Nurse Care Manager (Remote) - Faculty Practice Plan

Scheduled Hours

40

Position Summary

Under general supervision, will support population health and quality initiatives with a focus on preventative health care measures aimed at improving health outcomes through telephonic and written communication. Primary duties of this position include performing telephonic patient outreach to schedule appointments, obtaining health records from external providers, and sending reminders to patients to complete chronic care gaps as identified by the Care Manager. This position requires an administrative focus with the vast majority of patient interaction occurring via telephonic outreach.

Job Description

Primary Duties & Responsibilities:

• Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency, and the delivery of healthcare for medical home patients.
• Assesses, plans, implements, coordinates, monitors, documents, and evaluates options and services to optimize the member's health status.
• Develops systems of care that monitor member's progress and promotes early intervention in acute care situations.
• Establishes and promotes a collaborative relationship with health care providers, payers, and other members of the health care team to optimize interventions.
• Manages utilization and practice metrics to refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.
• Completes necessary paperwork and documentation in a timely manner.
• If order entry in the electronic medical record is part of the job function, completes requisitions/orders per WashU guidelines.
• Additional responsibilities include providing proactive care outreach to patients overdue for preventative health services to support value-based care initiatives. NCM will collaborate with providers, clinical staff, social work, case management, and community resources to assist patients with barriers to care. NCM will be responsible for developing and implementing patient centered strategies to improve management of chronic conditions, improve clinical outcomes, and enhance patient satisfaction.
• Performs special projects and other duties as assigned.

Working Conditions:

• Normal office environment
• Exposure to blood-borne pathogens
• Patient care setting
• Direct patient care setting

Physical Effort:

• Typically sitting at desk or table
• Typically standing or walking
• Typically bending, crouching, stooping
• Occasional lifting (>25 lbs)

Equipment:

• Requires protective devices
• Office equipment
• Clinical/diagnostic equipment

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications:

Education:

B.S.N. - Bachelor Of Science In Nursing

Certifications:

Basic Life Support - American Heart Association, Basic Life Support - American Red Cross, Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration

Work Experience:

No specific work experience is required for this position.

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job

Required Qualifications:

Registered Nurse in the state of Missouri or Illinois.

Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).

Preferred Qualifications:

Education:

No additional education unless stated elsewhere in the job posting.

Certifications:

No additional certification unless stated elsewhere in the job posting.

Work Experience:

No additional work experience unless stated elsewhere in the job posting.

Skills:

Adult Health Nursing, Ambulatory Care, Clinical Patient Care, Confidentiality, Data Analysis, Delegation Management, Electronic Medical Record (EMR) Software, Emergency Training, Epic EHR, Leadership, Managed Care, Medical Triage, Nursing Fundamentals, Oral Communications, Patient Care Plans, Patient Management, Research Management, Software Platforms, Strategy Implementation, Written Communication

Grade: S26

Salary Range: $60,800.00 - $105,700.00 / Annually

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.