Nurse Care Manager
Company: Chase Brexton Health Services
Location: Columbia
Posted on: April 30, 2024
|
|
Job Description:
JOB SUMMARY:The Nurse Care Manager provides professional,
patient centered nursing care in the ambulatory setting in
accordance with the multi-disciplinary plan of care and established
policies and procedures, under the supervision of the Lead Nurse.
Provides direct nursing and telephonic services to patients and
families in accordance with the standards of practice for
Ambulatory Care Nursing. Collects and analyzes patient data,
assists with development and maintenance of care plans, and
evaluates outcomes of interventions indicated by the
multi-disciplinary care plan. Documents and communicates these
interventions and outcomes per professional and organizational
standards. Delegates tasks to other licensed and unlicensed care
providers as appropriate. Assures compliance with regulatory body
standards (including Joint Commission and PCMH). MAJOR DUTIES AND
RESPONSIBILITIES:Analytical and Critical Thinking *Utilizes
assessment skills to evaluate patient needs and formulate a plan of
care, as part of the multi-disciplinary care team. Revises outcomes
and interventions based on results of ongoing evaluation,
collaborating with both the patient and members of the care team.
*Facilitates individual or group nursing visits with patients to
address chronic illnesses, provides education about management and
treatment of disease as needed. *Identifies patients at risk for
poor outcomes and those who may require more intensive services;
provides additional outreach and frequent follow up (by phone and
in-person) to this population.*Provides Complex Case Management,
including chronic disease case management, critical diagnosis care
coordination, transition care management, high risk clinical
tracking, complex medication management and system utilization to
appropriate patients. *Provides medication reconciliation and
adherence counseling, while assessing patient knowledge and
barriers to adherence and self care.*Triages patients during
walk-in/same day clinic.Teamwork*Collaborates with
multi-disciplinary team to address both physical and psychological
aspects of health to provide care for the whole patient. *Works
along with the Transition of Care Team to ensure safe and effective
transitions of care.*Collaborates with provider during appointments
or in nursing visit for education on health promotion, disease
prevention and/or management of disease.*Flexible in scheduling to
work the demands of the clinic schedule.Patient Focus*Assists
patients in the development of self-management goals, evaluates
ongoing status of goals along with other members of the
interdisciplinary care team; coordinates follow-up as
needed.*Accesses appropriate resources inside and outside the
organization to meet the needs of the caller/patient.*Demonstrates
awareness of cultural, ethnic, gender, sexual orientation and
racial differences and their potential to impact patient outcomes.
SKILLS AND ABILITIES:*Experience with documentation in an
Electronic Medical Record*Ability to work with computers in word
processing, and database applications preferred.*CPR certified by
scheduled start date. *Must be flexible and adapt to a changing
environment.*Able to prioritize competing responsibilities
EDUCATION AND/OR EXPERIENCE:*Required: Graduate from an Accredited
School of Nursing; Current Maryland Nursing License*Preferred: One
year of nursing in an ambulatory or acute care setting;
BSN*Significant related experience with populations served may
substitute for above requirement.
Keywords: Chase Brexton Health Services, Washington DC , Nurse Care Manager, Executive , Columbia, DC
Click
here to apply!
|