Hybrid Senior Care Manager, RN

at UR Ventures

• Job title: Senior Care Manager, RN
• Job type: Full Time
• Experience level: Senior
• Salary: $37 - $52 per hour
• Degree requirement: Associate's Degree
• Location requirements: Hybrid, Albany, United States

About the role

• RN, Senior Care Manager at the University of Rochester overseeing patient care within medical home model. Collaborating with interdisciplinary team and managing care for high risk patients.

Responsibilities

• Manages clinical aspects of patient-centered medical home care.
• Works with the interdisciplinary medical team in the provision of patient care.
• May participate in the supervision of other clinical staff members.
• Integrates and coordinates access and utilization management, proactive patient management, care facilitation, and treatment planning functions.
• Coordinates medical care of patients identified as high risk by health risk assessment/appraisal or by physician clinical determination.
• Assumes coordination role at the point of service and through targeted outreach and follow-up.
• Identifies patient groups appropriate for care management intervention.
• Identifies resources for patient self-management skills.
• Assists in developing and implementing population-based strategies to close gaps in medical care.
• Assists in developing and implementing care plans for medically complex patients.
• Identifies barriers to a successful care management path.
• Accountable for patient triage.
• Interacts effectively with physicians, the home care team, patients, and their caregivers.
• Coordinates clinical and ancillary resources inside and outside the health system to achieve treatment goals specified in the patient care plan.
• May participate in meetings with Community Organizations and with other Care Manager groups across and within URMC to optimize communication and decrease duplication of efforts.
• Participates in program development by collaborating with the leadership team.
• Contributes to the development of knowledge and skills of other team members.
• Explores and organizes opportunities for professional development, performance improvement, and training needs of new and developing Care Managers.
• Informs the development of an onboarding program for inducting new Care Managers.
• Ensures clinical supervision and professional development of staff.
• Develops and/or executes quality improvement/performance optimization, implementation, and/or improved workflow initiatives.
• Assists with planning short-range and long-range program goals for chronic disease management.
• Keeps abreast of organizational developments and practices that may impact operations.
• Assists with developing current evidence-based protocols, policies, workflows, guidelines, etc., related to providing care within the medical home model.
• Participates in committees as assigned.
• Provides support to peers and serves as a resource to team members and CMO members as appropriate.

Requirements

• Associate's degree in Nursing and 5 years of professional nursing experience required
• Bachelor's degree in Nursing preferred
• Or equivalent combination of education and experience
• 2 years Care management and/or disease management required
• Outpatient primary care and/or pediatric experience in community health preferred
• RN - Registered Nurse - State Licensure and/or Compact State Licensure
• Licensure in New York State upon hire required
• CPR - Cardiac Pulmonary Resuscitation CPR certification upon hire required