Nurse Care Manager Employee Health Coordinator

Job Description:

The Nurse Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions or complex needs. This position educates patients and families to help them manage their health care needs. The incumbent facilitates communication, coordinates services, addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management.

Employee Health
Oversee the Employee Health function, including implementing and maintaining programs that encourage injury prevention and provide care and coordination of treatment for employees. Collaborate with leadership to develop and implement employee health policies, procedures, programs, and services that promote the health/safety of employees. Promote patient safety by monitoring employee medical fitness for duty and meet regulatory requirements. Represent Employee Health in a variety of settings and provide education to staff relating to this area.

Scope

Nurse Care Manager-MG works in the ambulatory setting. The position may work in a general care manager model to support three or more clinics within a scope narrowly aligned with designated Primary Care Clinical Program initiatives or may work in a Personalized Primary Care model (1-2 clinics) with broad scope for a defined patient population. Patient interactions may be in person, by telephone, or other electronic means.

Job Essentials - Nurse Care Mgr

General case management
Responds to physician referrals and identifies patients who meet established criteria for care management (e.g. HgA1c > 8, elevated LDL and/or B/P, Mental Health Integration referral, complex resource needs).

Patient Evaluation
Assesses family, social, cultural characteristics.
Understands communication needs (e.g., vision, hearing).
Assesses behavioral and family risk factors.
Assesses barriers.
Screens for chronic disease (e.g. depression).
Reviews patient understanding of medication treatment.

Chronic Disease Management
Utilizes a working knowledge of established care process models and other applicable standards of care.
Provides focused patient education using established content and tools.
Uses clinician approved and appropriately documented standing orders.
Establishes individualized care plan including treatment goals in collaboration with patient and consistent with medical plan of care.
Reviews care plan and assesses progress toward treatment goals and barrier at each relevant visit.

Coordination of Care
Coordinates with care managers in other settings as appropriate.
Provides information on enabling services (e.g., transportation).
Maintains list of key community services agencies with contact information.
Provides information about recommended or available services and contacts.
Personalized Primary Care.

Support Patient in Self-Management and Behavior Change Using Motivational Interviewing and Coaching
Assesses readiness to change.
Assesses and tracks patient capacity for and confidence in self-care.
Develops self-care plan in collaboration with patient.
Provides self-monitoring tools.
Provides or connects patients with support programs.
Assesses and supports patients in adopting healthy behaviors.
Assesses and arranges treatment for mental health and substance abuse problems.

Manage Populations, Disease Registries and Preventive Care
Establishes process to monitor patient adherence to medical plan of care.
Focuses on prevention measures consistent with established guidelines and care process models
Reviews and manages quality reports related to chronic disease and prevention
Supports clinicians in achieving quality incentives.

Team Based Care
Works collaboratively with referring physician and other members of care team
Personalized Primary Care:
Completes pre-visit planning (review chart before visit, notify patient of tests needed before the visit)
Facilitates advanced care planning (Advanced Directives). Establishes a process for reminder letters and phone calls.
Supports clinicians and team to achieve personalized primary care goals.
Facilitates transitions of care (e.g., unscheduled hospital admissions, emergency department visits, skilled nursing home).
Tracks status of critical referrals.
Follows up to obtain report back from referral clinician.
In collaboration with clinician, establishes written care plan for patients transitioning from pediatrics to adult.
Provides information on health insurance resources.
Supervises and supports Health Advocates.
Attends clinic team meetings and medical home meetings to assist with process design and help resolve team issues.
Supports development of agenda for team meetings.
Reviews data summary on regular basis.

