Ambulatory Chronic Care Manager (RN)
Yale New Haven Health | |
remote work | |
United States, Connecticut, New Haven | |
20 York Street (Show on map) | |
Sep 20, 2024 | |
Job Description
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Ambulatory Chronic Care Manager (RN) is as a member of the enterprise Ambulatory Care Management team and is accountable for improving the health outcomes for all patients, with a particular focus on patients in value-based/risk contracts. The Ambulatory Chronic Care Manager (RN) works as part of a multi-disciplinary team under the direction of the Ambulatory Care Management leadership. The Ambulatory Chronic Care Manager (RN) is responsible for performing nursing assessments, evaluations, screenings, and development of action plans to mediate gaps in clinical care. The role will participate in all components of care management including, but not limited to, management of care transitions, medication reconciliation/review, provide patient-centered education related to acute or chronic illnesses, evaluate for social determinants and barriers that impact care management, adhere to quality metrics, facilitate communication among providers, and advocate for the patient, family, and support system. EEO/AA/Disability/Veteran Responsibilities
Qualifications EDUCATION Minimum of a Baccalaureate degree in clinically related field. CT R.N. license required. EXPERIENCE Minimum of 3 years of combined clinical experience in direct patient care and care coordination/case management in an acute, community, or post-acute provider or health plan. LICENSURE RN Licensure in Connecticut required; Certified Case Manager (CCM) or accredited equivalent certification preferred. SPECIAL SKILLS Motivational interviewing skills necessary. PHYSICAL DEMAND Role is primarily a remote work position with the ability and expectation to travel to onsite practice locations from time to time as requested by management. Ability to attend initial onsite orientation and onboarding program as well as monthly onsite training obligations. Adheres to all organizational remote worksite standards. YNHHS Requisition ID 131230 |