RN Complex Care Case Manager Full-Time Days

Employment Type: Full time Shift: Day Shift Description: At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We have a great opportunity available for an RN Complex Care Manager to join our team! As an RN Care Manager with the Saint Alphonsus Health Alliance, you provide ambulatory care management and longitudinal care coordination for alternative payment model (APM) and accountable care organization (ACO) members with complex condition/illness, high utilization, and/or polypharmacy impacting health outcomes. Coordinates with physicians, staff, and other providers/facilities regarding patient care/population based management for patients in specifically defined patient populations in order to plan and implement a comprehensive, multi-disciplinary approach to manage health conditions, utilization of resources and protocols, patient self-care, implementation and evaluation of treatment plan across the care continuum (primary, secondary and continued care). Demonstrates cultural competence in working with identified ethnic populations within APM/ACO populations and utilizes multilingual support to engage and effectively communicate with patients and their support person(s), as applicable. In partnership with the primary care practice leadership team, participates in activities related to process improvement, workflow redesign, and assistance with training. In conjunction with providers, develops treatment plan, monitors care, makes recommendations for alternative levels of care, identifies cost-effective protocols and care paths and develops guidelines for care that may require coordination across systems of multiple providers/services. Complies with other duties as described (e.g., chart auditing to meet ACO compliance). Must be able to work collaboratively with the multi-disciplinary and non-clinical support team. Serves in an expanded healthcare role to support / collaborate with specialists, members of the healthcare team, and patients/families to ensure the delivery of quality, efficient, and cost-effective health care services. Assesses plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient’s health status. Integrates evidence-based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient-centric, promoting quality and efficiency in the delivery of health care. Provides targeted interventions to avoid hospitalization and emergency room visits. Coordinates care across settings and helps patient/families understand health care options. Saint Alphonsus Health Alliance is a collaborative, clinically-integrated network sponsored by Saint Alphonsus Health System. The Alliance is a network of hospitals, doctors and providers – both employed and independent - working together to see the best care principles are being delivered, so we can make unprecedented shifts towards reducing costs, improving care quality and rewarding great outcomes. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: Education: Bachelor's or Master’s degree in Nursing is preferred. Licensure: Candidate must have an RN license in Idaho or Oregon and must provide licensure in their secondary state within six months of hire Experience: Must possess a comprehensive knowledge of all ages seen in primary care/ambulatory care nursing, home health agency, skilled nursing facility, or hospital medical-surgical setting as normally obtained through a Bachelor’s degree in Nursing with 3 to 5 years of related nursing experience or an equivalent combination of education and experience. Care management experience preferred. Bilingual or Multilingual communication skills (i.e., speaking, reading, writing) strongly preferred. Experience as participant in continuous quality improvement preferred. Completion of self-management support training preferred. About Saint Alphonsus Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health. Visit www.saintalphonsus.org/careers to learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law Trinity Health's Commitment to Diversity and Inclusion Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.