Nurse Care Manager- RN/LPN

Company: Compass Health Network
Location: Jefferson City
Posted on: September 17, 2023

Job Description:

Due to critical service need of the communities we serve, we are offering a $4000 sign-on bonus.* - We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen!
The Nurse Care Manager is part of the person-centered integrated care team and provides individual and population-based health interventions to persons enrolled in the Health Care Home by integrating care for physical health conditions into the behavioral health setting for both youth and adults.
This candidate will be primarily in the Jefferson City Stadium office location and travel to the Jefferson City Metro office location when needed. -
Responsibilities Include: -
--- Responsible for completion of monthly assigned interventions, and all aspects of care according to DMH regulations, for a case load of up to 200 Healthcare Home clients--- Meet with assigned clients to complete health screening initially and annually; identify risk level, care caps and make recommendations--- Assist in developing a physical health goal for the Wellness Plan; promote healthy lifestyles including healthy nutrition, physical activity, and freedom from tobacco/nicotine use--- Ensure that clients are referred to a PCP and/or Specialist if they do not have one; provide education to clients regarding the importance of having a PCP and encourage regular usage of their PCP for screening and management of chronic health conditions; provide education regarding the appropriate use of PCP/Urgent Care/ED--- Complete Metabolic Syndrome Screenings on assigned clients following the Metabolic Screening Policy and Standing Order--- Perform Medication Reconciliations for HCH enrollees who have been discharged from the hospital per agency guidelines--- Provide education to clients/caregivers identified on monthly reports, and as needed, regarding physical health conditions, treatment, screening, prevention, and self-management --- Provide consultation and education for community-based and office-based staff about identifiable health conditions--- Consult with Specialized Healthcare Consultant as scheduled and as needed--- Assist in contacting/collaborating with medical providers and other human/social service agencies regarding significant health information to ensure the provision of holistic services--- Function as part of a multi-disciplinary team; attend team meetings, CPRC/SUD team huddles, and integrated meetings as assigned --- Attend agency meetings and DBH/Council meetings as assigned--- Travel to assigned clinics; travel to other clinics/locations for nursing coverage and trainings/meetings as needed--- Travel to client's home when indicated--- Meet service provision expectations per client needs and company guidelines--- Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member

Keywords: Compass Health Network, Jefferson City , Nurse Care Manager- RN/LPN, Healthcare , Jefferson City, Missouri