[Hiring] Care Manager Registered Nurse @American Addiction Centers

Role Description

This is a weekend position, hours of operation 8am to 8:30pm with a potential to include holidays. This is a remote work from home position.

• Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources, and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers and constraints to delivery of care in a timely manner.
• Understands and interprets multiple contracts and contractual obligations to enable the care management team to achieve maximum clinical and financial outcomes.
• Collaborates with the patient/family and inter-professional team including the primary care team, hospital care team, post-acute care managers, and other care partners to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services.
• Uses evidenced-based approaches to increase patient and family activation and engagement in their own care.
• Partners with patient and family to develop SMART (specific, measurable, attainable, relevant, time-bound) goals.
• Assists in the development, procurement, and adoption of patient self-management educational resources.
• Identifies potential barriers to learning and/or to the optimal delivery of care.
• Reports abnormal findings to the responsible provider/care team and collaborates to develop a plan.
• Independently manages CM caseload according to department expectations.
• Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements.
• Partners with identified at-risk patients throughout the diagnosis, treatment, and follow-up to deliver continuity of care.
• Anticipates the needs of the patient, recognizes and responds to changes in a patient’s status, and determines priorities of patient care based on essential patient needs.
• Coordinates patient information and communication between and among the patient/family, the referring/accepting facilities and physicians, community caregivers, and other members of ACM to ensure smooth transitions of care.
• Coordinates referrals to other internal AAH departments and/or external community resources as necessary.
• Must demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Must demonstrate knowledge of the principles of growth and development over the life span.

Qualifications

• Registered Nurse license issued by the state in which the team member practices.
• Bachelor's Degree in Nursing or related field.
• Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience.

Requirements

• Applicable certification is encouraged.
• Must be self-directed with the ability to work well independently and within a team environment.
• Ability to demonstrate excellent oral, written, and interpersonal skills.
• Ability to demonstrate critical thinking, problem solving, and excellent organizational skills.
• Ability to work productively and effectively in a complex environment with multiple changing priorities.
• Demonstrated ability to work well with physicians and other healthcare professionals.
• Proficient computer/Microsoft-suite skills and previous Epic EMR experience.
• Ability to handle multiple responsibilities.

Benefits

• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Family benefits such as adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.