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South Bend Clinic

RN Case Manager - Care Ally

south bend, IN

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About this opportunity

South Bend Clinic lists this RN Case Manager - Care Ally opportunity in south bend, Indiana. Review the employer’s description below for duties, qualifications and application requirements.

Job description

## RN Case Manager - Care AllyApply: Eddy Street SBC: Full time: Posted Today: JR If you are a current Duly/SBC/QMG employee, please apply through the Internal Career Site. **Department**: VBC Operations**Location**: Eddy Street Campus – 211 N. Eddy Street, South Bend, IN 46617 **Hours**: 40 Hours Weekly | Monday-FridayAt **The South Bend Clinic**, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve. **Benefits:**• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance. • Access to a mental health benefit at no cost. • Employer provided life and disability insurance. • $5,250 Tuition Reimbursement per year. • Immediate 401(k) match. • 40 hours paid volunteer time off. • A culture committed to community engagement and social impact. • Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met. **Responsibilities:**Patient Care / Patient Education* Assumes an active role in the planning and implementing educational needs of assigned patients, with direct care team and need consultants: Diabetic Educator, pharmacy, dietary, wound care, etc.* Coordinates assigned patients' clinical care plan in conjunction with the Primary Care Provider and with appropriate team members and communicates the plan to patient/family in a timely manner.* Review services with interested patients and assist in enrolling them in the CCM program* Provide all services necessary in order to execute an electronic care plan* Determine an individual’s health and educational needs as a result of inbound and outbound phone calls, and review of medical records with patients* Maintain communication with patients to measure no less than 20 minutes per month* Collaborate with the patient's provider to facilitate appropriate physical, behavioral and social services* Review care plans and make changes as necessary* Provide patients with information regarding medical questions/concerns* Examples of CM activities may include educating newly diagnosed patients about the disease and treatments; managing therapies; and drug administration and side effectsCare Facilitation* Develops, manages, and drives clinical plan of care with physician and multi-disciplinary care team.* Works collaboratively and maintains active communication with physicians, nursing and other care team members to ensure timely patient management and facilitation of services.* Coordinates patient care across the care continuum to reduce fragmentation of care and addresses/ resolve system issues that may be impeding progress and quality of care for patients.* Focuses on management of the complex patient with the goal of patient self-management, quality outcomes, and resource utilization goals.* Identifies and refers patients for social worker intervention, as well as transitions of care follow up at home.* Addresses complex clinical situations efficiently, to avoid unnecessary delays in care.* Obtains the support of the social worker for complex social issues, behavioral problems, home and family issues, placements, guardianship, hospice, palliative care referrals, drug and alcohol abuse, and violence.Utilization Management* Communicates with physicians and nursing regarding resource utilization, LOS, level of care, and post-acute care needs daily.* Coordinates with post-acute partners and facilities to ensure efficient care and patient-centered transitions.General Responsibilities* Exhibits computer systems knowledge and proficiency as necessary to perform job functions.* Demonstrates the attitudes and behaviors of The South Bend Clinic Service Standards.* Performs other duties as assigned when appropriate.* Adheres to HIPAA guidelines set forth in Clinic policies and procedures.**POSITION REQUIREMENTS:**Education/Certification/License: Minimum of an unencumbered license as a Registered Nurse in the state of Indiana.Knowledge, Skills, and Abilities:* Must have experience in case management or care management (Certified Case Manager preferred)* Must have experience with Medicare/Medicaid* Experience with multiple EHR/EMR systems* Ability to work collegially with staff members from multiple offices* Ability to manage multiple patients simultaneously* Ability to build and maintain relationships with patients, families and client providers* A background in geriatric care, family medicine and/or long-term care (skilled nursing, home health, hospice, public health, assisted living) highly preferred.* A background and ability to work with populations with special needs* Competence and experience with electronic charting* Ability to multitask* Excellent written and verbal communication skills.* Self-directed with the ability to work independently and in groups* Exceptional time management skills, with a high level of individual initiative* Detail oriented with strong organizational, planning, and problem solving skills* Can be depended upon to effectively plan and organize multiple assignments to ensure workload’s completion, yet flexible enough to handle changing schedulesSpecial Demands/Requirements:Occasional, local travel may be required for off-site meetings.INDHP

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Worksite address

south bend, IN, 46626, US

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