Registered Nurse LMSW Complex & Transitional Care Manager II (ICP)
Job Location:
Mountain View, CA - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Primary City/State:
Innovation Care Partners - 8901 E Mountain View Rd Scottsdale AZ 85258Category:
Case ManagementShift:
DayDepartment:
Care ManagementGreat care starts with great people. (Like you.)
At HonorHealth youll find something special. From humble beginnings in 1927 to one of Arizonas largest nonprofit healthcare systems our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
- Coordinate patient transitions between hospitals skilled nursing facilities (SNFs) home health primary care and specialists.
- Conduct timely patient post-discharge follow-ups via telephonic calls or in-home visits as warranted.
- Facilitate patient/caregiver education at transitions of care and chronic care management.
- Develop and implement individualized care plans and transition plans in collaboration with patient/caregiver PCP and embedded Care Coordinators.
- Monitor progress toward goals adjust care plans as needed and advocate for access to appropriate services.
- Document assessments care plans and interventions in the electronic medical record (EMR) accurately and in a timely manner.
- Collaborate with the Chief Medical Officer providers primary care embedded Care Coordinators and other health care professionals/agencies to ensure complex outpatient care is coordinated across the health care continuum
- Participate in quality improvement initiative related to care transitions chronic disease management and utilization reduction.
- Mentors as a buddy for new Care Mangers and Care Coordinators.
- Is key in developing PCP and embedded Care Coordinator relationships and education on Care Management program.
- Maintain all regulatory educational requirements by participating in continuing education activities.
- Demonstrate professional behavior and promotes cooperation and team building.
- Maintain and manage to their caseload
- Support and participate in the development and maintenance of scorecard.
- Maintain accurate metric tracking for daily productivity management.
- Perform other duties or responsibilities as assigned by people leader to meet business needs
- Bachelors Nursing Required
- Masters Nursing Preferred
- 2 years as Case (or Care) Manager Transitional Care Manager Care Coordinator RN or Nurse Advocate Required
- 3 years Registered Nurse Preferred
- Registered Nurse (RN) - License State And /Or Compact State Licensure Required
- Basic Life Support (BLS) - Certification Required
- Fingerprint Clearance Card (FPC) - Certificate Required
- Certified Case Manager - Certification Preferred or
- Accredited Case Manager (ACM) - Certification Preferred
- Certification in Healthcare - nursing or other healthcare field Preferred
Were all in for your career.
Required Experience:
Manager
About Company
HonorHealth is a nonprofit health system with 9 hospitals, and hundreds of primary, specialty and urgent care clinics in the Phoenix metro area. Learn more at
