Jobs in Ashland, WI

About the role

The RN Care Manager will manage high risk and chronic illness to promote whole-person, integrated, quality care. The RN Care Manager will employ a person-centered and team approach, partnering with patients and their family/caregiver(s), clinic/hospital/providers and specialty providers and other staff, and community resources.

What you'll bring

• This   RN   Care   Manager   position will travel between our Ashland, Iron River, and Hurley clinic locations on a weekly basis.
• The RN Care Manager will manage high risk and chronic illness to promote whole-person, integrated, quality care.
• The RN Care Manager will employ a person-centered and team approach, partnering with patients and their family/caregiver(s), clinic/hospital/providers and specialty providers and other staff, and community resources.
• Conduct in-office patient visits as outlined in care plan and based on patient’s health status and self-management interests
• Create and promote engagement with a care plan, developed with the patient, primary care provider and/or specialty care provider and family/caregiver(s)
• Support the delivery of integrated, whole-person care in family medicine, recovery and psychiatric care.
• Engage patients in self-management and shared decision-making
• Increase utilization of preventative care services
• Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
• Work with internal providers on coordinating schedules, getting a client in to other service lines as needed
• Assist with the identification of “high-risk” patients with a chronic illness and those with special health care needs, coordinate care, and track outcomes
• Assess for social drivers of health and work with Community Health Workers on integrated Care Management

Benefits

Locations