as required
Maintain professional, champion behavior
Provides quality customer service
Provides services with a commitment to service excellence
Works in a way that exhibits a commitment to personal excellence
Team oriented and values diversity
WORKING CONDITIONS & EXPOSURE RISK
Regular exposure to blood and/or body fluids
Regular exposure to biohazard and/or chemical waste materials
QUALIFICATION(S): EDUCATION
High School/GED required
Practical Nursing or Associate of Nursing degree required
Bachelors degree in nursing preferred
WORK EXPERIENCE
Proficiency in Microsoft Office Suite and Electronic Medical Records preferred
LICENSURE/CERTIFICATION
Registered Nurse (RN) required
Signing bonuses paid as per bonus policy; exclusions may apply.
Compass Health is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.
Employment Type: Full-Time