Careers

Rural Health Group is seeking a full-time RN ACO Care Manager
 
Full time RN level position. Works with patients of Rural Health Group who are Medicare beneficiaries. Performs Medicare annual wellness visits. Collaborates with the patient and other health care providers to facilitate patient access to those health and social services which enhance the patient's health and well being and his/her ability to adhere to the prescribed medical treatment regimen in the most efficient and cost effective manner possible. Provides services to the patient in a variety of community and clinical settings. 

RN ACO Care Managers will be responsible for a patient panel of approximately 700, and will be required to be on call.  A company cell phone will be provided, and after-hours calls will be compensated.

Looking for RN with experience working in community health; organized; able to multitask; computer skills a must. Will require travel in multiple counties within the service area, including home visits.  Please see below for full job description and requirements.

SUMMARY
Collaborates with the patient and other health care providers to facilitate patient access to those health and social services which enhance the patient's health and well being and his/her ability to adhere to the prescribed medical treatment regimen in the most efficient and cost effective manner possible.  Provides services to the patient in a variety of community and clinical settings.
 

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

Accountable for developing, facilitating services, and partnering with community resources to address the needs of an assigned population

• Develops and facilitates services that provide education, screening, and advanced assessments for assigned population throughout the continuum of care.
• Consults with other community agencies and committees to identify potential resources for resolving patient’s health, psychosocial, or financial problems
• Functions as a liaison to external agencies and shares information to others, which may impact care and/or services of patients.

 
Uses independent, professional judgment to provide case management services to assigned population

• Accurately identifies and prioritizes “at risk” patient population.
• Collaborates with patient, caregivers, physicians, and other providers to develop a comprehensive plan of care.
• Assures implementation of care plans throughout the continuum of care to include a variety of settings (i.e. home, school, work site, clinic).
• Effectively communicates care plans and other patient-related activities both verbally and in writing to appropriate personnel and agencies.
• Utilizes clinical skills and assessments to work autonomously in multiple inpatient and outpatient settings (i.e. hospital, school, home, physician office, work site, etc.).

 
Communicates with physicians and other health care team members regarding necessary changes to care plan that promote optimal medical, academic, and behavior performance

• Demonstrates the ability to use teaching, learning, and counseling skills.
• Promotes empowerment of patient in self-management of disease.

 
Coordinates and develops educational opportunities related to assigned population for a variety of stakeholders (i.e. the healthcare system, school system, community, employers, health departments, patients and their families)

• Develops and conducts educational opportunities that promote “best practice” in the management of various populations.
• Serves as clinical preceptor/evaluator for various disciplines. (i.e. Brody School of Medicine Residents, East Carolina University School of Nursing, Pitt Community College Respiratory Care, etc.).
• Coordinates primary and secondary prevention opportunities that promote early identification and intervention for various populations.

 
Provides leadership in population-based health improvement

• Develops and implements programs or projects which facilitate the attainment of corporate goals.
• Leads and/or participates in interdisciplinary team meetings.
• Responsible for the development of strategic long range plans in the area of specialization.
• Participates in the replication of program services throughout the region and state by providing opportunities to increase the knowledge of population-based health initiatives.
• Participates in the development and coordination of marketing efforts.
• Uses principles of disease management to facilitate improvement in patient outcomes.

 
Maintains and advances knowledge and skills in areas of specialization

• Utilizes advanced skills and assessments to work autonomously in the hospital, school, outpatient, and/or community settings.
• Participates in professional organizations.
• Advances clinical expertise through attendance at conferences, reading journals, etc.
• Utilizes advanced assessments to evaluate and communicate effectiveness of comprehensive plan of care.
• Maintains a professional network among colleagues.
• Demonstrates knowledge and skills necessary to provide service appropriate to the age of the patient.

 
Promotes and participates in quality improvement (QI) activities and/or clinical research

• Changes practice behavior as a result of data.
• Encourages clinical problem identification and resolution activities.
• Identifies, addresses, and reports quality issues identified through data sources.
• Identifies and participates in clinical research activities through data analysis and collection.

 
Performs other duties as assigned (e.g., Disaster relief and other community based promotion activities.)
 
 
REQUIREMENTS

• Current unrestricted RN licensure in state of North Carolina or holding a Class P temporary license as a registered nurse in the state of North Carolina.
• Two years of professional experience in a clinically related area
• Basic Life Support health care provider card
• Demonstrated team leadership, relationship building, critical analysis, and written and verbal communication skills.
• Knowledge of funding resources and clinical standards and outcomes.
• Possess and demonstrate critical thinking skills and clinical problem solving techniques.  Possess appropriate interviewing and negotiating skills.
• Knowledge of managed care and population-based disease management concepts and strategies.
• Must be successful and competent in project management
• Outstanding abilities in teaching individuals and groups
• Must have team building skills
• Must have organizational skills
• Must have supervisory skills
• Must understand health care systems
• Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
• Ability to work independently
• Genuine compassion and respect for all persons
• Background in teaching and/or community health preferred
• Possess the tact necessary to deal effectively with patients, physicians and employees
• Possess knowledge of modern office equipment, systems and procedures.
• Must have a pleasant, professional attitude toward patients, customers, co-workers and superiors
• A Certified Case Management designation is preferred. Previous experience in clinical resource management activities is preferred.
• Valid driver’s license and reliable transportation
• Bilingual (Spanish) is a plus, but not required; applicants who may serve in a translating capacity will be required to take a language assessment

EOE.  Federal and State Criminal Background Checks and Drug Screen required for all positions.
 
E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.