RN Care Manager - Trinity Health CHF Clinic - Muskegon

Job description

Employment Type: Full time Shift: Day Shift Description: Position: RN Care Manager POSITION SUMMARY: The RN Care Manager is a professional nurse who collaborates with physicians, facilities, health care team members and patient/families to manage chronic conditions/complex illness and coordinate care for specific patient populations across the continuum and between care settings as an important member of the Patient Centered Medical Home team. - Trinity Health Congestive Heart Failure Clinic (CHF) - Muskegon, Michigan - Monday - Friday, Business hours - On site position embedded in the clinic, one day a week remote work option. - Amazing team to work with! What the RN Care Manager will: - Participate and engage their patients in the assessment, planning, monitoring and evaluation of the ongoing care for chronic condition/complex illness management. - Establish plans of care including patient education, self-management, care coordination, and coordinating resources for effective, efficient and appropriate patient care. - Provide ongoing monitoring and evaluation of patient outcomes. - In addition to these responsibilities, the RN Care Manager also performs the duties of population h...