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Job Summary:

The RN/Care Manager- Educator is an integral role within Atrium Health’s Care Management team; a collaborative team that works to facilitate a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs. The position is responsible for supporting the Outpatient and Community Care Management Program through teammate education, guidance and mentoring to enhance the day-to-day activities of contract performance and compliance for payor plans. Examples of the educator responsibilities include, but not limited to: new hire orientation and annual education, documentation support and auditing, group and individual education/support sessions, required payor plan supportive evidence/audit support, and role based and teammate focused education. Educator will work collaboratively with leadership team members, teammates, and the RN/Care Manager- Quality Nurse. This position will support the overall Outpatient and Community Care Management team with assessment of patient needs, care plans, coordination, and evaluation of services for patients with the goal of equipping and empowering individuals and their families to easily access resources and adopt healthy lifestyles that will increase their ability to remain in the most appropriate care setting.

Essential Functions:

• Assists the department and facility leadership in the planning of a systematic, organization wide approach to orientation and annual education.

• Assists department with the review for, analysis of, and development and coordination of the payor contract measures. Partners with Quality Nurse to render staff education for these measures.

• Serves as a resource for leaders and teammates with emphasis on performance metrics and process improvement as needed.

• Serves as an education facilitator and/or subject matter expert for care management and required measures for the department

• Serves as the researcher for the identification of best practice. Replicates model elements as needed in the clinical practice of the team.

• Coordinates to participate in departmental chart audits functions in conjunction with the audit team and Quality Nurse.

• Works collaboratively with the multidisciplinary care team including providers, pharmacists, social workers, community health workers, health educator, patient coordinators, and nurses to achieve timely, appropriate patient management.

• Provides guidance and support to department Health Educator as a subject matter expert as needed.

• Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and process improvement strategies.

• Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings.

• Conducts or participates in comprehensive “all-system” needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs ( including community resources ), disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population(s).

• Develops and maintains accurate case records of each referred customer/patient. Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems.

• Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.

• Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules, and regulations.

• Models the mission, vision, values, Standards of Excellence, and goals of Atrium Health/Advocate Health.

• Supports and contributes to the Patient Centered Care Philosophy by understanding that every staff member is a Caregiver whose role is to meet the needs of the patient.

• Performs other duties and responsibilities as assigned and within time frame specified.

Physical Requirements

Work requires walking, standing, lifting, reaching, bending, and stooping. Must lift a minimum of thirty-five pounds’ shoulder high. Ability to travel/drive between various locations is required for this position. Requirement to be onsite at the APC office location in serving role as a hybrid model teammate with availability for new teammate orientation/training. Requires frequent verbal and written communication in English. Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate. Must be able to respond quickly to changes in assignments. Occasional intermittent noise and exposure to conditions such as dust, fumes, and chemicals.

Additional department specific physical requirements may be identified for unique responsibilities with the department by the department manager.

Education, Experience and Certifications

BSN required; Masters preferred. Must possess either nursing experience in the role of educator and/or MSN with Nursing Education. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. At least two years’ experience required in health care. Experience required includes case management/discharge planning in one of the following settings: Acute care, home care, LTC care, Physician Office, or Managed Care company. Understanding of care for the patient at all stages of life (birth – senior adult) and the ability to serve as an educator. Care Management certification required (CCM, ACM, ANCC). Clinical competence in disease management and case management principles. Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team. Requires demonstrated knowledge and proficiency in appropriate tools.

Current Basic Life Support for Healthcare Provider status according to American Heart Association. Preferred 3 or more years Care Management experience. Any previous experience relative to the role requirements is a plus.

Atrium Health is one of the nation’s leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region’s largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care.

We’ve been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors’ offices to behavioral health centers to nursing homes.

Our focus: Delivering the highest quality patient care, supporting medical research and education, and joining with partners outside our walls to keep our community healthy.