Primary Care Case Manager

Primary Care Case Manager - 31876

We are currently looking for a Full Time Primary Care Case Manager to join our Purcell Clinic Team team located at the Purcell Health Clinic working 8:00AM-5:00PM
- Mo Tu We Th Fr.

Summary:

The Case Manager provides comprehensive, patient-centered care coordination by supporting clinical workflows, managing patient panels, and ensuring timely follow-up for patients with routine and complex healthcare needs. RN Case Managers collaborate closely with providers, multidisciplinary teams, and external partners to support safe transitions of care, optimize quality outcomes, and enhance access to services.

Responsibilities:
Participates in hospital, departmental, and CNDH performance improvement activities to measure, assess and improve the quality of care delivered to patients. Participates in pre-visit planning by reviewing upcoming schedules and care gap data to support timely completion of screenings and tests, including assisting with preparatory activities such as requesting records or initiating orders as appropriate, in collaboration with providers. Plans patient care to meet set standards for quality.

Provides routine patient care by utilizing and documenting the nursing process: including teaching patients and their families. Provides clinical and operational support for patient care coordination and clinical workflows, including but not limited to triage processes, medication management support, referral coordination, and follow-up care, in accordance with organizational policies and procedures. Provides age, population and culturally appropriate, holistic patient care based upon nursing department standards, policies and procedures.

Practices in accordance with and adheres to regulations such as the Nurse Practice Act, CNDH policies and procedures, and regulatory agencies. Recognizes and anticipates common changes in the physical, biopsychosocial and health needs of patients experiencing urgent, emergent or non-emergent conditions. Collaborates with the providers to provide patient and/or family education designed to meet the age specific needs of the patient population served.

Provides safe nursing interventions ensuring that it is appropriate to patients' needs, age and condition. Maintains and promotes professionalism and is courteous to patients, staff and visitors. Protects the confidentiality, security, and integrity of information by adhering to applicable regulatory requirements and internal policies. Regularly attends 90% of staff meetings or obtains minutes and assumes responsibility for the information given.

Participates in the orientation and onboarding of new staff and supports clinical education by facilitating shadowing experiences for nursing and other clinical students. Facilitates communication via telephone between the patient and the medical staff. Exhibits prompt arrival to duty station as well as follows employee code book for time and attendance. Collaborates with inpatient case management as needed to support discharge planning, care coordination, and follow-up, depending on patient needs and clinic workflows.

Provides case management services for all patients, including those with complex or special healthcare needs, collaborating with internal and external providers to coordinate care and support effective transitions throughout the healthcare system. Provides direct nursing care backup as the team's needs dictate. Assists in supporting increased access to patients. Assists with management duties of the clinic as delegated by the clinic manager and/or assistant manager in their absence, to include supervision of agency and contract staff.

Contributes to the team in a positive way that promotes professionalism and collaboration between departments. Participates in the review of monthly performance measures and work collaboratively with the care team to identify trends, challenges, and improvement opportunities. Functions as a member of the interdisciplinary healthcare team, leading coordinated collaboration with multidisciplinary specialties and integrated services to deliver comprehensive, patient- and family-centered care.

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