Missoula County RN Care Manager in Missoula, Montana
Performs work as a registered nurse, as a member of primary care medical teams to provide care management throughout a multiple county region for the Partnership Health Center (PHC).
REPRESENTATIVE EXAMPLES OF WORK:
Maintains an active patient caseload. Develops strategies with the care team consistent with a patient-centered medical home to manage complex medical needs for clients with complex medical conditions.
Works within the PHC model for chronic disease self-management to provide patient and family education and develop goals that result in improved health outcomes. Develops comprehensive care plans and provides documentation as appropriate or required.
Makes visits to clients in their homes or at other locations outside the PHC as necessary.
Establishes a quality measurement system for all clients in the individual caseload to objectively measure client outcomes, compare and analyze disease burdens, and predict medical expense.
Coordinates hospital discharges with client, family, and hospital care team.
Participates in multi-disciplinary conferences, serving as a clinical resource for medical providers, dental, mental health and psycho-social case managers.
EDUCATION: Requires graduation from an ACEN (Accreditation Commission for Education in Nursing) approved program.
EXPERIENCE: Requires one year of experience in providing chronic disease management and interventions with clients.
SPECIAL REQUIREMENTS: Requires current license to practice as a registered professional nurse in Montana. Requires a current Healthcare Professional BLS certification or the ability to obtain it within 90 days of hire. Requires a current MT driver's license. Requires immunizations or proof of immunity to certain infectious diseases and a TB test.
The work requires physical exertion such as bending, walking and lifting boxes of files (up to 20 lbs.). Requires the manual dexterity to perform manual nursing skills, such as drawing blood, giving injections, filling syringes, etc. The employee may risk exposure to potentially dangerous situations, including exposure to communicable diseases. The employee may be required to provide service in home settings, which may require climbing of stairs and driving a motor vehicle for transportation.