RN Care Manager - CHF Clinic - Muskegon

Position

RN Care Manager

• Trinity Health Congestive Heart Failure Clinic (CHF) – Muskegon, Michigan
• Monday – Friday, Business hours
• On site position embedded in the clinic, one day a week remote work option

Full time

Day Shift

The RN Care Manager is a professional nurse who collaborates with physicians, facilities, health care team members and patient/families to manage chronic conditions/complex illness and coordinate care for specific patient populations across the continuum and between care settings as an important member of the Patient Centered Medical Home team.

• Participate and engage patients in assessment, planning, monitoring and evaluation of ongoing care for chronic condition/complex illness management.
• Establish care plans including patient education, self‑management, care coordination, and coordinating resources for effective, efficient and appropriate patient care.
• Provide ongoing monitoring and evaluation of patient outcomes.
• Perform population health management duties, including risk stratification to identify high- and rising-risk patients, care coordination, patient engagement, and addressing social determinants of health needs in proactive efforts to improve outcomes, reduce cost, and improve health equity.
• Assist patients in optimizing health status; provide interventions designed to avoid hospitalization and emergency room visits.

• Graduate of an accredited nursing school;
  Bachelor of Science in Nursing required;
  Master’s in Nursing (or actively pursuing) preferred; recent case management experience preferred.
• Current licensure to practice nursing in Michigan.
• One year of experience in case management preferred; three years of clinical experience in nursing required.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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