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About
Department: Value Based Care
Reports to: Manager, Care Management and Coordination
POSITION SUMMARY The Longitudinal Care Manager (LCM) will be responsible for the planning, organizing, implementing, and coordinating care management activities utilizing the nursing process to provide a team-based, patient-centered approach. This role will work collaboratively with physicians and the care team to promote health services that are appropriate, safe, and efficient. Strong organizational, analytical, and positive relationship-building skills are essential for this position. This role may be aligned to specific patient populations based on program needs. ESSENTIAL JOB FUNCTIONS AND ACCOUNTABILITIESConducts comprehensive health, self-management, socio-economic, behavioral, and risk status assessments with patients. Supports treatment adherence. Establishes and maintains care plans based on the documented patient-set goals and needs. Guides specific, measurable, attainable, realistic, and time-bound goals. Conducts proactive outreach and provides appropriate follow-up to patients and care team. Meets deadlines. Maintains ongoing communication with the specialty care physicians and other providers involved in the patient's plan of care, updating the care plan as necessary. Communicates with agencies and community service providers, identifies available community and health resources, and helps the patient and family access needed care and services. Educates the patient, family, guardian, or caregiver to support self-management, independent living, and activities of daily living. Maintains a professional, collaborative, and productive relationship with providers and the care team. Participates in quality improvement projects as needed and implements quality improvement initiatives. Promotes effective collaboration amongst care team members, including the patient and family. Identifies and builds upon the assets and strengths of all members of the care team. Effectively utilizes all tools available to support care coordination. Maintains a high level of proficiency with tools within EMRs and other applications intended to support patient care. Works with a team of health care professionals and will require flexibility to shift responsibilities as necessary. Participates in program, department, and clinic team meetings as indicated. Other duties as assigned. REQUIRED QUALIFICATIONS Education: Graduate of an accredited RN program
License and/or Certification:
Current unencumbered Ohio Registered Nurse Licensure
BLS Certification
Skills:
Excellent interpersonal, written, and verbal communication skills Demonstrated ability to work collaboratively. Ability to meet deadlines, prioritize, organize time, and work autonomously.
Years of Experience: 2+ years of experience PREFERRED QUALIFICATIONS Education: BSN preferred License and/or Certification: Case Manager Certification preferred (CCM) Skills:
Care management experience preferred. Experience with quality improvement processes preferred.
Years of Experience: 5+ years of experience GENERAL REQUIREMENTSWorks in a safety- conscious manner that supports and ensures safe work practices. Complies with all UTP and other applicable UT policies and procedures and local, state, and federal regulations.
Interacts in a tactful, diplomatic, and humanistic manner with patients, visitors, and co-workers to provide a patient-centric environment. WORKING CONDITIONS
Works in a professional office environment with possible moderate to high stress levels.
Primarily inside in well-lit, well-ventilated areas No weekends, no holiday and no call is required
The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision. Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics.
Equal Opportunity Employer/Drug-Free Workplace
Languages
- English
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