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Job Description

$8K SIGN ON BONUS

Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations. Demonstrates expertise, current knowledge in nursing care and management of a caseload of patients of varying complexity and seeks to improve patient, family and health systems / community outcomes through the application of educational concepts / skills and preventive care in a managed care environment.

• Works with Primary Care team for medical management of Primary Care patients to improve overall chronic health outcomes and reduce use of inappropriate Emergency services and decrease unneeded hospitalizations
• Works as part of an integrated team with support from physicians and APPs, and additional support staff
• Uses Motivational Interviewing and Education with chronic complex disease management patients
• Coordinates with specialties around patient care navigation
• Assesses internal and external referrals to identify patient/significant others’ needs, level of intensity, insurance benefits and other patient resources.
• Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
• Assesses the educational needs of patients, families and members of the health care team and develops and implements appropriate teaching strategies or makes appropriate referrals.
• Communicates and collaborates with patient/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and which promotes optimal health in a cost-effective manner.
• Measures patient care outcomes, interprets reports and analyzes data trends for groups of patients.
• Documents patient data, plan, interventions and outcomes according to department guidelines.
  

• Required Bachelor's Degree or equivalent nursing or a healthcare related field (all departments except Spectrum Health Ludington)
  BSN must be obtained within 7 years for those who start in this RN role on or after January 1, 2017 (Spectrum Health Ludington Hospital)

• 5 years of relevant experience clinical nursing and or case management/managed care or related field Required

• LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required
• CRT-Basic Life Support (BLS) - AHA American Heart Association Ambulatory Care Management Upon Hire required Or
• CRT-Basic Life Support (BLS) - ARC American Red Cross Ambulatory Care Management Upon Hire required
• CRT-Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred

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Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member’s job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.