Nurse Care Management - 16 Hours

Job Description 

Job Title:  RN Care Manager  

Reports to:  Director of Nursing   

Department: Clinical  

FLSA Status:  Exempt  

Job Grade:  9C  

Version Date: June 2022                                                            

General Responsibilities: 

Provide comprehensive screening, assessment, care coordination services, disease education and self-management support to a caseload of moderate to high-risk adults with complex chronic health conditions. Coordinate sick visits or additional services as needed. 

Qualifications: 

Required Qualifications: 

• Current State of Rhode Island RN license 

• Certification in Certified Diabetes Outreach Educator (CDOE) within one year of hire 

• Experience working with primary care providers in practice setting to coordinate care and disease management. 

• Knowledge of disease management, case management, and chronic care principles 

• CPR/BLS certification 

Preferred Qualifications:  

• BSN graduate education preferred 

• Experience in community health setting, public health, chronic disease management, community nursing, case management preferred 

• Certification in one or more of the following: Case Management, Diabetes Education, Asthma/COPD, Cardiovascular 

• Candidates who do not meet all of the preferred qualifications are encouraged to apply.  

Significant Job Functions: 

• Manage a caseload of moderate to high-risk adults with complex chronic health conditions in a community primary care setting. 

• Establish Care Plan, goals, interventions, and contact schedule based on risk category and patient’s identified medical and social needs 

• Promote compliance with disease specific clinical outcomes by providing each individual with self-management supports including: 

• Disease specific educational materials 

• Medical charts and side effects 

• Signs and symptoms to watch for and report to MD 

• Nutritional recommendations 

• Exercise and activity 

• Community supports, services and resources including current provider information such as Pharmacy, DME, and Home Care providers 

• Care plan and treatment goals including self-management goals 

• Maintain standard precautions at all times 

• Maintain OSHA and HIPAA guidelines 

• Adhere to organizational policies and procedures 

• Maintain and sustain line of communication with supervisor, providers and other staff members 

• Actively participate in performance improvement activities to improve quality of care and safety to assure that the health care team meets and exceeds the established standards of practice and benchmarks 

Physical Effort/ Environment: 

• This role is hybrid. Work may be completed onsite or remotely.   

• Moderate physical activity, walking, standing, stooping, and occasional lifting.  

• Potential exposure to blood-borne pathogens, infectious diseases i.e. respiratory (Tuberculosis), and bio-hazardous materials.  

• Manual dexterity for computer use.  

• Organization skills, neatness; knowledge of safety and infection control standards of practice. 

Work Schedule Demands: 

• Full-time position with a base of 40 hours per week. 

Communication Skills: 

• Interpret technical medical terminology daily.  Use all available methods of communication with patients, such as with interpreting, counseling, group discussion, written materials and visual aids. 

• Communicate and identify cultural, social, and economical characteristics of the patient population served. 

• Document clearly and concisely in the medical record. 

• Assist with clinical audits; databases as assigned. 

• Communicate in a professional manner with patients, their families, staff, and outside contacts 

• Communicate effectively and work collaboratively with patients, providers, other members of the health care team, other disciplines, and community agencies. 

• Demonstrate professionalism, leadership skills, triage skills, documentation skills, and teaching skills 

• Strong patient service skills 

• Strong problem-solving skills 

• Strong teaching skills 

• Strong triage skills 

• Broad knowledge base of relevant professional, technical, and clinical information in assigned department. 

• Strong Leadership skills 

• Strong documentation Skills 

• Ability to communicate effectively and work collaboratively with patients, providers, other members of the work team for performance improvement initiative 

Confidentiality of Information: 

Thundermist is dedicated in securing the privacy and confidentiality of protected health information under the Health Insurance Portability and Accountability Act. It is the responsibility of all employees to comply to state and federal guidelines in accessing sensitive information.  

ADA & EEOC Statement: 

Thundermist provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.