Nurse Care Manager
People's Health Centers | St. Louis, MO | Full Time
People's Health Centers is hiring for a Nurse Care Manager for our groundbreaking Health Care Home Program.
Summary: Provides general nursing care to patients in an ambulatory care setting. Nurse Care Manager will maintain a patient caseload using a holistic, person-centered approach for coordinating the healthcare needs and wellness goals of the patients.
Essential Duties and Responsibilities:
Coordination of care plan with health care team.Initiates a patient education plan according to the individualized needs of the patient, as prescribed including patient and family instruction.Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients.Develops, discusses, and communicates a realistic problem list (care plan) for each patient, in collaboration with each patient/family/significant other in order to address all identified needs. Coordinates patient care with external healthcare workers, including providers, pharmacies, and community resource agencies.Provide education to patients that promotes lifestyle changes; including tobacco cessation and prevention, nutrition, physical and substance abuse prevention. Explains procedures and treatments to patient to gain cooperation, understanding, and allay apprehension.Make initial contact with hospital within 2 days of notification of patient’s admission, makes a telephonic/face to face patient contact of hospital discharge to reconcile medications and schedule follow-up appointment with PCP
Tracks all required data and submits reporting as indicated by manager.Maintains up-to-date and accurate documentation of nursing care provided to ensure integration of information used by the healthcare team to ensure quality care and improve outcomes.
Possession of a RN Missouri license from an accredited school of nursing.Three-five years of experience in working with the patients on the spectrum of health needs.