Compass Health Network
Compass Health Network is looking for a Healthcare Home Nurse Care Manager to become part of the person-centered integrated care team and provide direct clinical and medical services to persons enrolled in the Health Care Home through a whole person approach.
Responsibilities of the Nurse Care Manager:
Responsible for case load of up to 250 Healthcare Home patients
Meet with assigned clients to complete health screening
Assist in developing treatment plan healthcare goals for individuals with co-occurring chronic disease
Meet with assigned clients prior to monitor/educate on client s medical needs as needed
Provide consultation and education for community and office-based staff about identifiable health conditions
Assist in contacting/collaborating with medical providers regarding significant health information
Provide education to clients on medical diseases, treatment, and medication
Monitor HIT tools and reports for treatment and medication alerts and hospital admissions/discharges
Review monthly care manager reports, focusing on targeted population/indicators. The NCM will analyze the information and communicate/collaborate with providers, clinicians and clients
Coordinate Metabolic Syndrome Screenings and provide follow up for positive screens per DMH directive
Perform Medication Reconciliations for HCH enrollees who have been discharged from the hospital
Interface with other human/social service agencies to provide holistic services to clients
Function as part of a multi-disciplinary team
Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member
Travel to neighboring clinics for nursing coverage and training as needed
Job Requirements:
EDUCATION
High School/GED required
Practical Nursing or Associate of Nursing degree required
Bachelor s degree in nursing preferred
WORK EXPERIENCE
Proficiency in Microsoft Office Suite and Electronic Medical Records preferred
LICENSURE/CERTIFICATION
Compass Health is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.
Associated topics: care manager, chief, cno, deputy, line, memory, nursing manager, officer, rgn, supervisor