<p>Job Description:</p> <p>The Clinical Care Manager is a Registered Nurse who is part of the primary care practice team and is responsible for organizing, coordinating, and providing care coordination and care management services to patients within the practice who are most at risk for health deterioration, sentinel events, and/or poor outcomes. The highest risk patients are 1) transitioning to or from home and community-based health care facilities for acute care services (hospital or emergency department), rehabilitation services, skilled nursing services, or other community based services; 2) being seen in the office with co-morbidities, unmanaged disease severity, poor selfcare, polypharmacy, and high utilization rate. The Care Manager, as an integral part of the primary care team, is responsible for ensuring that the primary care provider (PCP) and practice team maintains a central role in coordinating and managing the care of these vulnerable patients and that the patients receive optimal care including acute illness management, chronic disease management, and preventive care across multiple health settings and multiple physicians/providers.</p> <p>Educational Requirements:</p> <p>BSN in nursing required. Master's Degree in Nursing preferred</p> <p>Experience Required:</p> <p>Minimum two years' experience in case management, disease management, home health care nursing, or intensive outpatient education/self-management support.</p> <p>Professional Licensure/Special Skills and Certification Required:</p> <p>CMCN (Certified Managed Care Nurse) or RN-BC (Registered Nurse Case Manager) preferred.</p> <p>Reporting Relationship:</p> <p>Reports to the Director of Population Health</p> <p>EOE</p> <p>Monday-Friday; 8:30am -5:00pm</p>