[Hiring] Care Manager @Lehigh Valley Health Network

Role Description

Conducts assessments of patient/family needs for the highest risk patients or those patients at risk for poor outcomes. Collaborates with health professionals across the continuum; formulates a documented plan of care that ensures continuity and goal-setting that equips individuals and their families to easily access resources and adopt healthy lifestyles.

• Oversees care management functions and related tasks for a designated population.
• Utilizes computer databases and documentation systems and develops and maintains accurate case records of all patients.
• Promotes patient self-management, provides education about disease processes, and empowers patients and families to achieve maximum levels of wellness and independence.
• Evaluates medical, rehab, psychosocial socioeconomic, psychological, and physical needs and makes referrals.
• Provides medication management, including medication reconciliation during care transitions for the highest risk patients.
• Identifies issues related to the healthcare system, transportation, financial, and/or psychological barriers and works collaboratively to problem solve, coordinate services, and to advocate for patients/families.
• Provides care management for the highest risk patients to reduce risk and emergency department utilization to improve outcomes.
• Identifies patient and/or clinic staff knowledge to understand deficits regarding specific programs.
• Collaborates with all levels of the clinical team to improve processes, communication, and team skills needed to provide the best care to patients.
• Provides coordination of care for the highest risk patients experiencing a transition to or from care facilities and/or providers.

Qualifications

• Bachelor’s Degree in Nursing.
• Experience in lieu of Bachelor's degree may be considered.
• 5 years Experience in at least one of the following settings: case management, disease management, home health care, hospital, or physician office setting.
• 2 years Prior electronic medical record (EMR) experience.
• Ability to incorporate strategies for interacting with persons from diverse backgrounds.
• Effective behavioral and educational strategies such as motivational interviewing, teach-back method, and self-management support.
• Ability to set priorities to coordinate care plan efficiently.
• Ability to recognize the role of cultural, social, economic, and behavioral factors in accessibility, availability, acceptability, and delivery of public health services.
• CACRN - Certified Ambulatory Care RN - State of Pennsylvania or CCCTM - Cert Care Coord-Transition Mgt MSNCB - State of Pennsylvania or RN - Licensed Registered Nurse_PA - State of Pennsylvania.

Preferred Qualifications

• Master’s Degree Nursing.

Physical Demands

• Lift and carry 25 lbs.
• Frequent sitting/standing.
• Frequent keyboard use.
• Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Work Shift

• Day Shift

Address

• 1200 S Cedar Crest Blvd

Primary Location

• REMOTE IN PENNSYLVANIA

Position Type

• Remote

Union

• Not Applicable

Work Schedule

• Monday-Friday; 8:00a-4:30p

Department

• 1013-00046 Pop-Care Management