ACO Care Manager, RN

• Assist the coordination of delivery of cost-effective Healthcare services and establish a transition plan for post-acute care.
• Meet established organizational goals as outlined in Franciscan Values and Service Standards and will have the ability to build positive relationships, affect change, perform critical analysis, plan and organize, and promote beneficiary and family autonomy.
• Support transitions between levels of care with care coordination.
• Act as a liaison between patients, consulting physician, referring physician or outside agencies to coordinate patient appointments, admission, or surgery.
• Coordinate the exchange of information either written or verbal before and after patients are seen.
• Work collaboratively with other members of the Healthcare team in coordination of the patient's care.
• Meet patient and family to complete psychosocial history and assess family dynamics.
• Review computer record and chart and become familiar with the patient's history and current circumstances.
• Assess the Plan of Care to meet patient needs.
• Provide education for families, patients and other members of the healthcare team.

• Associate's Degree
  - Nursing
  - Required
• Bachelor's Degree
  - Nursing
  - Preferred
• Registered Nurse (RN)- State Licensing Board
  - Indiana
  - Required
• Registered Nurse (RN)- State License Board
  - Illinois
  - Required within 180 days of hire
• Certified Case Manager (CCM)- Commission for Case Manager Certification
  - Preferred
• Basic Life Support (BLS) American Heart Association
  - Required
• 5 Years Nursing/Patient Care Experience
  - Required
• 1 Year Case Management or Care Coordination Experience
  - Preferred

Demonstrates expertise in nursing and patient care, with a strong focus on care coordination and case management. Proficient in building relationships, performing critical analysis, and providing education to patients and families.

• Registered Nurse (RN) - Indiana
• Registered Nurse (RN) - Illinois
• Certified Case Manager (CCM)
• 5 Years Nursing/Patient Care Experience
• 1 Year Case Management or Care Coordination Experience

• Care Coordination
• Patient Assessment
• Psychosocial History Review
• Plan of Care Assessment
• Patient Education

• Relationship Building
• Critical Analysis
• Organizational Skills
• Collaboration
• Communication

• Associate's Degree
  - Nursing
• Bachelor's Degree
  - Nursing
• Basic Life Support (BLS)

• Healthcare Services
• Post-Acute Care
• Patient Care
• Care Transitions
• Family Autonomy

• Electronic Health Records (EHR)