Portland, Maine
Nurse Care Manager Job Opening in Portland, Maine - GENERAL DESCRIPTION:
Oversee clinical care to patients with chronic disease. Serves in an expanded nursing role to collaborate with the Medical Team to provide a model of care that ensures the delivery of quality, efficient, and cost effective healthcare services. 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 in the delivery of healthcare. Provides professional nursing care to maintain and promote the health of Greater Portland Health Center patients utilizing the nursing process. Responsibilities include telephone and walk-in triage, direct patient care, patient education, population health management and care coordination.
ESSENTIAL JOB FUNCTIONS: *
Direct Patient care:
Telephone Triage
Walk-in triage
Patient Education
Promote patient independence and self-management
Monitor patient progress and promote early intervention and group decision making.
Care Coordination:
Manage utilization and practice metrics to refine the delivery of care model to maximize clinical, quality and fiscal outcomes for the population
Provide safe transition of care across the continuum of care
Implement monitoring systems for high-risk member to prevent and/or intervene early during acute exacerbations. Works with the primary care physician to ensure appropriate standing orders for acute exacerbation management (such as diuretic titration protocol).
Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
Collaborates with the Transitional Care Coordinators to ensure smooth process in place when movement between settings occurs
Convenes daily team huddle and facilitates discussions regarding patient care and concerns for the day.
Provides regular progress updates to PCP and other members of the care team.
Leadership/ Professionalism:
Demonstrate autonomy being accountable for their practice
Demonstrate the ability to negotiate and influence individual and group decision- making.
Adapt to a fluid, dynamic and rapidly changing environment.
Demonstrate leadership qualities in the areas of time management, problem solving, decision making, priority setting, delegation, organization, written/verbal communication and listening skills.
Works with leadership in the design, implementation and evaluation of the Medical Home care model.
EDUCATION, EXPERIENCE AND KNOWLEDGE QUALIFICATIONS:
Registered Nurse with three to five years of recent (within the last 3years) acute care experience required. Licensed at an RN level by the State of Maine Board of Nursing.
Bachelor's degree in Nursing preferred
BLS Certification.
Experience in care management/care coordination to include care planning, resource management, and utilization management desired.
Prior experience in Primary Care setting desired.
SKILLS AND ABILITIES QUALIFICATIONS AND OTHER REQUIREMENTS:
Needs to be professional as well as knowledgeable, responsible, and accountable to manage patient care over the continuum and to assist in improving quality, cost, and patient/service satisfaction outcomes.
Ability to perform tasks that require the skills of a registered nurse including patient education related to chronic condition care, assess patients in rare instances when a patient may walk-in to GPH and are in distress requiring a skilled assessment and discussion with the on-site provider regarding disposition.
Will be responsible for the assessment, planning and implementation process for a select group of patients in the outpatient setting.
Ability to perform the same function as Medical Assistant staff; rooming patients, immunizations, procedures.
Must be organized with the ability to self-motivate and prioritize a variety of duties.
Ability to motivate others and work effectively with clinical and non-clinical staff
Demonstrates excellent communication skills.
Demonstrates the ability to perform multiple tasks simultaneously.
Ability to work with people from diverse backgrounds and experiences
Ability to openly address and acknowledge observed issues and concerns
Attention to detail, and ability to be flexible in performing a variety of tasks.
Demonstrated ability to complete projects within designated timelines and the ability to prioritize duties is required.
Demonstrates proficiency with the electronic medical record (nextGen) Microsoft Word and Windows & Excel, and the ability to learn various system software.
Demonstrates proficiency in basic computer skills, including accurate keyboard entry of data into relevant computer based databases and spreadsheets.
Demonstrates ability to use basic office equipment, computer, fax machine, copier, calculator, etc.
Job Type: Full-time
Job Location:
Portland, ME
Required education:
Bachelor's
Required experience:
Nursing: 3 years
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