Job Category:

Nursing - Registered Nurse

Work Shift/Schedule:

8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:

Job Summary

The RN Lead Care Manager will participate in care management committees and work on special projects related to care management. as needed.  The RN Lead Care Manager will assist the HP2 network providers in applying systems, science, incentives, and information to improve medical practice and patient care, eliminate duplication, and reduce the need for medical services by helping patients and their support systems in managing medical conditions more effectively. The RN Lead Care Manager will provide telephonic care and case management to members as part of a multidisciplinary care team. The RN Lead Care Manager will offer members of HP2 health and disease education and empower them to actively participate in their care. Other duties of the RN Lead Care Manager include, but are not limited to, implementation of policies and procedures, to support care management programs and promote collaboration, supervise and provide support to ensure services reach the target populations, assist with developing and facilitating training for HP2 Care Management staff, serves as a liaison between the organization and community partners, to advocate for patients, lead interdisciplinary team meetings, to identify concerns/issues and implement strategies and interventions, consultation with members on their medications and durable medical equipment, review member care plans, address home care needs, and connect members to community resources; collaboration with primary care physicians and other providers to ensure there are no gaps in care; collaboration with members, providers, and care givers to ensure positive care outcomes during care transitions. The RN Lead Care Manager will provide evidence-based services to assist patients in achieving an optimal level of wellness and improve coordination of care while providing cost effective, non-duplicative services.  Care management services may be provided in a variety of settings including in-person, face-to-face encounters, by telephone, or electronic encounters such as telehealth visits. Primary areas of focus will include management of patients with multiple chronic conditions, including those complex health care needs identified by HP2 and managing transitions of care.   

Minimum Job Qualifications

• Licensure or other certifications: Current Georgia RN license required.  Current BLS certification required or must be obtained within 30 days of hire

• Educational Requirements: Associates Degree

• Minimum Experience: Two years minimum experience providing care management services within a health plan, health system, or home health, care management required

• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications: Case Management Certification

• Preferred Educational Requirements: BSN

• Preferred Experience: One year experience providing care management within a primary care setting is preferred

• Other: 

Job Specific and Unique Knowledge, Skills and Abilities

• High energy and ability to function effectively in a dynamic work environment. 

• Strong organizational and interpersonal skills; able to work effectively in a team environment. 

• Must be able to multi-task and prioritize on a daily basis.

• Must be flexible and adaptive to a changing environment.

• Must be proficient with computers, have the ability to type and talk simultaneously, and have excellent interpersonal and customer service skills, including telephone etiquette.

• Excellent written and verbal communication skills. 

• Strong analytical and problem-solving skills; ability to review reports and complete data validation. 

• Excellent understanding of medical terminology and disease states.

• Able to interpret complex regulations.

• Maintains current continuing education appropriate to care management.

• Demonstrated expertise with Microsoft Excel and reporting databases.  

Essential Tasks and Responsibilities

• Collaborates with providers in promoting the delivery of high quality medically appropriate care and services using fiscally responsible strategies.

• Uses the nursing process to assess, plan, implem