Case Manager Outpatient - RN
Wellstar Health Systems

Job Info

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Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Responsibilities

As a member of the Population Health Management (PHM) Team, the Outpatient Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services for patient with complex needs; identifies chronic, complex and or catastrophic cases through the case management process and or referrals and initiates intensive case management according to program guidelines. This role will utilize multiple disciplines as CM to focus on various different patient populations.
The goal of the PHM OP Case Manager is to effectively manage patients on an outpatient basis and during episodes of acute hospitalizations (in conjunction with their inpatient counterparts) to assure the appropriate level-of-care is provided, optimize safe transition to home or the next level of care, prevent inpatient re-admissions and ensure that the patients' medical, environmental and psychosocial needs are met over the continuum of care. The Case Manager acts as an advocate for members and their families linking them to other appropriate disciplines on the care team to facilitate patient/family education for better self-management, navigation of the health care system, and to identify community resources as necessary.
The PHM OP Case Manager:
- Will be embedded and connect with patients face to face or on the phone
- Telephonic only
Both types will coordinate with other members of the PHM team or multidisciplinary care team to adequately coordinate and manage patient needs

Telephonic Case Management Focus:
Will have a role that primarily the same as the outpatient PHM OP case manager, but will follow patient telephonically only and will support more multiple physician practices or patient populations based on patient volumes.

Qualifications

Required Minimum Education:Graduate of accredited school of nursing Bachelor's Degree in Nursing is highly preferred.

Required Licensure: Currently licensed as a Registered Nurse in the State of Georgia or hold a privilege to practice in the State of Georgia under the Enhanced Nurse Licensure Compact (eNLC). BLS required.

Required Minimum Experience:
A minimum of five (5) years diverse clinical experience. Case management experience highly desirable. Case Manager certification (CCM) preferred.
Computer experience with Microsoft office suite and electronic health records preferred
Experience in data collection and analysis and basic research techniques desired.

Required Minimum Skills:
Knowledge of complex case management role and processes.
Demonstrates customer focused interpersonal skills to effectively interact with practitioners, multidisciplinary health care team, community agencies, patients and families with diverse backgrounds, values, and religious/cultural ideals.
Outgoing and autonomous, flexible personality that can engage the geriatric population over the phone and support the development of PHM CM role..
Demonstrates leadership qualities including excellent organizational and time management skills, verbal and written communication skills, problem-solving, decision-making, priority setting, and work delegation.
Ability to utilize risk-stratification screening criteria, review clinical data in identifying patient/client health care needs.

We'd like to invite you on a career journey like no other! In return for your contributions, we'll help you make the most of all life's moments - on and off the job. Wellstar Total Rewards is designed to provide for your total well-being, including: Your Wellness, Your Pay, Your Future, Your Joy. We think it's pretty simple - we care for our team members and our team members care for the community.

Make a difference in patients' lives... and your own! Here, it's more than healthcare - it's CareerCare!

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