[Hiring] Registered Nurse Care Manager @American Addiction Centers

Role Description

The nurse will need WI. IL license is not required.

• 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.
• May work embedded within a provider office or telephonically working with a care team.
• 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 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 and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs.

Qualifications

• Registered Nurse license issued by the state in which the team member practices (IL).
• Bachelor's Degree in Nursing or related field.
• Requires 5 years of experience in clinical nursing or 1-2 years of care management experience.
• Strong preference for case manager, telephonic nursing experience.

Requirements

• Applicable certification is encouraged.
• Must be self-directed with the ability to work well independently and within a team environment while recognizing and meeting the individual needs of external and internal partners/customers.
• 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 that includes multiple changing priorities.
• Demonstrated ability to work well with physicians and other healthcare professionals in a direct and positive manner.
• Proficient computer/Microsoft-suite skills and previous Epic EMR experience.
• Ability to handle multiple responsibilities.

Benefits

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training.
• Premium pay such as shift, on call, and more based on a teammate's job.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.
• 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.