Registered Nurse; RN - Case Manager | McGreevy Clinic

Location:

Avera Medical Group McGreevy-7th Avenue

Worker Type:
Regular

Work Shift:

Day Shift (United States of America)

Pay Range: $27.75 - $41.25 (actual pay rate dependent upon experience)

Accountable for supporting patient care navigation in the clinic setting. The RN's primary responsibility is to manage care for patients of the primary care practice to promote effective education, self‑management support, and timely health care delivery. This includes developing and monitoring care management processes, supporting primary clinical teams, identifying high‑acuity patient populations, and ensuring care coordination. The RN will work with clinic leadership, medical director, and Care Coordination/Medical Home teams to support quality measures in the medical home model.

• Serve as a resource for all clinical teams on care management of all practice patients, educating patients on self‑management tasks.
• Manage patient care across the health care continuum to achieve optimal outcomes in a safe and cost‑effective manner.
• Collaborate with physicians, providers, and practice staff to identify appropriate patients for care management and provide leadership for patient care teams.
• Work with social services and nursing to plan for and provide appropriate follow‑up care for patients.
• Communicate care plans to patients, families, medical providers, hospital staff, community support, and other agencies.
• Provide follow‑up contact with patients to ensure compliance with medication, labs, specialist visits, PCP visits, dietician, CDE, etc.
• Review monthly status reports, dashboard results, and other information related to clinical care delivery.
• Communicate with physician groups regarding statistical and financial impact of care delivery.
• Serve as a resource for clinic care team education on changing payor requirements.
• Collaborate with payer Case Managers for additional services when appropriate.
• Participate in regular team meetings and peer review activities.
• Anticipate the needs of the patient population, ensuring necessary documentation and pre‑visit planning is completed before patient visits.
• Promote patient self‑management and empower patients/families to achieve maximum levels of wellness and independence.
• Assess barriers when patients have not met treatment goals or followed treatment plans.
• Determine and complete appropriate referrals.
• Oversee the development, procurement, and adoption of patient self‑management educational resources used by primary clinical teams.

The individual must be able to work the specified hours, perform each essential job function satisfactorily, including having visual acuity adequate to perform position duties, communicate effectively, hear, understand, and distinguish speech and other sounds. Reasonable accommodations may be made for individuals with disabilities as long as they do not cause undue hardship.

• Registered Nurse (RN) – Board of Nursing
• Active license in the state of practice upon hire

• 1–3 years of clinic nursing experience
• 4–6 years of case management and/or homecare experience

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE).
• Maintain confidentiality.
• Work effectively in a team environment, coordinating workflow with other team members.
• Comply with safety principles, laws, regulations, and standards associated with CMS, The Joint Commission, DHHS, and OSHA.

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement.
• Career development guided by hands‑on training and mentorship.

Avera is an Equal Opportunity Employer – qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status, or other protected categories.