Job Description Summary
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC002347 SYS - Population Health Program
Pay Rate Type
Salary
Pay Grade
Health-28
Scheduled Weekly Hours
40
Work Shift
Day (United States of America)
Job Description
Position Description:
The RN High Risk Care Manager reports to the Manager of Population Health Care Coordination. Under general supervision, the Care Manager functions as a member of the Population Health and Primary Care Medical Home (PCMH) teams to provide care coordination and management services to targeted high-risk populations. The RN Care Manager works collaboratively with the patient and caregiver(s), the Population Health team, PCMH team, other specialty providers and case management/care coordination teams, and community agencies to develop and implement a coordinated plan of care to achieve optimal clinical outcomes and value-based program goals. The RN Care Manager provides education and support to patients enrolled in the program, spending time with patients that is not achievable in a traditional office appointment. Utilizing the RN care management process, this position promotes medical home concepts and a patient-centered, team approach to care. This role functions in an embedded model, with the RN Care Manager working mainly within MUSC Primary Care clinics in the Pee Dee region (Florence, Marion, Williamsburg counties and surrounding areas), with an option to work remotely one day per week as determined by program and patient needs. The RN High Risk Care Manager serves as a clinical expert and resource related to outpatient care management.
Section 3: Job Responsibilities:
Completes a comprehensive care management assessment utilizing motivational interviewing techniques In conjunction with the patient/caregiver, the primary care provider and the PCMH team, develops, implements, and evaluates a patient-centered plan of care for each patient enrolled in the High-Risk Care Management program Collaborates and communicates with providers, team members, and community agencies to ensure care is effective, safe, efficient, equitable and timely Provides education tailored to the individual patient’s learning needs and preferences Assists patients and caregivers with self-management strategies and provides encouragement, support and resources as needed to facilitate progress towards health-related goals Supports and helps resolve psycho-social needs Reassesses the patient’s progress toward goals, and revises the plan of care as needed Coordinates care and maintains contact with the patient’s larger care team as appropriate Supports data collection and outcomes reporting for the High-Risk Care Management program to ensure progress towards value-based program goals
Education: Bachelor’s degree in Nursing required. Four (4) or more years of related work experience as a registered nurse required. Case or Care Management experience and/or certification in Case or Care Management preferred. Current South Carolina licensure or licensure in a compact state as a registered nurse required. Current Basic Life Support (BLS) required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.
Work Requirements:
Physical Requirements:
Additional Job Description
Bachelor of Nursing degree preferred with minimum of one year of experience. RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date. Refer to policy A141 for more details. Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Case Management certification preferred. Licensure as a registered nurse by the state of South Carolina or compact state required. Certification in Case Management preferred. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
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