Must be located in Greenville, SC
Summary
In the capacity of a Registered Nurse, the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. Perform standardized comprehensive needs assessment, identifying and addressing barriers to care and aligning patients with available benefits and resources. Collaborate with patient, provider and care team to develop and implement a plan of care to ensure medically appropriate cost-effective care.
Essential Job Functions
Utilize Motivational Interviewing techniques as a patient-centered approach to activate patients in self-management of their chronic conditions with the goal of improved symptom management and interruption of a negative disease trajectory
Maintain a caseload of patients according to department policies.
Identify, enroll and manage patients in program for Transitions of Care/Complex Case Management/Chronic Disease Management.
Develop and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols.
Perform medication review and teach-back to ensure patient understanding and ability to adhere to medical regimen.
Collaborate with PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan.
Perform patient outreach according to established protocols and document in electronic medical record.
Identify, execute, and track needed referrals to care and community resources.
Provide resource management to improve care, patient experience and reduce unnecessary cost and utilization: right care, right place, right time.
Assist patient in advanced care planning to complete Advanced Directives.
Document all communications with patient and/or care team in electronic medical record.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.
Patient Population
The following must be included in all position descriptions that involve direct or indirect patient care. This is a JCAHO requirement. Also select the age of the patient population served:
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient’s status and interprets the appropriate information needed to identify each patient’s requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
Neonates (0-4 weeks)
Adolescents (13-17 years)
Infant (1-12 months)
Adults (18-64 years).
Pediatrics (1-12 years)
Geriatrics (65 years and older)
Not applicable to this position.
Employment Qualifications
Education Qualifications –
Required Minimum Education: Associate’s Degree
Specialty/Major: Nursing
Preferred Education: Bachelor’s Degree
Specialty/Major: Nursing (BSN)
Licensing/ Certification –
Licensure/Certification Required: Registered Nurse with active License in State of Patient Care
Licensure/Certification Preferred: Case Management certification
Minimum Qualifications
Minimum Years and Type of Experience: 2-3 years acute care, home health or case management experience
Other Knowledge, Skills and Abilities Required: Excellent interpersonal communication and negotiation skills. Strong analytical, data management and computer skills.
Other Knowledge, Skills and Abilities Preferred: Demonstrated success in improving the health of a distinct population of patients in the ambulatory or community setting
IV.Working Conditions
This section addresses the physical environment in which the employee will perform the work.
Periods of high stress and fluctuating workloads may occur.
Long-distance or air travel as needed- not to exceed 10% travel.
General office environment.
May be exposed to high noise levels and bright lights.
May be exposed to physical altercations and verbal abuse.
May be exposed to limited hazardous substances or body fluids.*
May be required to use physical restraints.
May be exposed to human blood and other potentially infectious materials.*
May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.
May have periods of constant interruptions.
Required to car travel to off-site locations, occasionally in adverse weather conditions.
Prolonged periods of working alone.
Other: Click or tap here to enter text.
* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
V.Physical Requirements
Physical Demands
Frequency
0%
1-33%
34-66%
67-100%
Lifting/ Carrying (0-50 lbs.)
Lifting/ Carrying (50-100 lbs.)
Push/ Pull (0-50 lbs.)
Push/ Pull (50-100 lbs.)
Stoop, Kneel
Crawling
Climbing
Balance
Bending
Work Position
Sitting
Walking
Standing
VI.Additional Physical Requirements/ Hazards
Physical Requirements
Hazards
Select if a physical requirement for this job.
Select if a potential hazard for this job.
Manual dexterity (eye/hand coordination)
Depth perception
Perform shift work
Use of Latex Gloves
Maneuver weight of patients
Exposure to toxic/caustic/chemicals/detergents
Hear alarms/telephone/tape recorder
Exposure to moving mechanical parts
Reach above shoulder
Exposure to dust/fumes
Repetitive arm/hand movements
Exposure to potential electrical shock
Finger Dexterity
Exposure to x ray/electromagnetic energy
Color Vision
Exposure to high pitched noises
Acuity – far
Gaseous risk exposure
Acuity – near
Other: Click or tap here to enter text.
Bon Secours is an equal opportunity employer.
Many of our opportunities reward* your hard work with:
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
Scheduled Weekly Hours:
40
Work Shift:
Days (United States of America)
Department:
Care Coordination – Population Health Service Organization
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email (url removed). If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at (url removed).
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