The Nurse Care Manager is responsible for coordinating and managing comprehensive patient care within a multidisciplinary team. This role is focused on ensuring high-quality, patient-centered care while optimizing health outcomes. The Nurse Care Manager serves as a liaison between patients, healthcare providers, and support services, providing education, guidance, and advocacy. Key Responsibilities:
- Care Coordination: Develop and implement individualized care plans for patients, ensuring a smooth transition across various stages of care (hospital, home, rehabilitation).
- Patient Advocacy: Act as a primary advocate for patients, ensuring their needs are met and their voices are heard in the care process.
- Collaboration: Work closely with physicians, specialists, social workers, and other healthcare professionals to deliver comprehensive care.
- Patient Education: Educate patients and their families on health conditions, treatments, and care plans, empowering them to manage their health effectively.
- Chronic Disease Management: Monitor and manage patients with chronic conditions, providing ongoing support and adjusting care plans as necessary.
- Utilization Review: Assess and evaluate the appropriateness of care provided, ensuring efficient use of resources and adherence to best practices.
- Documentation: Maintain accurate and up-to-date patient records, including care plans, progress notes, and communication with other healthcare providers.
- Quality Improvement: Participate in quality improvement initiatives aimed at enhancing patient care, reducing readmission rates, and improving overall patient outcomes.
- Compliance: Ensure compliance with all regulatory requirements, hospital policies, and ethical standards.
- Crisis Intervention: Provide timely intervention and support in emergency situations or when care needs escalate.
- Resource Management: Identify and connect patients with community resources and support services, such as home health care, rehabilitation, or financial assistance programs.
Qualifications:
- Education: Bachelor's Degree in Nursing (BSN) required.
- Licensure: Active Registered Nurse (RN) license in NY.
- Experience: Minimum of 3-5 years of clinical nursing experience, with at least 2 years in a case management or care coordination role.
- Skills:
- Strong clinical assessment and critical thinking skills.
- Excellent communication and interpersonal abilities.
- Organizational skills with attention to detail.
- Ability to work collaboratively in a team-oriented environment.
- Proficient in electronic health records (EHR) systems and care management software.