Clinical Care Mgr, Prim Care
The Clinical Care Manager manages clinical aspects of patient centered medical home, working with the interdisciplinary medical team in the provision of patient care.
SUPERVISION AND DIRECTION EXERCISED:
May participate in supervision of other clinical staff members.
MACHINES AND EQUIPMENT USED:
Standard medical examination room equipment and instruments. Will include use of computer/health information management system. Standard office equipment including computers, fax machines, copiers, printers, telephones, etc., skilled in using computerized health information management systems.
Under general direction of the Site Medical Director, the Clinical Care Manager's central role integrates and coordinates access and utilization management, proactive patient management, care facilitation and treatment planning functions. The Clinical Care Manager will demonstrate this commitment through implementation of the following:
Coordinates medical care of patients identified as high risk by health risk assessment/appraisal or by physician clinical determination. Assumes coordination role at the point of service and through targeted outreach and follow-up. Identifies patient groups with chronic diseases. Assists in developing and implementing population-based strategies to close gaps in medical care. Identifies resources for patient self-management skills. Assists in developing and implementing care plans for medically complex patients. Identifies barriers to a successful care management path.
Coordinates use of clinical and ancillary resources within and outside of the health system to achieve treatment goals specified in the patient care plan.
Participates in program development by assisting with planning short-range and long-range program goals for chronic disease management. Keeps abreast of organizational developments and practices that may impact operations by participating in continuing education courses, professional organizations and seminars, reading current literature and maintaining professional contacts in the community. Assisting with the development of current evidence based protocols, policies, work flow/flow sheets, guidelines, etc. related to the provision of care within the medical home model. Participating in committees as assigned.
Interacts effectively with physicians, the home care team, patients, and their caregivers.
Holds accountability for patient triage.
Adheres to infection control/safety guidelines.
Adheres to Health Insurance Portability & Accountability Act (HIPAA), The Joint Commission (TJC) and Occupational Safety & Health Administration (OSHA) regulations and policies.
Must comply with NYS RN BSN requirements. Registered professional nurse in NYS with 3-5 years of professional nursing experience. Ambulatory care experience in community health, care management, disease management, quality improvement and/or management experience is preferred or; an equivalent combination of education and experience. Current CPR certification required.
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How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Location: Strong Memorial Hospital
Full/Part Time: Full-Time
Opening: Full Time 40 hours Grade 044