Nurse Care Manager

Summary

The Clinical Nurse Care Manager is responsible for the care coordination of patients established with the Adult Developmental Medicine. Duties include (1) assessing and implementing patient care plans, (2) coordinating care across the care continuum, (3) developing/implementing strategies to optimize patient access, care team efficiency, and care quality, (4) ensuring that quality targets and reporting are met, and (5) educating staff regarding workflow and quality initiatives.

The Adult Developmental Medicine Nurse Care Manager will be responsible for ensuring the value based-care agreement quality metrics are met including 7-day hospital/ER follow-up visits, timely follow-up for high-risk patients, and other quality reporting. The nurse care manager will collaborate with the multidisciplinary team (providers, clinical nurses, social workers, medical assistants, operation coordinators) to improve patient access and schedule utilization. Assess and develop strategies to support high risk patients to improve care access and outcomes and partner with the clinic team to develop patient, staff, and trainee education to improve care.

Job Duties

• Assesses and Implements Patient Care Plans (35%) Assess patient needs for healthcare resources based on medical condition, patient resources, and potential barriers to optimal progression through the healthcare system. Functions as a resource to clinical staff regarding patient assessment and plan of care or performs patient assessment and develops a plan of care to assure consistent and appropriate care is provided in a patient-focused manner. Manages each patient's transition through the system and transfers accountability to the appropriate person upon entry into another clinical service. Serves as a patient advocate and educator.
• Coordinates Care Across the Care Continuum (40%) Coordinates care and other support services in collaboration with the clinic's social work team to support patients and families in receiving maximum benefits from healthcare services and timely access to care. Communicates with payers to facilitate the patient's effective and efficient movement through the healthcare system, including managing prior authorizations and medical documentation to support services. Able to complete all aspects of the Nurse, Registered II (BA 12) Job Description as required to support patient care for the assigned population.
• Improves Care Quality and Efficiency for the Clinic's Patient Population (15%) Plans and implements strategies to achieve improved patient outcomes through multidisciplinary meetings, messaging and conversations with the care team, and with patients or families. Uses quality improvement methods and reporting to evaluate and improve patient outcomes.
• Ensures Alignment with the Department and College's Missions (10%) Understands and adheres to Medical Center compliance standards, policies, and procedures. Maintains knowledge of applicable federal, state, and institutional regulations. Ensures staff are trained and evaluated on compliance-related requirements. Facilitates staff and trainee education. Facilitates partnerships with the clinic's research teams. Performs other job-related duties as assigned.
  
  

Minimum Qualifications

• Bachelor's degree in Nursing.
• Four years of relevant experience.
• Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing.
  
  

Preferred Qualifications

• Eligibility or Certification in Case Management by the Texas Department of State Health Services (DSHS).
  
  

Work Authorization Requirement:

This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.