RN Care Manager Ambulatry - Kett Health Phys Partners- Miamisburg - FT/Days Job at Kettering Health

Kettering Health Miamisburg, OH 45342

Overview:
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Campus Overview:
Kettering Health Miamisburg
  • Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
  • Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
  • The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care.
  • Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning.
  • 142 bed facility
  • Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
  • In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
  • Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
  • KH Miamisburg received several awards from Healthgrades:
    • Outstanding Patient Experience Award (2017-2019)
    • America’s 100 Best Hospitals for Prostate Surgery Award (2020)
    • Joint Replacement Excellence Award (2020)
Responsibilities & Requirements:
The role of the At-Risk Contract Care Manager is to use a telephonic outreach program to establish a supportive relationship with designated populations within our contracted payor network. Through population management, the team advocates to empower high risk and rising risk patient populations to participate in their plan of care, health education and health promotion.

Responsibilities & Requirements

  • Facilitate a collaborative process of assessment, planning, care coordination, and evaluation to meet the comprehensive health needs of identified individuals or families within the designated population.
  • Serve as a liaison between physicians, hospitals, emergency departments and other healthcare providers
  • Support a multidisciplinary team approach directed toward prevention, education, and health promotion
  • Ability to establish supportive relationship with patients, care givers, and families.
  • Assist in the development of network protocols and processes for care management of high risk and rising-risk patient population.
  • Maintain focus of patient needs as well as network needs for population management
  • Act as patient advocate and educator to empower patients to participate in plan of care to identify and achieve their personal goals, identify resources, manage long term or complex health conditions and assist in avoiding unnecessary hospitalizations and emergency room visits
  • Ability to be flexible and function effectively in a dynamic and rapidly changing environment

Job Requirements:

  • Registered Nurse with Current Ohio RN license
  • BSN/BS from accredited school
  • Minimum four (4) years clinical experience as an RN in an acute care or ambulatory/practice care setting
  • Excellent written and verbal communication skills.
  • Basic knowledge of managed care concepts
Preferred Qualifications:
  • Prior care management experience
  • Prior experience with managed care working with various payers and providers
  • Computer skills – Microsoft Office applications, Midas
  • Experience with Epic systems EHR



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