RN Case Manager (Bilingual Preffered)

Job Title: RN Case Manager

Reports To: Director of Nursing 

FLSA Status: Exempt

Starting Pay Range: $79,100 DOE

Bilingual Preferred

Job Summary: Provides quality and comprehensive patient care through the development, implementation and evaluation of individual patient medical care plans, while following established professional standards of care. Functions as an integral part of the patient-centered medical team and is a liaison between FHC patients and their family.

Essential Functions:

• Coordinates medical care for Family Healthcare patients and specialty care providers as needed.
• Coordinates care and communication between multiple providers: medical, nursing, social and behavioral health.
• Works to insure a patient centered clinical approach, and a holistic approach, to care and treatment.
• Works within the Clinic’s health team to help identify patients who have health risk factors, especially for chronic diseases.
• Monitors disease specific individual self-management goals and program measures, to reach and maintain patient care and program targets.
• Works with medically-complex population with mental/physical health challenges, including mood and psychotic disorders, and substance use.
• Consults with interdisciplinary treatment teams regarding medical care for patients.
• Conducts weekly care reviews with multiple providers.
• Review quality outcomes data with health care team to draw valid conclusions.
• Identify and implement strategies to improve care.
• Provide home visits and/or specialty medical visits as clinically indicated.
• Maintain client confidentiality at all levels of interaction.
• Support the organizations mission, vision and values as it relates to customer satisfaction in all interaction with patients, staff and visitors.

Additional Responsibilities:

• Handle special projects and other duties as assigned by Director of Nursing
• Accept responsibility for continued professional growth, development and competency in the field of health assessment and disease management.
• Demonstrates professional conduct by appropriate action and communication.

Competency: To perform the job successfully, an individual should demonstrate the following competencies:

Problem Solving: Effectively identifies and resolves issues using analysis and reason, even in emotional situations.

Customer Service: Handles challenging interactions professionally and meets customer/patient needs reliably.

Interpersonal Skills: Resolves conflicts constructively, maintains confidentiality, and listens attentively.

Oral Communication: Communicates clearly and persuasively; listens and responds appropriately.

Teamwork: Builds positive team dynamics and supports collective success.

Written Communication: Writes clearly, edits for accuracy, and interprets written data effectively.

Ethics: Acts with integrity, respects others, and upholds organizational values.

Organizational Support: Adheres to policies, completes tasks on time, and aligns with company goals.

Attendance & Punctuality: Maintains consistent presence and timeliness.

Dependability: Follows directions, takes responsibility, and honors commitments.

Judgment: Makes sound and accurate decisions.

Professionalism: Treats others respectfully, handles pressure well, and follows through.

Quality & Quantity: Ensures accuracy and meets productivity standards.

Safety & Security: Follows safety protocols and reports risks.

Benefits:

• Medical, Dental, Vision (Medical premiums are partially paid for by Family Healthcare)
• Family Healthcare partners with Nonstop Wellness to help cover a portion of employees' healthcare premiums and out-of-pocket expenses such as deductibles, copays, and coinsurance.
• 401K available on the 1st day of hire for all employees, Family Healthcare will match dollar for dollar up to 3% and .50 cents on the dollar for the next 2% up to 5% of yearly earnings
• Profit Sharing: All employees are eligible for up to 5% of yearly earnings after working with Family Healthcare for 6 months consecutively
• Paid Time Off, Paid Holidays (13 including a floating Holiday)
• Gym Membership Discount
• Employee Assistance Program for counseling

Work Environment: The work environment characteristics are representative of a typical medical office setting with appropriate climate controls. The noise level in the work environment is usually moderate. This is not an OSHA high-risk position.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must regularly lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to walk, talk, and hear. The employee is frequently required to stand; sit; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl.

Job Qualifications:

• Current RN License and CPR certification, experience with EHR, and 2-5 years of experience in public health, community health, home care or hospital care, providing managed care patient services.
• Ability to develop effective interpersonal relationships with health providers and management.
• Ability to perform duties across life cycle (infant, children, adolescents, adults, prenatal and geriatric).
• Drivers license and clean driving record is required.
• Demonstrated organization shills, time management and ability to manage multiple cases.
• Strong communication skills, written and verbal. Bilingual preferred.
• Knowledge and experience in HIPAA regulations, information privacy/security laws, and access and release of information.
• Knowledge of “infection control protocols” and experience in teaching/educating patients about care of chronic diseases.
• Computer proficiency.

Other Qualifications:  To perform the job effectively, the individual must meet the following skill and knowledge requirements:

• Language Skills: Able to read and interpret safety and procedural documents, write routine reports, and speak clearly to groups.
• Math Skills: Proficient in basic arithmetic, fractions, decimals, percentages, and interpreting bar graphs.
• Reasoning Skills: Capable of problem-solving, analyzing data, drawing conclusions, and interpreting complex instructions and regulations.
• Computer Skills: Familiar with Microsoft Word, Excel, and Internet Explorer.