Outpatient Care Management/Anti-coagulation Management RN

Carle Health • Full-time • Champaign, IL, US • 19h ago

Overview $5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External Applicants Only The OP Care Management RN provides care management and population health services to patients. The primary target population served is the stratified risk patient or patients with high vulnerability at times of transition between care settings. OP Care Management RN will coordinate care around patient's chronic diseases, coordinate and facilitate medication management, and effectively manage care transitions across the continuum. OP Care Management RN will create a longitudinal, personalized care plan for each unique patient. Promoting effective partnerships between patients, families, nurses, physicians, and all other health care disciplines across the continuum. OP Care Management RN will use a data driven approach to manage patient populations to improve access to care and achieve optimal clinical outcomes. Qualifications EDUCATIONAL REQUIREMENTS College Diploma in Nursing CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse (RN) License Illinois upon hire and Certified Case Manager within 2 years. EXPERIENCE REQUIREMENTS Three (3) year clinical nursing experience with Case Management experience preferred. ADDITIONAL REQUIREMENTS Use of usual and customary equipment used to perform essential functions of the position. SKILLS AND KNOWLEDGE Possesses strong clinical assessment and critical thinking skills necessary to develop a comprehensive plan of care appropriate to patients with complex medical, emotional, and social needs. Effective behavioral and educational strategies, including but not limited to, motivational interviewing, teach-back method, and self-management support. Demonstrates high level of professionalism, leadership, communication, education, and collaboration. Responsibilities Communication and coordination between care settings across the healthcare continuum. Identifies appropriate providers, healthcare organizations, and community services throughout the continuum of care and communicates with an interdisciplinary team to develop and maintain positive working relationships with patients, families and all other members of the care team. Provide education on medication adherence, follow up appointments, and other activities to maximize patient knowledge of self-care and reduce avoidable readmissions. Empowers patients and families through education and a trusting relationship to utilize healthcare resources appropriately minimizing unnecessary healthcare utilization. Conduct holistic health care assessment including health risk assessment, patient preference and goals, health literacy, patient engagement level, patient confidence level to perform self-management, impact of chronic health conditions and comorbidity and social determinants of health. Ensure accurate documentation of clinical, financial, and other information using appropriate systems. Utilize data, dashboard, or other reporting mechanisms to support high reliability performance and outcome evaluation. Outpatient Care Management RN functions as an arm of the primary care provider to support any and all care coordination, chronic disease education for patients in collaboration with all cross-continuum care team members and support services. Documents within patient Electronic Medical Record (EMR) to support departmental specific workflows to ensure accuracy in care planning efforts. Effectively communicate with patients and all cross-continuum care team members in efforts to achieve optimal patient outcomes. About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all here at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,500 team members in its eight hospitals, physician groups and a variety of healthcare businesses and is recognized as a Great Place to Work®. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital and Carle Health Pekin Hospital hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

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