RN-Care Manager (S) - Telehealth

Through our exceptional health care services, we reveal the healing presence of God. SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization’s more than 40,000 employees and 10,000 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 24 hospitals, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. It's more than a career, it's a calling MO-SSM Health Bridgeton McKelvey Worker Type: Regular Job Highlights: M-F Days, No Weekends, No Holidays Job Summary: Utilizes skilled intervention, clinical best practice knowledge and collaboration with the patient, physician and multidisciplinary treatment team to pace care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless clinical transition of patients through medically appropriate levels of care. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program. Assesses all assigned patients and integrates family information from social work to collaboratively determine potential, actual and the next level of care needed. Holds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care. Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes. Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting. Actively participates in clinical performance improvement activities as assigned. Builds a network of positive working relationships that advocate for the patient. Documents clinical activity in the medical record and supports and coaches accurate clinical documentation by physicians and others. Pursues continuing education in area of expertise/leadership. Works in a constant state of alertness and safe manner. Performs other duties as assigned. EDUCATION Graduate of accredited school of nursing EXPERIENCE Two years' registered nurse experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. Licenses / Certifications: Registered Nurse (RN) - State of Work Location or Compact Multi-State License Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8149000125 Navvis Scheduled Weekly Hours: 40 SSM Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Learn more here