Primary Health Care Inc
Location
Des Moines, Iowa
Salary
$51,600 - $77,400 / YEAR
Implement risk stratification and holistic care management for patients with complex needs and chronic conditions. Coordinate with an interdisciplinary team to perform nursing assessments, triage acute issues, and monitor population health outcomes.
Requires a current Iowa RN license, BLS certification, and mandatory reporter training. A Bachelor of Science in Nursing and experience in community or public health are preferred.
As a Nurse Care Manager at PHC, you will implement risk stratification strategies to identify patient populations requiring higher-level care management, disease/chronic condition management, and psychosocial support, and you will provide holistic care management and coordination for those patients with complex needs. You will work as part of our interdisciplinary care team to meet the changing needs of our patients. All team members must demonstrate PHC iCare values in daily work.
This position typically works at PHC East Side Clinic in Des Moines and is scheduled Monday - Friday 8 AM - 5 PM. This position occassionaly travels to other sites for meetings.
Our team members are occasionally needed to cover other shifts or to work at other PHC clinics in Ames, Des Moines, and Marshalltown. Mileage reimbursement and/or an out of town travel bonus may apply.
1. Utilizes Interventions for Population Health Management to maximize the health and recall opportunities for patients who are care-managed, part of the Accountable Care Organization contracts, or warm hand-offs from PHC providers with complex needs. Addresses the medical, psychosocial, health risk, prevention, wellness, and education needs of the patient and/or family.
2. Utilizes the RN-led Visit Model, including nursing assessment, diagnosis, planning, implementing, and evaluation of nursing care plans. Provides care management, care coordination, chronic disease and preventive screening and education for patients and/or families.
3. Supports PHC Way initiatives and actively assists in pre-visit planning, post-visit follow-up, and care coordination. Executes the strategy for planned visits, including appropriate health prevention and screening activities.
4. Participates in Accountable Care Organization activities such as value-based care and shared savings initiatives, completes Medicare Annual Wellness Visits and Medicaid recall care coordination, and provides chronic care, disease management, and complex care management.
5. Documents patient care accurately and timely in the electronic health record.
6. Assists with panel assignments and workload, support teams to balance the complexity and continuity of care needs of patients and the care teams.
7. Performs nursing triage of acute medical issues for clinic patients as needed, refers or monitors appropriately.
8. Utilizes data systems and reporting to monitor population health management patient outcomes and identify gaps in care.
9. Participates in grant-related clinical initiatives.
Qualifications: You Need
Visit https://phciowa.org/careers [https://phciowa.org/careers] for a summary of PHC’s benefits.
*Applies to positions requiring clinical licensure or certification.
We take pride in offering development and growth opportunities to our team. Some of our training opportunities include Emerging Leaders, Dental Assitant Trainee Program, & Medical Assistant Trainee Program. In the last year, over 30% of our open positions were filled through promotions or transfers.
Join the PHC Community
| PHC Talent Community [https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1a81e9ec-0004-4bf2-aadc-f982de3a9509&ccId=19000101_000001&lang=en_US&selectedMenuKey=CurrentOpenings] | Facebook [https://www.facebook.com/primaryhealthcareiowa] | Instagram [https://www.instagram.com/phciowa/] | LinkedIn [https://www.linkedin.com/company/primary-health-care-iowa/mycompany/verification/] | TikTok [https://www.tiktok.com/@phciowa?_t=8Wy7yQMltsI&_r=1&fbclid=IwAR3eYN31kfbNlQj1vmHoMlkGwCN5oZkmlwmxOs1OSAGcM7pdbykWuiulBqs]
Nurse Practitioner or Physician Assistant - Float
Nurse Practitioner or Physician Assistant
HIV Registered Nurse - RN
Nurse Practitioner or Physician Assistant - HIV Clinic
Dental Assistant - Marshalltown Clinic
Nurse Practitioner or Physician Assistant
Administrative Support Assistant
Administrative Support Assistant
Full-time Float Infusion Registered Nurse (RN)
Full-time Float Infusion Registered Nurse (RN)
Cardiology Technician, HVI- Mercy
PA or CRNP (ACNP), Staff or Senior - HVI Thoracic Surgery - UPMC Presbyterian