RN, Senior Care Manager AHP, NY

As a community, the University of Rochester is defined by a deep commitment to Meliora – Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work – New York, Albany, New York, United States of America, 12224 

Opening:

Worker Subtype:

Regular 

Time Type:

Full time 

Scheduled Weekly Hours:

40 

Department:

900398 URMC Accountable Care Network 

Work Shift:

UR – Day (United States of America) 

Range:

UR URC 215 H 

Compensation Range:

$37.34 – $52.30 

Responsibilities:

Manages clinical aspects of patient-centered medical home care. Works with the interdisciplinary medical team in the provision of patient care. May participate in the supervision of other clinical staff members. 

ESSENTIAL FUNCTIONS

• Integrates and coordinates access and utilization management, proactive patient management, care facilitation, and treatment planning functions. Coordinates medical care of patients identified as high risk by health risk assessment/appraisal or by physician clinical determination. Assumes coordination role at the point of service and through targeted outreach and follow-up.
• Identifies patient groups appropriate for care management intervention. Identifies resources for patient self-management skills. Assists in developing and implementing population-based strategies to close gaps in medical care. Assists in developing and implementing care plans for medically complex patients. Identifies barriers to a successful care management path. Accountable for patient triage. Interacts effectively with physicians, the home care team, patients, and their caregivers.
• Coordinates clinical and ancillary resources inside and outside the health system to achieve treatment goals specified in the patient care plan. May participate in meetings with Community Organizations and with other Care Manager groups across and within URMC to optimize communication and decrease duplication of efforts.
• Participates in program development by collaborating with the leadership team. Contributes to the development of knowledge and skills of other team members. Explores and organizes opportunities for professional development, performance improvement, and training needs of new and developing Care Managers. Informs the development of an onboarding program for inducting new Care Managers. Ensures clinical supervision and professional development of staff. Develops and/or executes quality improvement/performance optimization, implementation, and/or improved workflow initiatives.
• Assists with planning short-range and long-range program goals for chronic disease management. Keeps abreast of organizational developments and practices that may impact operations. Assists with developing current evidence-based protocols, policies, workflows, guidelines, etc., related to providing care within the medical home model. Participates in committees as assigned. Provides support to peers and serves as a resource to team members and CMO members as appropriate.
• Other duties as assigned

MINIMUM EDUCATION & EXPERIENCE

• Associate’s degree in Nursing and 5 years of professional nursing experience required
• Bachelor’s degree in Nursing preferred
• Or equivalent combination of education and experience
• 2 years Care management and/or disease management required
• Outpatient primary care and/or pediatric experience in community health preferred

LICENSES AND CERTIFICATIONS

• RN – Registered Nurse – State Licensure and/or Compact State Licensure Licensure in New York State upon hire required
• CPR – Cardiac Pulmonary Resuscitation CPR certification upon hire required

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.