Care Management

Position Overview

Care Management Consultant – Cardiovascular Surgery Department

Work Shift:

Day Shift (United States of America) | Scheduled Weekly

Hours:

40

The Care Management Consultant operates within the full scope of nursing practice, serving as a patient advocate and navigator. The role develops longitudinal personalized care plans, coordinates interdisciplinary provider efforts, and leverages data analytics to manage population health.

• Transitional and Longitudinal Care Planning and Execution
  • Conduct assessments of patient/family needs and formulate documented plans to ensure continuity of care for high‑risk patients.
  • Coordinate care continuity with patients and families following admission, discharge, and ER visits.
  • Delegate tasks to assistive personnel, holding them accountable for completion.
  • Collaborate with physicians, hospitalists, PCPs, APPs, and specialists to coordinate interdisciplinary activities for high‑risk clinical and benefit decisions.
• Communication and Coordination Between Care Settings
  • Identify appropriate providers and facilities across the continuum and maintain positive relationships.
  • Serve as coordinator and manager for defined health populations across inpatient, outpatient, and community settings.
  • Collaborate with primary care practices to individualize patient assistance and improve care quality.
  • Guide development of multiple health‑care partnerships to achieve positive health outcomes.
  • Ensure transitions of care are completed and patients have resources to improve outcomes and prevent readmissions.
  • Educate patients on system‑wide care management and ensure availability for questions and concerns.
• Utilization Management and Data Analytics
  • Manage high‑risk patient care, including those with multiple comorbidities or high readmission risk, using patient registries when appropriate.
  • Participate in data collection, outcome reporting, clinical audits, and programmatic evaluations.
  • Analyze data to identify utilization patterns, promote cost reduction, and enhance quality of care.
  • Assist in ongoing root‑cause analysis and action‑plan development for readmissions.

• Excellent oral and written communication, customer service, leadership, and teamwork skills.
• Ability to work independently, set priorities, and coordinate care efficiently.
• Highly organized, detail‑oriented, and capable of handling multiple tasks.
• Proficient in motivational interviewing, teach‑back method, and self‑management support.
• Sound judgment, decision‑making, and problem‑solving abilities.

• Level 1 – Current Ohio RN, ADN, and ≥3 years clinical RN experience; or Licensed Social Worker (LSW) or Counselor (LPC) in Ohio with a bachelor’s degree in Social Work.
• Level 2 – Current Ohio RN, ADN, 3 years clinical RN experience, 2+ years in CM/UR/Navigator/Coordinator/leadership roles or equivalent certification; demonstrated leadership and project‑management skills.
• Level 3 – Current Ohio RN, ADN, 3+ years clinical RN experience, 5+ years in CM/UR/Navigator/Coordinator/leadership roles or equivalent certification; demonstrated advanced leadership, project‑management, KPI creation, and goal‑setting skills.

• Level I:
  Committee participation, performance‑improvement input.
• Level II:
  Lead performance‑improvement initiatives, mentorship, and training.
• Level III:
  Lead projects, provide case study information, and offer advanced leadership.

• Act with compassion, empathy, and respect.
• Focus on quality and results, encouraging ownership of change.
• Maintain a positive environment and uphold patient privacy and confidentiality.
• Promote safe patient handling, appropriate use of PPE, and awareness of slip/trip/fall risks.

Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.