RN Manager/Supervisor Telehealth Full-time
HealthPartners

RN Disease Manager

HealthPartners Bloomington, MN, US
Job Description

HealthPartners is hiring an RN, Disease Manager. This position is focused on providing telephone-based services, including outreach, evaluation, engagement, education, counseling, self-management support, and care integration for individuals in chronic disease management programs. Implements performance improvement strategies as identified through review of patient and program outcomes. Demonstrates dependability for patients and disease management team. Facilitates communication between patient, health care provider, and community. Integrates and coordinates the expertise and support of other health professionals, family members, and health care providers across the care continuum.

Accountabilities

Member/Patient Focus

  • Ensures all activities are patient-focused and individualized, resulting in personalized attention to each individual’s unique needs.
  • Identifies interventions and resources to assist patient in reaching personal health-related goals.
  • Identifies patterns and improvement strategies to help patients improve their health and achieve optimal care goals.

Integration

  • Refers to and co-manages with Complex Case Management and Inpatient Case Managers when patient’s condition requires higher level of management.
  • Interacts with referral sources from other health care providers, engages patients referred to the disease management program, and refers patients back to their care provider or other resources as appropriate.
  • Integrates patient’s individual clinical, functional, and health behavior information to develop action-oriented and time-specific planning and implementation of appropriate interventions.
  • Facilitates integration of patient care by encouragement of effective communications between patients, families, providers, and care system programs, and community-based services.
  • Adheres to department policy and procedures in all daily activities.

Communication

  • Effectively and routinely communicates with patients and their families to provide them with a better understanding of their health and to facilitate successful health outcomes.
  • Communicates and collaborates with primary care and specialty providers in support of optimal patient health outcomes.
  • Provides education and self-management support as it relates to managing chronic illness.
  • Facilitates successful collaboration resulting in high patient, provider and employee satisfaction levels.
  • Maintains current and accurate documentation of disease management activities and assists in tracking database outcomes.
  • Maintains confidentiality of information in accordance with department and corporate policies.

Relationships and Team Building

  • Establishes and maintains good working relationships with the Disease and Case Management department, with other HealthPartners departments, and with other health care team participants to co-manage services and care for patients in chronic disease management programs, including those in clinical care delivery settings.
  • Participates in and contributes to appropriate departmental and/or organizational meetings.
  • Works cooperatively with leadership in support of the business goals and objectives of the department.

Technology

  • Maintains knowledge of and effectively uses automated applications and systems.
  • Maintains the ability to utilize guidelines and standards of care for management of chronic diseases.
  • Identifies deficits in technological literacy and seeks appropriate training under guidance of supervisor.
  • Maintains maximum individual productivity through proficient use of automated systems.

Personal Development

  • Proactively participates in ongoing education-related professional activities to maintain and increase knowledge in the areas of health behavior change and chronic disease management.
  • Maintains current licensure and certifications as applicable.
  • Demonstrates responsiveness to, and appreciation of constructive feedback and recommendations for personal growth and development.

Other Duties

  • Willingly participates in various committees, task forces, projects, and quality improvement teams, as needed and assigned.
  • Performs other duties as assigned.

Required Qualifications

  • Registered Nurse with current unrestricted license in the State of Minnesota, BSN preferred. License free of history of restrictions and/or sanctions within the last 10 years.
  • 3 years of clinical practice experience with current clinical knowledge as it relates to chronic disease management.
  • Health behavior change coaching experience.
  • Experience in effectively collaborating and problem solving with patients and health care team members.
  • Strong written and verbal communication skills to communicate effectively with individuals at all levels of the organization.
  • Demonstrated working knowledge of quality improvement and understanding of health care.
  • Experience in use and management of automated medical management systems.
  • Ability to engage patients with various dispositions into programs.

Preferred Qualifications

  • Experience assessing, educating and providing disease self-management support to members/patients via the telephone.

About Us

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed To Support Your Total Health

As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

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Ebenezer Senior Living Champlin, MN
Job Overview Amira Choice Champlin features a full range of living options, a full schedule of activities and programs, as well as the comfort and security of full-time, around-the-clock caregivers for personalized care for seniors. We offer 133 senior units with a mix of Independent/Assisted Living and Memory Care. We boast an exceptional team of caregivers who believe in our mission to heal, discover, and educate for longer healthier, more meaningful lives. Assists residents with personal cares including but not limited to: bathing, shaving, dressing, hair care, feeding, toileting, and transfers/lifts. Managed by Ebenezer, Minnesota's largest senior living operator. This RN schedule includes: 80 hours per two weeks day/early evening shift; 11:00am - 7:30pm every other weekend and holiday rotation Responsibilities Maintains current assessment and documentation of resident health status: Performs initial and on-going assessments per the applicable Minnesota Assisted Living regulations and Nurse Practice Act. Ensures assessments are completed every 90 days per regulatory requirements. Works with resident and/or responsible party through collaboration, education, and timely communication to ensure appropriate service and placement. Service Agreements: assure that resident has an up to date service agreement at time of admission, with any changes in services and annually. Develops, maintains, and implements individual emergency plans based on health status and Advance Care Planning documents, including POLST. Maintains clinical charts and progress notes using computerized documentation system. Communicates changes in resident conditions to medical and other relevant individuals and perform the appropriate follow up to health needs Coordinates resident health services: Facilitates coordination of services with internal and external providers. Assures that all physician orders are signed and implemented per the applicable Minnesota Assisted Living regulations. Works with resident and/or representative(s) to assure delivery of appropriate services and funding. Manages and oversees medication and treatment administration. Assures medications and supplies are ordered in a timely manner. Assures medication and treatment practitioner orders are renewed at least annually and as necessary when there is change in medication and/or treatment. Minnesota Assisted Living regulations will be followed in obtaining and implementing practitioner orders. Assures medi boxes, bubble packs, and/or syringes are filled per medication orders/changes for medication administration by designated staff. Assures that all medication administration procedures are correctly followed. Takes appropriate action with staff regarding any problems or issues. Assures accuracy of medication and treatment records, including documentation of administration and appropriate signatures. Monitors work and performance of licensed and unlicensed staff. Meets with staff to coordinate care and address care issues. Plans and assigns/delegates work to staff within established guidelines. Interviews, trains, and orients new employees as directed. Assists and supports staff to complete assignments as needed. Assists Director of Health Services (DHS) in monitoring and evaluation of staff performance. Schedules and completes Supervisory Visits. Complies with Federal, State and Local Laws. Assists DHS in scheduling activities that support efficient and effective utilization of staff as needed. Performs any other duties as delegated by Director of Health Services. Support DHS to act as RN on call during scheduled times. Answers calls and gathers information related to assisted living community residents health and safety. Takes action as appropriate to the situation. Work collaboratively with indentified internal and external support providers. Actions taken may require phone directives and/or traveling to the assisted living community to resolve the situation. Reports to the DHS and/ or Executive Director if further follow up is needed Required Qualifications Associates Degree in Nursing less than 1 year nursing experience MN Registered Nurse (RN) License Basic Life Support (American Heart Assoc or Red Cross) Preferred Qualifications Bachelor of Science Nursing 1 year nursing experience Prior supervisory experience Prior experience in home care or assisted living environment Benefit Overview Ebenezer offers a generous benefits package, including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: http://www.ebenezercares.org/employee-benefits Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status