Case Mgr-Ambulatory RN

  • JOB SUMMARY
    • The Case Manager-Ambulatory works in coordination with the leadership team(s) in the inpatient and ambulatory care realm in an assigned setting to ensure transition of patients is appropriate and seamless. This position provides support for the patient, their family/healthcare partner and bridges the gap between the inpatient and ambulatory care setting.
  • DUTIES AND ESSENTIAL FUNCTIONS 
    • Provides assigned patients support and assists in transitions between the inpatient and ambulatory settings and immediately resolves issues to enhance their health.
    • Overall performance rating of below indicated essential job duties:
    • Assist patients and their family/healthcare partner in the inner workings of the health system to maximize their healthcare resources.
    • Completes a patient-specific plan of care that includes “touch-base” points.
    • Provides primary care physicians feedback on patient-specific information/needs as appropriate.
    • Knowledgeable of and appropriate application of the nursing process, professional theory, practice and procedure and assess nursing needs of acute and chronically ill patients and their families
    • Effectively teaches patients and families in accordance with the multi-disciplinary plan of care
    • Exhibits enhanced knowledge regarding payer plan, resources available in said plans, and communicates cohesively in lay terms to the patient related to these plans.
  • EDUCATION/LICENSE/ CERTIFICATIONS/OTHER REQUIREMENTS
    • Minimum requirement:
      • Graduate from accredited program for Registered Nurses.
      • Maintains active licensure in the State of Kentucky as a Registered Nurse.
      • Compass Rose - Heart Failure Program
        Case Management requirements:
        In-depth knowledge of CHF management.
        Strong communication & interpersonal skills.
        Prior experience in CHF care or case management.
        Role involves office based tasks, phone communications, in person patient interactions and hands on patient rooming assistance.
    • Preferred qualifications:
      • Bachelor’s Degree in Nursing.
  • WORKING ENVIRONMENT
    • This job operates in a professional office environment routinely using standard office equipment such as computers.
    • The noise level in this position is usually moderate.
  • PHYSICAL DEMANDS
    • Constantly required to maintain a stationary position behind a computer or while in patient homes.
    • Frequently required to move about throughout the facility.
    • Constantly required to communicate with people telephonically and in-person requiring talking and hearing.
    • Constantly required to operate a computer and telephone.
    • Occasionally required to lift and/or move up to 15 pounds.
    • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and depth perception.