Nurse Care Management – RN Care Manager

Job Description 

Job Title:  RN Care Manager  

Reports to:  Director of Nursing  

Department: Clinical  

FLSA Status:  Exempt  

Job Grade:  9C  

Version Date: June 2022                                                            

General Responsibilities: 

Provide comprehensive screening, assessment, care coordination services, disease education and self-management support to a caseload of moderate to high-risk adults with complex chronic health conditions. Coordinate sick visits or additional services as needed. 

Qualifications: 

Required Qualifications: 

• Current State of Rhode Island RN license 

• Certification in Certified Diabetes Outreach Educator (CDOE) within one year of hire 

• Experience working with primary care providers in practice setting to coordinate care and disease management. 

• Knowledge of disease management, case management, and chronic care principles 

• CPR/BLS certification 

Preferred Qualifications:  

• BSN graduate education preferred 

• Experience in community health setting, public health, chronic disease management, community nursing, case management preferred 

• Certification in one or more of the following: Case Management, Diabetes Education, Asthma/COPD, Cardiovascular 

• Candidates who do not meet all of the preferred qualifications are encouraged to apply.  

Significant Job Functions: 

• Manage a caseload of moderate to high-risk adults with complex chronic health conditions in a community primary care setting. 

• Establish Care Plan, goals, interventions, and contact schedule based on risk category and patient’s identified medical and social needs 

• Promote compliance with disease specific clinical outcomes by providing each individual with self-management supports including: 

• Disease specific educational materials 

• Medical charts and side effects 

• Signs and symptoms to watch for and report to MD 

• Nutritional recommendations 

• Exercise and activity 

• Community supports, services and resources including current provider information such as Pharmacy, DME, and Home Care providers 

• Care plan and treatment goals including self-management goals 

• Maintain standard precautions at all times 

• Maintain OSHA and HIPAA guidelines 

• Adhere to organizational policies and procedures 

• Maintain and sustain line of communication with supervisor, providers and other staff members 

• Actively participate in performance improvement activities to improve quality of care and safety to assure that the health care team meets and exceeds the established standards of practice and benchmarks 

Physical Effort/ Environment: 

• This role is hybrid. Work may be completed onsite or remotely.   

• Moderate physical activity, walking, standing, stooping, and occasional lifting.  

• Potential exposure to blood-borne pathogens, infectious diseases i.e. respiratory (Tuberculosis), and bio-hazardous materials.  

• Manual dexterity for computer use.  

• Organization skills, neatness; knowledge of safety and infection control standards of practice. 

Work Schedule Demands: 

• Full-time position with a base of 40 hours per week. 

Communication Skills: