Nurse Care Manager

The Nurse Care Manager assumes the role as a professional Nurse Educator. The educator plans, organizes, and directs health education programs for Health Home patients; educates patients/families about chronic disease, including treatment options, lifestyle modification, and potential complications; collaborates with members of the health home team, providers and patients/families to identify health needs and develop measurable health goals; monitors patients’ progress toward goals and reports performance measures and outcomes as required by health home and organization; collaborates with health home team and providers to integrate behavioral health into primary care and to identify behavioral health concerns that present barriers to improving health outcomes; uses motivational interviewing techniques to encourage patients to implement self-management strategies that will improve their chronic health condition; ensures educational strategies adhere to current evidence-based guidelines; ensures chronic disease and preventive measures are up to date and coincide with organizational mission and values and health home initiatives. Responsibilities: Develop wellness and prevention initiatives Facilitate health education groups; provide training on medical diseases, treatment and medications Participate in treatment plan development for all health home enrollees Collaborate with health home team to integrate behavioral health into primary care Identify and address patient care needs during transitions of care Identify and address barriers to improved self-management skills and health outcomes Our robust benefits package includes: 403(b) 403(b) matching Dental insurance Employee Assistance Program Flexible Spending Account Health Savings Account Health insurance Life insurance Paid Time Off (PTO) Vision insurance