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Ambulatory Care Registered Nurse

hace 2 meses


Madrid, Madrid, España Trinity Health Mid-Atlantic A tiempo completo
Job Summary

Trinity Health Mid-Atlantic is seeking an experienced Ambulatory Care Registered Nurse to join our team as a Care Manager. This role will focus on providing high-quality patient care and coordinating services to ensure optimal health outcomes.

Key Responsibilities:
  • Support offices in Cohoes and Waterford, providing care management services to patients with multiple chronic diseases, CHF, and COPD.
  • Develop and implement disease education programs to empower patients and their families to manage their conditions effectively.
  • Identify and mitigate social influencers of health, coordinating needed services and collaborating with provider offices to ensure integrated care through the healthcare continuum.
  • Work closely with healthcare teams to ensure seamless transitions of care and improved health outcomes.
  • Develop and maintain strong community resource knowledge to provide patients with access to necessary services and support.
  • Collaborate with patients, families, and healthcare teams to develop and implement personalized care plans.
  • Provide education and support to patients and families on disease management, self-care, and health promotion.
  • Participate in quality improvement initiatives to enhance patient care and outcomes.
Requirements:
  • BSN required (NYS Registered Professional Nurse licensure).
  • AD will be grandfathered and must meet performance standards.
  • Previous experience required in care management at least one of the following settings: disease management, home health care, hospital or physician office setting.
  • Preferred Certification in Case Management (CCM).
  • 5 years of RN experience in Care Management required.
  • Prior electronic medical record (EMR) experience required.
  • Previous project leadership experience required.
  • Excellent oral and written communication skills.
  • Excellent customer service skills.
  • Ability to work independently, setting priorities to coordinate care plan efficiently.
  • Proven leadership skills and ability to work effectively in a team environment.
  • Highly organized and detail-oriented, ability to perform multiple tasks.
  • Effective behavioral and educational strategies, including, but not limited to, motivational interviewing, teach-back method and self-management support.
  • Recognize the role of cultural, social, economic and behavioral factors in accessibility, availability, acceptability, and delivery of public health services, and respond to diverse needs that are a result of these differences.
  • Incorporate strategies for interacting with persons from diverse backgrounds (e.g. cultural, socioeconomic, educational, racial, gender, age, ethnic, and affiliation, mental and physical capabilities).
What We Offer:
  • Competitive salary range: $44.95 per hour.
  • Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates.
  • The pay range may also vary within the stated range based on location.