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Nurse Care Manager, Multi-lingual (Spanish, French Creole)

Company: Avidity Exchange LLC
Location: Stamford
Posted on: November 23, 2020

Job Description:

Nurse Care Manager, Multi-lingual (Spanish, French Creole) PLEASE PROVIDE A PERSONAL EMAIL AND CONTACT PHONE NUMBER WHEN APPLYING Nurse Care Manager, Multi-lingual (Spanish, French Creole) Nurse: Management Brooklyn, NY Full-time Key qualifications Licenses and certifications RN Minimum education Bachelors Languages English, Spanish Years of experience 2+ years Overview We are looking for amazing, community-minded RNs/NPs to join our team in Brooklyn. You will be providing direct services to members, who face economic and social challenges in addition to having mental and physical health needs, through our innovative care model. Your work will frequently take you out into the field and surrounding community. It is integral to our care model that we meet people where they are, both physically and emotionally. As an RN Care Manager, you will work with a panel of members to improve their health holistically. You will support members when they leave the hospital, receive new diagnoses, are preparing for a procedure, are managing their chronic illnesses, are in pain, or when they need additional education. You will provide a necessary bridge to specialty care, home care services, and other facility services. Additionally, you will provide clinical support to our large team of Community Health Partners, who will serve as patients main point-of-contact and coordinator. You will work alongside, and will be supported by, a care team associated with each member, whose work is focused around a Member Action Plan (MAP). 1. Competitive salary offered 2. Great health insurance 3. Generous PTO Skills for This Job: 1. A current, unrestricted NYS RN/NP license 2. 3+ years of experience providing clinical services to Adult and Geriatric individuals with co-occurring chronic medical and behavioral health conditions 3. Experience in home care, hospice/palliative care, acute care, and/or care management 4. Multilingual is a plus Perks Professional development opportunities Full benefits 401k Schedule details 5 days/week Care settings Primary Home Health Details The role: In this role, you will be part of the team at our founding clinical Hub, a primary care practice that in many respects looks and feels more like a community center than a doctors office, providing direct services to members, who face economic and social challenges in addition to having mental and physical health needs, through our innovative care model. At our core, our care model is focused on meeting people where they are, both physically and emotionally. Given this, your work will frequently take you out into the field and surrounding community to provide care in settings that work best for our members. As an RN Care Manager, you will work with a panel of members to improve their health holistically. You will support members when they leave the hospital, receive new diagnoses, are preparing for a procedure, are managing their chronic illnesses, are in pain, or when they need additional education. You will provide a necessary bridge to specialty care, homecare services, and other facility services. Additionally, you will provide clinical support to our large team of Community Health Partners, who will serve as patients main point-of-contact and coordinator. You will work alongside, and will be supported by, a care team associated with each member, whose work is focused around a Member Action Plan (MAP). You will: - Follow a panel of Adult and Geriatric members to provide, nursing clinical support, including transitional care, health maintenance, medication reconciliation, chronic disease management and co-occurring psychiatric disorders - Meet with members in their homes, neighborhoods, and within the healthcare system - Assess in-home safety and risks and implement evidence-based interventions and protocols for complex chronic conditions - Work daily within our custom-built care facilitation platform, which will enable you to collect data, organize information, track tasks, and communicate with staff, patients, and family. This platform is being built for a mobile workforce, and you will be among the first cohort to field-test our technology, provide feedback to the product development team, and, over time, become part of a super-user group to assist in on-boarding and supporting others - Foster lasting and trusting relationships to assist members in achieving goals, identifying new needs, and coordinating care - Utilize critical thinking skills and excellent communication skills to manage complex clinical issues utilizing assessment skills and protocols - Leverage strong time management skills to ensure that we make the most impactful judgement calls as we care for a full panel of members, and juggle competing priorities throughout the day - Go above and beyond to connect with patients and partners in a non-judgmental, respectful and empathic manner, to meet their needs, and to provide feedback to the system as a whole as we strive to do better every day Youd be a good fit if: - You have a current, unrestricted NYS RN license - You have 3+ years of experience providing clinical services to Adult and Geriatric individuals with co-occurring chronic medical and behavioral health conditions - Willing to work a full-time 40 hour work week, Monday-Friday with Saturday Rotation - Familiarity and willing to travel within Brooklyn neighborhoods (home-based member visits) and its Healthcare systems (hospitals and rehab centers) - Experience as an active participant in continuous quality improvement projects within a provider setting - Possess exceptional triage, coordination and clinical assessment skills - Phenomenal communicator; you approach care interactions with warmth and thoughtfulness - Demonstrated the ability to affect change, and have been effective in helping a member or patient adapt new habits, or change behaviors - Excited about how technology can support your work and help drive the ongoing evaluation toward new and better care - Independent self-starter, a leader, and a strategic thinker who is excited about the big picture of whole community health, and the ongoing evaluation and iteration of our care model - You believe deeply in a localized, community-based care model and are compelled by the mission Nice to have: - Experience working collaboratively with a interdisciplinary care team, and specifically working alongside community health workers or care coordination staff. - Experience in homecare, hospice, acute care, and/or care management. - Multi-lingual (Spanish, French Creole) - Bachelors degree preferred - Unrestricted NYS Drivers License and Car

Keywords: Avidity Exchange LLC, Stamford , Nurse Care Manager, Multi-lingual (Spanish, French Creole), Executive , Stamford, Connecticut

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