Job Application - Partnership Community Health Center Inc

Job Posting CLOSED

Care Management Registered Nurse

The Care Management Register Nurse (CMRN) provides RN Care Management designed to improve individual and/or family overall health and well-being to a specified/targeted patient group. The CMRN will conduct an initial assessment to identify actual needs and potential risks for adverse outcomes. This position will coordinate comprehensive health care in collaboration with, but not limited to health care providers, community service, agencies, and schools as appropriate to meet the needs and risks identified.  The CMRN will develop, implement, coordinate and evaluate patient care plans in an outpatient environment.  


·         Must be a licensed registered nurse in the State of Wisconsin, Baccalaureate in Nursing preferred.

·         Care management certification preferred, three to five year experience preferred.


1.      Conduct initial and ongoing assessments of each patient with respect to clinical condition, areas of need/risk, level of care and plan of care.

2.      Apply decision support criteria appropriately according to evidence based clinical practice guidelines.

3.      Partner with, and advocate for, patients and/or families to assess, develop, implement, and monitor actions to improve health status and quality of life resulting in comprehensive, cost-effective care plans, using a multidisciplinary process documented in the electronic health record Epic.

4.      Facilitate a learning environment with patient and families to address self-management and/or educational needs.

5.      Coordinate other care team members such as physicians, nurse practitioners, nurses, care navigators, community service agencies, etc. to promote quality care/education.

6.      Work with payors and manage payor portals and patient lists to improve patient health outcomes within payor groups.

7.      Participate in data collection and research related to patient level outcomes and community-based activities, as appropriate.

8.      Identify and report quality and risk management issues to the QI Coordinator and Risk Manager.

9.      Assist in development, revision and implementation of care management policies and procedures.

10.  Participate in staff meetings, self-directed work teams, and other program initiatives related to performance improvement.