RN Care Manager - Days

Position Highlights:
Position: RN Care Manager
Location: Chicago, IL
Full Time
Hours: Monday-Friday, 8:00 am -4:30pm
Required Travel: No
What you will need:

EPIC experience preferred
Fluency in Spanish, Urdu, Hindi, or Arabic a plus.
Graduate of an accredited school of nursing, Bachelor Degree in nursing
Current license as a Registered Nurse in the State of Illinois
Current CPR certification with the American Heart Association or American Red Cross
Case Management or CCM certification preferred
Minimum of 3 years' experience in a community or clinical setting required, one year of utilization review or case management experience preferred.
Ability to communicate effectively with a diverse patient population, interdisciplinary team at Swedish, the FQHCs and the Healthcare Transformation program.
Strong computer skills required
Managed care experience strongly preferred
Experience working with Medicare and Medicaid preferred
Benefits:

Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, and Vision options, including Domestic Partner Coverage
Tuition Reimbursement
Discounted Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
Job Summary

The role of the RN Care Manager is to oversee the Community CARE Patient Navigation team and provide leadership and support within this team. To enhance the quality of clinical outcomes and patient satisfaction, this role supports providers, leaders, and interdisciplinary teams in coordinating clinical and social patient care. This role is responsible for coordination between the FQHC primary care setting, the Healthcare Transformation (HCT) specialists, the inpatient hospital setting and Community CARE programs, with an emphasis on supporting and coordinating transitions of care. The position is supported by Health Care Transformation Program funding of the Illinois Department of Health Care and Family Services (HFS)

Responsibilities and Essential Functions

Oversee the Community CARE Patient Navigation Team. The Patient Navigation Team supports patients of the Healthcare Transformation program as well as patients in the ED and inpatient environments with complex SDOH and/or health literacy concerns, those with Medicaid and/or uninsured, and other patients as needed and as defined by department policy

30%

Manage team of Community Health Workers, including recruiting, hiring, orienting, providing continuing education and developing staff for professional growth opportunities; manage timecards, annual reviews, and all employee relation concerns

Implement, coordinate, monitor and continually evaluate Patient Navigation workflows and processes, including a local Community Health Worker Program, with clear program goals and objectives, FTE structure, and analytics reporting for tracking outcomes

40%

Collaborate with other Swedish Hospital departments to maximize care coordination, smooth transitions of care, and optimal efficiency in patient navigation
Create and maintain culturally competent and thorough patient education materials to aid in transitions of care and improved health literacy
Collaborate with other Community CARE staff and leadership to create and manage future Patient Navigation initiatives
Maintain accurate records and metrics of Patient Navigation interventions including timely patient contacts, goal progression, and required data collection in coordination with system health equity team
Coordinate and/or perform Transition of Care clinical follow-up to patients post-acute and post Emergency Department visits, as appropriate
Participate in acute inpatient rounds and bedside patient visits, as appropriate, to maximize preparation for discharge and efficient transitions of care. Continue to support patient across the care continuum

Provide direct culturally appropriate clinical case management, complex case management and transition of care activities for HCT Program patients, as directed by referral from HCT specialist

25%

Establish a documented patient centric case management plan involving all appropriate parties (patient, physician, collaborating providers, family, etc.), identify anticipated case results/outcomes, criteria for case closure, and promote communication within all parties involved
Provide telephonic support as dictated by patient needs and in collaboration with CHW team
Provide health education and coaches the patient with treatment alternatives to assist them in making informed decisions about healthcare choices
Assist with coordinating referrals, pre-authorizations and other health care needs, in collaboration with HCT referral coordinators
Assist insured and non-insured patients in sorting through their benefits, making choices, and exploring options
Act as a timely and proactive liaison and health advocate between health plans, patient/family, physician(s) and FQHCs

Performs other job-related duties as assigned

5%

#SW123
#J-18808-Ljbffr