RN Care Manager - Shawano/Gillett/Suring/Mountain - Green Bay, WI

This position will work 34 hours per week
RN Level II (Care Manager)

Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care.

Job Summary
Responsible for coordinating the continuum of care for assigned patients and ensure optimum utilization of resources, excellent service delivery and positive quality outcomes, while minimizing unnecessary medical expenses.

What you will do

• Implements evidence based treatment guidelines of clinically diagnosed condition.
• Prepare chart of assigned patients prior to appointment.
• Follow protocols for standing orders for medication refills, ordering tests and delivery of routine preventative services.
• Educate patients and families about managing their condition and or disease.
• Conduct previsit planning with providers.
• Write individual care plan with treatment goals.
• Assess patient barriers to unsuccessful outcomes as it relates to medication, appointments and goals.
• Coordinate visits with multiple clinicians and or diagnostic tests during one visit.
• Determine through triage how soon patients need to be seen.
• Provide telephonic advice on clinic issues.
• Identify health insurance or financial resources for patients.
• Systematically send or communicate medical information to patients.
• Review clinical measurements with patients at visits.
• Review information from facilities (discharge summary, hospital admission or ER visits) to determine if patients require a follow up visit or who are at risk for adverse outcomes.
• Contact patients after discharge from facilities.
• Provide or coordinate follow up care to patients/families who have been discharged.
• Develop written transiton plan in collaboration with family and patients when transitioning to another facility or provider.
• Aid in identifying a new primary care physician or specialist or consultant and offer ongoing consultation.

Experience Qualifications

• 3-5 years in a clinic setting Required
• experience in specialty or primary care with EMR experience Preferred

Skills and Abilities

• Excellent assessment skills.
• Excellent communication, written and analytical skills.

Licenses and Certifications

• Current license as Registered Nurse in the state of Wisconsin Upon Hire Required

Travel Requirements

Hearing Requirements
Vision Requirements
Prevea is an Equal Employment Opportunity/Affirmative Action employer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United State and to complete the required employment eligibility document form upon hire. Prevea participates in E-verify. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify