Back to Jobs search

RN-Care Manager/Chronic Disease Care/Change Management

SSM Health • Madison, WI • 4h ago

It's more than a career, it's a calling

WI-SSM Health Erdman

Worker Type:

Regular

Job Highlights:

We are looking for an experienced nurse manager with strong Change Management skills as well as strong assessment skills related to chronic disease.

Nurses in this department call patients who have either recently been in the hospital or have at least 2 chronic diseases. They use motivational interviewing skills to determine healthcare-related goals their patients want to work on to improve their health and keep them from hospital stays/emergency department, etc

This Manager position is Monday - Friday days with a hybrid schedule. Meaning some in person and some remote work.

Job Summary:

Utilizes skilled intervention, clinical best practice knowledge and collaboration with the patient, physician and multidisciplinary treatment team to pace care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless clinical transition of patients through medically appropriate levels of care.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program.

Assesses all assigned patients and integrates family information from social work to collaboratively determine potential, actual and the next level of care needed.

Holds, interprets, and integrates the patient's story into the overall multidisciplinary plan of care.

Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes.

Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting.

Actively participates in clinical performance improvement activities as assigned.

Builds a network of positive working relationships that advocate for the patient.

Documents clinical activity in the medical record and supports and coaches accurate clinical documentation by physicians and others.

Pursues continuing education in area of expertise/leadership.

Works in a constant state of alertness and safe manner.

Performs other duties as assigned.

EDUCATION

Graduate of accredited school of nursing or education equivalency for licensing

EXPERIENCE

Two years' registered nurse experience

PHYSICAL REQUIREMENTS

Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.

Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.

Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.

Frequent keyboard use/data entry.

Occasional bending, stooping, kneeling, squatting, twisting and gripping.

Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.

Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois

Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)

State of Work Location: Missouri

Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Missouri Division of Professional Registration

State of Work Location: Oklahoma

Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)

State of Work Location: Wisconsin

Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8149000069 Value Based Care

Scheduled Weekly Hours:

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).

Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.

Explore All Benefits (https://jobs.ssmhealth.com/us/en/benefits)

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status ,_ _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643)

Similar Jobs

Health Market Assisstant Manager

Hy-Vee Food Stores • Madison, WI • 4h ago

Hospital & Medical

Additional Considerations (if any): - At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a workforce that is fully engaged and committed to supporting o...

4h ago

Go to Apply

Medical Director - OneHome

Humana • Madison, WI • 8h ago

Hospital & Medical

Become a part of our caring community and help us put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver...

8h ago

Go to Apply

Pharmacist (Clinical Pharmacy Specialist) - Medicine/Surgery

Veterans Affairs, Veterans Health Administration • Madison, WI • 1d ago

Hospital & Medical

Summary The Inpatient Medicine and Surgery Clinical Pharmacy Specialist will work collaboratively with providers and teams in active pharmacotherapy management of individual patients and assist in the educational mission...

1d ago

Go to Apply

Registered Nurse - Triage

ACCESS COMMUNITY HEALTH CENTERS • Madison, WI • 1d ago

Hospital & Medical

JOB REQUIREMENTS: Access Community Health Centers, Inc Registered Nurse - Triage William T. Evjue Clinic, Madison, WI, US Registered Nurse - Triage Position Summary: The Registered Nurse (RN) works collaboratively as an...

1d ago

Go to Apply

Nurse Practitioner or Physician Assistan

FROEDTERT HEALTH GROUP • Madison, WI • 1d ago

Hospital & Medical

JOB REQUIREMENTS: Workforce Health partners with over 400 employers to help them promote workplace health and safety as well as a full range of occupational medicine services within their organization. Workforce Health i...

1d ago

Go to Apply

Branch Director Home Health

CenterWell • Madison, WI • 1d ago

Hospital & Medical

Become a part of our caring community and help us put health first This role is offering a $10,000 sign-on bonus/relocation benefit The Branch Director is accountable for managing the day-to-day branch operations to ensu...

1d ago

Go to Apply

Physical Therapist ( Amputee Clinical Specialist)

Veterans Affairs, Veterans Health Administration • Madison, WI • 1d ago

Hospital & Medical

Summary The Physical Therapist (PT) is assigned to the PT department within Physical Medicine and Rehabilitation Service (PM&R) at the William S Middleton Veterans Affairs Hospital (VAH) in Madison, WI. The primary f...

1d ago

Go to Apply

Health Information Operations Manager

Datavant • Madison, WI • 1d ago

Hospital & Medical

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is power...

1d ago

Go to Apply

Medical Instrument Technician (GI)

Veterans Affairs, Veterans Health Administration • Madison, WI • 2d ago

Hospital & Medical

Summary The Medical Instrument Technician (MIT) performs diagnostic examinations or medical treatment procedures as a part of the diagnosis and treatment of patients. The work involves operating or monitoring diagnostic...

2d ago

Go to Apply

Specialty Clinic Registered Nurse

Veterans Affairs, Veterans Health Administration • Madison, WI • 2d ago

Hospital & Medical

Summary The Specialty Clinic Registered Nurse (RN) Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.