Cross Continuum Care Manager

Overview:

Cross Continuum Care Manager-RN

Full Time Benefits

Location: Onsite (located between rural clinics in Humboldt and Eagle Grove, with services available at the Humboldt clinic 3-4 days a week and at the Eagle Grove clinic 1-2 days a week)

We're seeking a Cross Continuum Care Manager - RN to join our team. The care manager provides care management and population health services to patients within an assigned region. The primary target population to serve is the stratified risk patient or patients with high vulnerability at times of transition between care settings.

As part of keeping our communities safe and healthy, all team members must be vaccinated for influenza and Tdap, provide proof of immunity to MMR and varicella, and be tested for tuberculosis. New hires must submit proof of vaccination or an approved exemption to begin work. If you have questions, please contact a recruiter or ask at any time during the interview process. UPH strongly recommends that all team members receive the updated COVID-19 vaccine, and at this time, UnityPoint Health - Meriter requires Covid-19 vaccination or an approved exemption.

Why UnityPoint Health? (Text Only): At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few: - Expect paid time off, parental leave, 401K matching and an employee recognition program. - Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. - Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities:

What you will do:

Cross-continuum care managers create longitudinal, personalized care plans for patients/family/support system, collaborate with and coordinate the efforts of care team across the continuum, and increasingly use data analytics to manage the health of populations to improve patient access to care and clinical outcomes.

Qualifications:

What you will need:

Education:

Graduate of an accredited program for Registered Nurses
Bachelors of Science in Nursing (BSN) Preferred
Basic Life Support (BLS) certification required

Experience:

3 years of clinical nursing experience required
Previous clinical experience in a clinic or Home Care setting preferred
Previous experience with care coordination /care management and population health preferred

License(s)/Certification(s):

Current license in good standing to practice nursing in the state where care is provided
Basic Life Support (BLS) certification required for team members that perform the majority of their work in the clinic setting. BLS certification optional for team members that perform the majority of their work at a remote location.
Valid driver's license when driving any vehicle for work-related reasons

Knowledge/Skills/Abilities:

Basic computer knowledge using email, web browser and documentation of care in an electronic health record
Knowledge of the healthcare system and resources available to patients
Strong clinical proficiency and ability to apply critical decision making in dynamic situations
Motivational Interviewing and applies Integrated Chronic Care Management skills
Cultural compliance
Trauma informed care
Ability to problem solve in complex situations
Strong interpersonal skills and ability to collaborate
Excellent communication skills-written and verbal
Strong self-motivation and ability to work independently, setting priorities to coordinate care plan efficiently
Proven leadership skills
Patient focused
Effective behavioral and educational strategies, including, but not limited to, motivational interviewing, teach-back method and self-management support