Compass Health Network

The Nurse Care Manager is part of the person-centered integrated care team and provides direct clinical and medical services to persons enrolled in the Health Care Home through a “whole person” approach.. This is full-time, benefit eligible position working Monday-Friday.. Monitor HIT tools and reports for treatment and medication alerts and hospital admissions/discharges. Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member. Report to Regional Primary Care Nursing Director for guidance and questions regarding clinical supervision issues (PC only)

nurse case manager

Due to critical service need of the communities we serve, we are offering up to a $4,000 sign-on bonus.* We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen! The Nurse Care Manager is part of the person-centered integrated care team and provides direct clinical and medical services to persons enrolled in the Health Care Home through a “whole person” approach. This is full-time, benefit eligible position working Monday-Friday. Responsibilities Include <ul><li> Responsible for case load of up to 250 Healthcare Home patients</li><li> Meet with assigned clients to yearly care plans.</li><li> Assist in developing treatment plan healthcare goals for individuals with co-occurring chronic disease</li><li> Meet with assigned clients prior to monitor/educate on client’s medical needs as needed</li><li> Provide consultation and education for community and office-based staff about identifiable health conditions</li><li> Assist in contacting/collaborating with medical providers regarding significant health information</li><li> Provide education to clients on medical diseases, treatment, and medication</li><li> Monitor HIT tools and reports for treatment and medication alerts and hospital admissions/discharges</li><li> Review monthly DRVS reports, focusing on targeted population/indicators. The NCM will analyze the information and communicate/collaborate with providers, clinicians and patients</li><li> Perform Medication Reconciliations for HCH enrollees who have been discharged from the hospital</li><li> Aid in UDS measure documentation/tracking/reporting</li><li> Function as part of a multi-disciplinary team</li><li> Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member</li><li> Report to Regional Primary Care Nursing Director for guidance and questions regarding clinical supervision issues (PC only)</li><li> Other duties as assigned</li></ul>

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