RN or LPN Community Health Care Manager - Greeley/Evans/Weld County
RN and LPN Community Health Care Managers are responsible for working directly with patients, families, local providers, and community agencies to provide clinical support, assess treatment plans, eliminate fragmentation of care coordination, and work to prevent gaps in care and duplication of services for members of the Medicaid population.
RN and LPN Community Health Care Managers work to improve member/patient outcomes through goal setting and comprehensive care planning. Additionally this role is critical in reducing costs associated with high utilization of health care resources while providing a patient centered care approach, promoting continuity of care, and encouraging members to work toward self-managed health care as appropriate.
Key performance indicators include reduction of preventable hospital admissions, reduction of preventable emergency room visits, an increase in well-child preventative care, data collection, and breadth of population engagement.
Knowledge / Skills / Abilities
- Strong clinical skills
- Multi-tasking, prioritizing, able to handle multiple priorities while meeting deadlines
- Culturally competent
- Computer skills including MS Office (Outlook/Excel/Word), navigation of Electronic Medical Records, and other data collection tools as assigned
- Case Management Experience preferred
- Experience partnering with local and regional health and human service resources
- Basic business writing skills
- Excellent time-management skills
- Ability to work independently and with limited direction
- Experience Working with Medicaid and Medicare
Education and Formal Training
- Graduate of a Nursing Program
- Duly certified and licensed as a RN or LPN to practice Medicine in the State of Colorado
- Current CPR Certification
Job Duties:
- Assists Community Health Care Managers in the clinical care coordination of members
- Identify risk factors leading to increased utilization while working toward reduction of preventable emergency room visits, hospital admissions, re-admissions, excessive therapies, etc. for member population
- Develop individualized interventions for members in care management
- Assure appropriate and complete data entry of all requests per guidelines
- Participate in Health Promotion activities for member population
- Perform individual health risk questionnaires, assist with individualized care plan design, documentation and implementation of care plan activity, transitions of care coordination, and evaluation of outcomes
- Complete nurse consults including assessments, member screenings, medication reconciliation, care plan reviews, staff and member education.
- Provide clinical oversight of NHCA care coordination team as indicated
- Participate in home visits, telephone contacts, hospital visits and other means of connecting with members to reach identified goals
- Establish effective collaboration, communication and coordination among all responsible parties of an individual patient’s multidisciplinary health care team
- Optimize member and family independence through education, community resources and support
- Provide basic nursing services per plan of care; including assessment of vital signs, medication monitoring, basic wound care and other duties as assigned and discussed with Director of Care Coordination and/or Chief Medical Officer
- Develop and maintain positive working relationships and communications with internal and external partners
- Bilingual preferred
The above job definition information has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Job duties and responsibilities are subject to change based on changing business needs and conditions.
The North Colorado Health Alliance was incorporated as a 501(c)(3) non-profit organization in 2002. The Alliance, based in the town of Evans in Colorado’s Weld County, is a creative and strategic collaboration of partner organizations that are dedicated to cultivating the health of the communities they serve.
At the Alliance, we recognize that health does not begin or end with medical, dental, and behavioral health services. Health also depends on features of the built environment and on a variety of social determinants that make it harder for many to resist the chronic illnesses of our times. Thinking globally, the Alliance acts locally and creatively to convene, integrate, and support community partners in our common effort to make northeastern Colorado the healthiest region in the healthiest state.
Benefit Conditions:
- Only full-time employees eligible
COVID-19 Precaution(s):
- Personal protective equipment provided or required
- Social distancing guidelines in place
- Virtual meetings
- Sanitizing, disinfecting, or cleaning procedures in place
This Job Is:
- A job for which military experienced candidates are encouraged to apply
- A “Fair Chance” job (you or the employer follow Fair Chance hiring practices when performing background checks)
- A good fit for applicants with gaps in their resume, or who have been out of the workforce for the past 6 months or more
Work Remotely
This Job Is Ideal for Someone Who Is:
- Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
- Detail-oriented -- would rather focus on the details of work than the bigger picture
- Autonomous/Independent -- enjoys working with little direction
Job Type: Full-time
Pay: $69,000.00 - $74,000.00 per year
Benefits:
- 401(k) matching
- Continuing education credits
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Mileage reimbursement
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
License/Certification:
- RN License (Required)
- LPN (Required)
Work Location: In person