Nurse Care Manager

JOB TITLE:

Nurse Care Manager

LOCATION:

Gaylord, MI 49735

REPORTS TO:

Director of Health Services STATUS:
Full-Time, Non-Union, Exempt HYBRID ELIGIBLE:
This is a community-based position STARTING WAGE RANGE: $65,499.20 - $68,744.00 per year Generous benefit package, including:

• No cost health, dental and vision insurance option
• 14.2% employer paid retirement plan contribution
• Vacation, sick and personal time
• Employer paid disability and life insurance
• Tuition reimbursement programs

Education:

Graduate from an accredited school of nursing and licensed as an RN in the state of Michigan

Experience:

Minimum of 2 years’ experience in nursing, plus 1-year experience working with mental health and/or clients with developmental disabilities or equivalent clinical experience preferred

Other:
Demonstrates excellent written, verbal and listening communication skills. Has positive relationship building skills and critical analysis skills. Lived experiences with behavioral health and/or developmental disability issues are valued. Ability to maintain the competency level as defined within the job classification and specific clinical practice.

The RN Care Manager provides health care coordination services for clients with complex behavioral health and physical health needs. The Nurse Care Manager may be designated as a Clinic Nurse providing services only in the office or as a Community Nurse providing services in the office and in the client’s home, school or work setting and attending medical appointments as needed.

Working as a member of an Interdisciplinary Team, the Nurse Care Manager coordinates care with primary care practitioners, health care specialists, direct care givers, and the client/family to ensure the delivery of quality health care services. The Nurse Care Manager uses evidence-based clinical practice guidelines, preventive guidelines, and protocols which promote quality and efficiency in the delivery of health care.

The Nurse Care Manager works under minimal supervision.

• Identifies targeted high-risk clients within the assigned caseload per NCCMH Procedure.
• Continually assesses the health care, educational, and psychosocial needs of the client/family and provides referrals as needed. Uses standardized assessment tools such as depression screening, functionality, and health risk assessment.
• Collaborates with primary care practitioners (PCP),
• Provides client self-management support with a focus on empowering the client/family to build capacity for self-care.
• Implements systems of care that facilitate identification and close monitoring of high-risk clients to prevent and/or intervene early during acute exacerbations. Monitors mental and physical health status. Provides medication reconciliation at each nursing contact.
• Coordinates client care through ongoing collaboration with PCP, patient/family, community, home staff and other members of the health care team. Fosters a team approach and includes client/family/caregiver as active members of the team. Takes the lead in ensuring the continuity of care and serves as liaison to specialists and post-acute care services.
• Provides follow-up with client/family/caregiver when client transitions from one setting to another. Completes timely post-hospital follow-up, including medication reconciliation, ensuring PCP or specialist follow-up appointment is scheduled, assessing symptoms, teaching warning signs, reviewing discharge instructions, coordinating care, and problem-solving barriers, etc.
• Maintains same-day documentation for all activities. Complies with agency policy and Medicaid criteria for clinical documentation.
• Works with leadership and others to continuously evaluate process, identify problems, and propose/develop process improvement strategies to enhance care management.
• Promotes recovery and respects the choices and autonomy of clients, while teaching and encouraging actions that will promote good mental and physical health.
• Participates in team meetings and other staff meetings as requested, and meets regularly with supervisor for consultation, supervision, and resource development.
• Interacts…