CARE MANAGER RN

Riverside Healthcare is seeking a dedicated and compassionate Care Manager Registered Nurse to join our dynamic team. This role is integral in coordinating patient care, improving health outcomes, and ensuring a seamless transition through various levels of care. The ideal candidate will possess a blend of clinical expertise, strong organizational skills, and the ability to advocate for patients and their families. Additionally, this position requires flexibility with assignments within professional scope/duties/licensure.

Essential Duties

• Patient Care Coordination: Develop, implement, and manage individualized care plans for patients with complex health needs. Collaborate with multidisciplinary teams to ensure comprehensive and effective care. Completes management functions including patient/family education. Refers reviewed cases to a Physician Advisor as needed.  
• Assessment and Planning: Conduct thorough assessments of patients medical, psychological, and social needs. Create and adjust care plans based on ongoing evaluations and patient progress.
• Patient Advocacy: Serve as a primary contact for patients and their families. Provide education on health management and resources, ensuring patients understand their care plans and treatment options.
• Case Management: Monitor and evaluate patient care and outcomes, coordinating with healthcare providers to address any issues or changes in patient condition. Ensure timely follow-up and continuity of care.
• Documentation: Maintain accurate and up-to-date records of patient interactions, care plans, and outcomes. Ensure compliance with regulatory requirements and organizational policies.
• Resource Management: Identify and facilitate access to community resources and support services for patients. Assist in managing care costs and optimizing the use of healthcare resources.
• Quality Improvement: Participate in quality improvement initiatives to enhance patient care and optimize processes within the care management program.
• These are duties that MUST be performed in this job, with or without reasonable accommodation. 

Non-essential Duties

• Administrative Support: Assist with administrative duties related to care management, such as preparing reports and attending meetings.
• Training and Development: Contribute to the training and orientation of new staff members or interns as needed.

Required Experience:

• Minimum of 3-5 years of experience in a clinical setting.

Preferred Experience:

• Experience in managing complex cases and working with diverse patient populations is highly desirable.
• Preferred previous experience with case management and utilization management.
• Strong clinical assessment and critical thinking skills. 
• Excellent communication, organizational, and interpersonal skills. 
• Proficiency with electronic medical records (EMR) and care management software.
• Ability to work independently and as part of a team. Strong commitment to patient-centered care and continuous professional development.

Required Licensure/Education:

• Current Registered Nurse (RN) license in the state of Illinois.
• *New Graduate RNs starting on or after 1/1/25 must earn Bachelors of Science in Nursing (BSN) within 3 years of start date. 

Preferred Education:

• Bachelors Degree in Nursing (BSN) or higher from an accredited institution*
• Certification in Care Management (CCM) or similar certification is preferred.

Employee Health Requirements:

Exposure to:

Chemicals: Refer to MSDS Sheets

Video Display Terminals: Extreme

Blood and Body Fluids: Minimal potential

TB or Airborne Pathogens: Minimal potential

Sensory requirements (speech, vision, smell, hearing, touch):

Speech: Needed for presentations, training, telephone communication, facilitating meetings.

Vision: Needed for computer entry, reading memos and literature.

Smell: Needed for electrical/fire safety.

Hearing: Needed for telephone communication, meetings and listening to employee concerns.

Touch: Needed for writing, computer entry, filing.

Activity/Lifting Requirements

Percentage of time during the normal workday the employee is required to:

Sit: 50%

Twist: 0%

Stand: 35%

Crawl: 0%

Walk: 10%

Kneel: 0%

Lift: 5%

Drive: 0%

Squat: 0%

Climb: 0%

Bend: 0%

Reach above shoulders: 0%

The weight required to be lifted each normal workday according to the continuum described below:

Up to 10 lbs: Occasionally

Up to 20 lbs: Occasionally

Up to 35 lbs: Not Required

Up to 50 lbs: Not Required

Up to 75 lbs: Not Required

Up to 100 lbs: Not Required

Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):

Brief case, notebook, computer, printed material-transported from one location/meeting to another.

Maximum consecutive time (minutes) during the normal workday for each activity:

Sit: 480

Twist: 0

Stand: 240

Crawl: 0

Walk: 60

Kneel: 0

Lift: 5

Drive: 0

Squat: 0

Climb: 0

Bend: 0

Reach above shoulders: 0

Repetitive use of hands (Frequency indicated):

Simple grasp up to 10 lbs. Normal weight:

Pushing & pulling Normal weight:

Fine Manipulation: Calculator, keyboard, writing instruments

Repetitive use of foot or feet in operating machine control: Not Required

Environmental Factors & Special Hazard

Environmental Factors (Time Spent):

Inside hours: 8

Outside hours : 0

Temperature: Normal Range

Lighting: Average

Noise levels: Average

Humidity: Normal Range

Atmosphere:

Special Hazards: None

Protective Clothing Required: None