Nurse Care Manager

The Company: A member of the Lifespan health system, Coastal Medical is a primary care driven practice serving 120,000 patients across Rhode Island, whose primary goal is to offer patients better health and better care with minimal costs. An equal opportunity and affirmative action employer, Coastal employs over 600 professionals in a variety of roles.

• Coastal Medical offers competitive wages and values work/life balance.
• Our comprehensive benefit package includes health, dental & vision benefits, a free life insurance policy, earned time, paid holidays and 401K match.
• Employee input is essential to our operations. All employees are encouraged to join and participate in committees, trainings and workgroups.
• Coastal Medical is an equal opportunity employer. All employees and applicants for employment are afforded equal opportunity in every area of hiring and employment without regard to race, ethnicity, religion, gender, national origin, age, veteran or disability status.
• All new employees must be fully vaccinated against COVID-19 and receive their flu shot prior to starting.

The Position: We are currently in search of a Nurse Care Manager. The main responsibility includes ensuring consistent high-quality nurse care management of complex patients in an effort to reduce unnecessary utilization.

• This is an salaried, full time position with a schedule of 40 weekly hours, Monday through Friday.
• This position is located at our Corporate Office in Providence, RI.
• Employee parking is provided.

Essential Functions:

• Identification and assessment of the rising-risk and high-risk patient population
  • Identifies the targeted rising-risk and high-risk population within practice site(s) per Primary Care Provider (PCP) referral, risk stratification, and according to an established high-risk definition
  • Identifies hospital-based patients and overviews care management and safe discharge planning, including identification of barriers on morning conference call with interdisciplinary care teams
• Development, implementation and updating of care plans
  • Manages a panel of high-risk patients to establish care management plans, interventions, treatment goals and self-management goals
  • Develops care plans for patients upon admission into high-risk care management program and updates quarterly
  • Encourages and supports high-risk patients to maintain adherence to their care plans
• Coordination of patient care
  • Assesses the healthcare, educational, spiritual, social and psychosocial needs of the patient/family
  • Determines individual patient needs for services, referrals and training and provides patient education pertaining to health status, medications, discharge planning, safety and other needs
• Assisting patients with self-management through in person education and telephonic engagement
  • Conducts ongoing assessments both in person and telephonically, coordinating care conferences with providers, and collaborating with the healthcare team
  • Assists patients in navigating the healthcare system
  • Engages high-risk patients to actively manage their health
  • Assesses readiness for complex care conversations with patients and families
• Collaboration with the practice and specialty care teams
  • Collaborates patient care with PCP and all members of the healthcare team, including any required health care services outside of Coastal Medical
  • Ensures open communication regarding patient status with physicians, office staff, Coastal centralized clinical services and patients' families
  • Identifies and utilizes cultural and community resources
  • Acts as liaison to hospital, long-term care, specialists and home health representatives

Requirements:

• Graduate of an accredited school of nursing and maintenance of active Rhode Island RN license
• Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management
• Three (3) to five (5) years of experience in an adult medicine outpatient practice setting, public health, population health management and chronic disease management
• Experience working with primary care provider teams to coordinate care and disease management
• Experience working with high risk patients performing care coordination and disease management/education

Why You Should Apply:

• We operate in a collaborative environment and strongly encourage and promote employee growth and development.
• Coastal offers a wide range of training opportunities including our own Leadership Academies as well as other well-known programs such as Crucial Conversations and Clifton Strengths.
• Employees can qualify for student loan repayment assistance up to $9,000 and up to $3,500 per year in education assistance.
• Some employees may also qualify for the Public Service Loan Forgiveness Program.

Check out what's happening at Coastal!

Five Questions With: Dr. Edward McGookin

Five Questions With: Dr. Edward McGookin (pbn.com)

Meet Dahiana Diaz, Coastal Medical

https://www.youtube.com/watch?v=tN6IJ1jEyTI

Why Choose Coastal?

bit.ly/WhyChooseCoastal