40 Position Summary
The nurse care manager (NCM) is responsible for providing enhanced care coordination to patients attributed to WUSM value-based care agreements. Primary responsibilities include providing telephonic transitional care outreach to patients recently discharged from an inpatient stay, seen in the ED for potentially avoidable treatments, or those with multiple complex comorbidities. The NCM will complete transitions of care assessments, medication reconciliation, providing disease specific education, and assist to schedule follow-up appointments to reduce likelihood of readmission and/or avoidable ED use. Job Description Primary Duties and Responsibilities
- Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency, and the delivery of healthcare for medical home patients.
- Assesses, plans, implements, coordinates, monitors, documents, and evaluates options and services to optimize the member's health status.
- Develops systems of care that monitor member's progress and promotes early intervention in acute care situations.
- Establishes and promotes a collaborative relationship with health care providers, payers, and other members of the health care team to optimize interventions.
- Manages utilization and practice metrics to refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.
- Completes necessary paperwork and documentation in a timely manner.
- If order entry in the electronic medical record is part of the job function, completes requisitions/orders per Washington University guidelines.
- Additional responsibilities include providing proactive care outreach to patients overdue for preventative health services to support value-based care initiatives. NCM will collaborate with providers, clinical staff, social work, case management, and community resources to assist patients with barriers to care. NCM will be responsible for developing and implementing patient centered strategies to improve management of chronic conditions, improve clinical outcomes, and enhance patient satisfaction.
- Performs special projects and other duties as assigned.
- Triage experience.
- Ambulatory care management, inpatient case management, or experience in an adult primary care setting.
- Knowledge of the concepts and principles of managed care.
- Interpersonal/human relations skills with ability to relate to diverse groups.
- Demonstrated leadership qualities including time management skills, verbal and written communication skills, listening skills, problem solving and decision-making skills, critical thinking skills and ability to analyze complex data sets.
- Strong proficiency in use of personal computer software and databases, including the use of electronic health records and manipulation of statistical data.
- Supervisory skills.
- Demonstrated ability to work autonomously and be directly accountable.
- Demonstrated ability to influence and negotiate individual and group decision making.
- Demonstrated ability to function effectively in a fluid, dynamic, and rapidly changing environment.
- Ability to prioritize, delegate, and organize work.
- Ability to maintain a high level of confidentiality.
- Bachelor's degree in nursing.
- Registered Nurse in the state of Missouri or Illinois. Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).
S25 Salary Range
$55,100.00 - $94,200.00 / Annually
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Want to Live Near Your Work and/or improve your commute? Take advantage of our free Metro transit U-Pass for eligible employees. We also offer a forgivable home loan of up to $12,500 for closing costs and a down payment for homes in eligible neighborhoods.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO/AA Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Diversity Statement
Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.