Intermountain Healthcare Nurse Care Mgr - Cedar Health Center in Cedar City, Utah
Greater St. George & Cedar City area
What does it mean to be a part of Intermountain Healthcare? It means that the quest for clinical excellence is not just a goal, but a given. It means building an environment where physicians and employees can deliver the best in healthcare. And it’s realizing each employee or volunteer is vital to the healing process, because we can only achieve theextraordinary together .
Being a part of Intermountain Healthcare means joining with a world-class team of over 36,000 employees and embarking on a career filled with opportunities, strength, innovation, and fulfillment. Our mission is: Helping people live the healthiest lives possible.
Our patients deserve the best in healthcare, and we deliver.
To work collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions and/or complex needs. To educate patients and families to help them manage their health care needs. To facilitate communication, coordinate services, address barriers, and promote optimal allocation of resources while balancing clinical quality and cost management.
Essential Job Duties
General case management
- Respond to physician referrals and/or identify patients who meet established criteria for care management (e.g. HgA1c >8, elevated LDL and/or B/P, Mental Health Integration referral, complex resource needs).
- Assess family, social, cultural characteristics
- Understand communication needs (vision/hearing)
- Assess behavioral and family risk factors
- Assess barriers
- Screen for chronic disease (e.g. depression)
- Review patient understanding of medication treatment.
Chronic Disease Management
- Have working knowledge of established care process models and other applicable standards of care
- Provide focused patient education using established content and tools
- Use clinician approved and appropriately documented standing orders
- Establish individualized care plan including treatment goals in collaboration with patient and consistent with medical plan of care.
- Review care plan and assesses progress toward treatment goals and barrier at each relevant visit.
Coordination of Care
- Coordinate with care managers in other settings as appropriate
- Provide information on enabling services (e.g. transportation)
- Maintain list of key community services agencies with contact information
- Provide information about recommended or available services and contacts
- Personalized Primary Care.
Support Patient in Self-Management and Behavior Change Using Motivational Interviewing and Coaching
- Assess readiness to change
- Assess and track patient capacity for and confidence in self-care
- Develop self-care plan in collaboration with patient
- Provide self-monitoring tools
- Provide or connect patients with support programs
- Assess and support patients in adopting healthy behaviors
- Assess and arrange treatment for mental health and substance abuse problems.
Manage Populations, Disease Registries and Preventive Care
- Establish process to monitor patient adherence to medical plan of care.
- Focus on prevention measures consistent with established guidelines and care process models
- Review and manage quality reports related to chronic disease and prevention
- Support clinicians in achieving quality incentives.
Team Based Care
- Work collaboratively with referring physician and other members of care team
Personalized Primary Care:
Complete pre-visit planning (review chart before visit, notify patient of tests needed before the visit)
- Facilitate advanced care planning (Advanced Directives)Establish process for reminder letters and phone calls
- Support clinicians and team to achieve personalized primary care goals
- Facilitate transitions of care (unscheduled hospital admissions, emergency department visits, skilled nursing home)
- Track status of critical referrals
- Follow up to obtain report back from referral clinician
- In collaboration with clinician, establish written care plan for patients transitioning from pediatrics to adult
- Provide information on health insurance resources
- Supervise and support Health Advocates
- Attend clinic team meetings and medical home meetings to assist with process design and help resolve team issues
- Support development of agenda for team meetings
- Review data summary on regular basis.
- Entry Rate: DOE
- Benefits Eligible: Yes
- Department: Cedar Health Center
- Bachelor's degree in Nursing (BSN) from an accredited institution (degree will be verified).
- Current RN license for state in which the nurse practices.
- BLS certification for healthcare providers.
- Three years of clinical nursing experience.
- Basic computer skills and knowledge of word processing software.
- Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs.
- Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
- Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, etc.
- Experience in case management, utilization review, and/or discharge planning.
All positions subject to close without notice. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Working Hours 40
Primary Work Location Cedar Health Ctr
Job Type Full Time
Location US-UT-Cedar City