Job Essentials - Employee Health

Clinical Coordination:
Evaluates occupational illnesses, injuries, prevention programs, and trends.
Complies, and ensures facility compliance, with occupational health standards from the appropriate regulating bodies.
Complies, and ensures facility compliance, with the labor laws that govern health related issues in the workplace.
Coordinates employee health and hazard surveillance activities including respiratory protection, audiology, hazardous drugs exposure, etc.
Provides, coordinates, and tracks preventative occupational health services to employees including immunizations, health screenings, respiratory protection, etc.
Coordinates process for evaluating employee readiness to return to work.
Tracks and reports employee communicable diseases, injuries, and exposures. Coordinate follow-up as appropriate.
Supports injury prevention and loss control activities as requested, including facility safety committee, safe patient handling committee, etc.
Recognizes and assesses hazards in the work environment.
Provides and coordinates restorative occupational health services for employees with an occupational illness or injury. This includes: Acts as a liaison for Workers Compensation claims including working with claims adjustors and providers, Develops and maintains a relationship with WorkMed clinics or applicable occupational health providers, Facilitates work restrictions and accommodations, Provides worksite evaluations and ergonomic assessments as needed, Facilitates return to work for employees on health related leaves of absence, and makes appropriate referrals to the long term disability program.

Leadership:
Coordinates ongoing employee health programs and processes. Monitors outcomes and makes improvements as needed.
Develops and implements employee health initiatives and is consistent with organizational goals.
Coordinates policy development consistent with company-wide initiatives. Ensures and initiates standardization and development of employee health protocols, policies, and procedures.
May provide coordination and leadership to department/clinic employees in attaining department/clinic employee health goals.
Develops and maintains a relationship with facility Infection Preventionist, acting as a resource and collaborating on patient infectious disease exposures and follow-up.

Consultation / Liaison:
Serves as a representative on committees or task forces relating to area of expertise.
Acts as a resource, provides expertise, and serves as a consultant/liaison to health team members, employees, and leadership.
Works with Central Office Workers Compensation team to maximize effectiveness of employee health functions.
Assesses, evaluates, and makes recommendations on ADA cases. Works with Human Resources on leave of absence, FMLA, and health related employee performance concerns.

Education:
Responsible for education of staff on the ways to prevent and treat occupational injuries and illnesses.
Performs needs assessment of staff and education programs. Facilitates development and implementation of in-services and training related to education needs.

Research:
Utilizes current research to improve care and to guide the development of standards for employee health.
Maintains a global perspective of the changing employee health environment, at the department/clinic, facility, local, and national level.

Shift Details: This position will be primarily M-F 0800-1700 with the understanding that time can be flexed based on the needs of the facility and caregiver preference. This position will support Care Mgmt and also Employee Health. With this position supporting the needs of employee health, the understanding is that needs arise after normal business hours, on weekends, and even Holidays.

Additional Details: The role of a care manager will be primarily working with patients in the community. Referrals for services will be obtained primarily through a primary care provider through a clinic or ER visit, or Inpatient hospital admission. As a result, this position will primarily work through the clinic. As an employee health nurse, this position will support all caregivers at Garfield including the Clinic, Hospital, Nursing Home, and all other ancillary departments.

Minimum Qualifications

Nurse Care Manager

Current RN license for state in which the nurse practices.
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BLS certification for healthcare providers.
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RNs hired or promoted into this role need to have or obtain their BSN within three years of hire or promotion.
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Three years of clinical nursing experience.

Employee Health

RNs hired or promoted into this role need to have or obtain their BSN within three years of hire or promotion.

Current RN license for state in which the nurse practices.
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Basic Life Support Certification (BLS) for healthcare providers.

Two years of clinical nursing experience.

Preferred Qualifications
Nurse Care Manager
Bachelor's degree in Nursing (BSN). Education must be obtained from an accredited institution. Degree will be verified.

Experience in case management, utilization review, or discharge planning.

Employee Health

Bachelor's degree in Nursing (BSN) from an accredited institution (degree will be verified).

COHN and/or Case Management certifications from ABOHN.

Experience in Employee/Occupational Health.
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Leadership experience.

Physical Requirements:

Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs.
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Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
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Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, etc.

Anticipated job posting close date:

04/03/2024

Location:

Garfield Memorial Hospital

Work City:

Panguitch

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$38.83 - $57.46

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers , and for our Colorado, Montana, and Kansas based caregivers ; and our commitment to diversity, equity, and inclusion .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.