Description

　　Looking to use your nursing skills in more of an administrative capacity with full time hours, M-F, days in a healthcare system that makes the patients and YOU the #1 priority? Thompson Health is the place for you!

　　Main Function:

　　A Registered Nurse working in conjunction with a care team to identify and proactively manage the care needs of high risk patients within the primary care practice setting. The Care Manager provides assessment, care coordination, advocacy and coaching for identified patients that are at risk for hospital admissions or emergency room visits. The Care Manager uses established Finger Lakes Health System Agency (FLHSA) CMMI grant criteria to identify at-risk patients, and determines the drivers of risk in conjunction with the patient, family, physician and ancillary health care providers. An integral, professional member of the practice’s care team, the Care Manager measures the impact of care coordination interventions, and regularly re-assesses the patient’s risk for incurring adverse health outcomes.

　　Required Job Specific Competencies:

　　Ability to develop and support a practice based care management model by providing on-site and telephonic services i.e. wellness, health coaching, self-management techniques, disease management and case management including coordination with community services per FLHSA standards

　　Identifies per FLHSA specifications and practice providers, high risk patients needing care management services. Provides education, support and outreach to patients over the phone and in person ensuring all aspects of FLHSA programs are met for family practices. Prompts patients to complete outstanding tests

　　Interacts closely with clinical teams to identify care gaps and improve clinical outcomes for patients with chronic conditions such as diabetes

　　Active support for Thompson Practices quality programs, including PCMH and Diabetes Recognition Program. • Functions independently and is able to utilize sound judgment and critical thinking skills when interacting with physicians, members and practice staff

　　Scans the medical literature routinely for updates on clinical practice guidelines, new developments in the management of chronic diseases and communicates and disseminates information to staff

　　Ensures a high level of patient satisfaction

　　Actively guards the confidentiality of sensitive information including but not limited to the patients, staff and the health system

　　Complies with all required Joint Commission, state and federal regulations

　　Qualifications: (Licenses, Certifications)

　　Current New York State Registered Nurse license required

　　CPR certification

　　Excellent communication skills and ability to form collaborative partnerships across all service settings

　　Working knowledge of the provision of health care in a variety of settings

　　Knowledge of community resources required

　　Proficient in the use of Electronic Medical Records (EMR); ability to create reports on own and interface with EMR vendor to develop reports where none currently exist

　　Competent in Microsoft Office products (Word, Excel, Outlook, PowerPoint)

　　Effective oral and written communication skills, communicates information correctly

　　Self-directed, self-starter and able to implement new programs and encourage participation by patients and staff

　　Accepts responsibility and follows through on projects and activities

　　Patient Centered Medical Home and Diabetes Recognition Program knowledge and experience a plus

　　Ability to assimilate new information and technologies into daily work

　　Experience:

　　Preferred Experience: 3- 5 years of clinical nursing or social work experience, preferably with 3-5 years of community health experience, with the adult population

　　Electronic Medical Record experience required

　　Highly organized and detail oriented

　　Experience with database entry and reporting preferred

　　Care Management experience preferred

　　Education:

　　Valid NY state nursing license

　　A graduate of an approved school of nursing

　　Complies with annual Joint Commission and organizational competencies

　　BSN required

　　Position Pay Range: $70,000-88,000 per year

　　Starting Pay: Based on experience

　　Thompson Health is an EOE encouraging women, minorities, individuals with disabilities and veterans to apply

　　Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

　　The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)