Corewell Health·Kentwood, Michigan
Plans and prioritizes care for a population of senior patients with multiple chronic conditions to promote optimal health outcomes. Collaborates with a multidisciplinary team to coordinate cost-effective services and implement educational strategies for patients and families.
About ambulatory pharmacy geriatric clinic / Advanced primary care
Specialized Care and Support for Seniors
If you are 64 or older and have health problems like diabetes, high blood pressure, heart disease, or COPD, Advanced Primary Care has everything you need in one place. Designed with seniors in mind, it focuses on these and other common concerns to support your overall health.
At Advanced Primary Care, we specialize in patients who are 65+ with multiple chronic conditions like diabetes, hypertension, heart failure and COPD. Join our multidisciplinary team consisting of physicians, APPs, nurses, pharmacists, social workers and MAs. We collaborate together to deliver innovative and quality care.
Advanced Primary Care offers more than great doctors. You’ll get 24/7 support, longer appointments, help with transportation, access to onsite pharmacists, lab, and imaging (at select locations), and guidance on medications and financial assistance.
Advanced Primary Care locations: Alpine Ave, Holland, Muskegon
https://corewellhealth.org/care-and-specialties/primary-care/advanced-primary-care [https://corewellhealth.org/care-and-specialties/primary-care/advanced-primary-care]
Scope of work
Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations. Demonstrates expertise, current knowledge in nursing care and management of a caseload of patients of varying complexity and seeks to improve patient, family and health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment.
Assesses internal and external referrals to identify patient/significant others’ needs, level of intensity, insurance benefits and other patient resources.
Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
Assesses the educational needs of patients, families and members of the health care team and develops and implements appropriate teaching strategies or makes appropriate referrals.
Communicates and collaborates with patient/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and which promotes optimal health in a cost-effective manner.
Measures patient care outcomes, interprets reports and analyzes data trends for groups of patients.
Documents patient data, plan, interventions and outcomes according to department guidelines.
SITE - Care Center Breton - 4600 Breton Rd SE - Kentwood
Employment Type: Full time
Shift: Day (United States of America)
Weekly Scheduled Hours: 40
Hours of Work
7:30-4
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Requires a Bachelor's degree in nursing or a healthcare field and a valid Michigan RN license. Candidates must have at least 2 years of relevant clinical nursing or case management experience and BLS certification.
Market context
Michigan employers commonly seek RN care managers for primary care and population health settings, especially where coordinated follow-up and chronic condition support are priorities. This role is competitive because it combines bedside nursing experience, case management skills, a bachelor’s degree, a valid Michigan RN license, and BLS certification. Review the AI-summarized requirements and benefits here to save time, then tailor your application to show recent care coordination, patient education, and documentation experience.