RN Case Manager (Immediate Openings) - Greater New Bedford Community Health Center

Possible Shifts: 8:00am - 4:30pm or 8:30am - 5:00pm or 4 x 10-hour Days Availa...Essential Functions:

Use case management processes to assure quality care is delivered to the practice’s patients, the patient’s families, and the patient’s caregivers in the most efficient and effective manner across the healthcare continuum.

Engage patients, patient’s families and their caregivers in understanding, setting, and monitoring patient self-management care plans in a manner that is culturally and linguistically appropriate to the patient and caregiver.

Complete health risk assessments as a foundation for developing individualized care plans and outcome goals for patients and their families.

Coordinate the patient’s care by facilitating patient, family or other care giver access to Medical Home/Behavioral Health providers, Staff and resources as needed by the patient.

Develop and maintain relationships among patients, patient’s families, and the patient’s care team that support patient’s access to the Medical Home.

Act as the primary contact point, advocate and source of information for patients and the community partners who help treat them

Research, find, and link patients to resources, services and support mechanisms for their care plans and self care management needs.

Provide timely communication with patients, make inquiries, execute follow-up actions and help to integrate information into the care plan.

Assist the care team in performance evaluation and quality improvement.

Participate in continuing professional growth through attendance at workshops and Professional in-services and through individual research and reading, to include communication skills.

Demonstrate flexibility, enthusiasm, and willingness to cooperate while working with others in multidisciplinary teams with activities to include participating in daily huddles