Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Primary Location
Rapid City, SD USA
Department
MHMC-RC Flormann St. Endocrinology
Scheduled Weekly Hours
40
Starting Pay Rate Range
$32.80 - $41.00 (Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
The Ambulatory Case Manager (ACM) supports patient care coordination in the primary care ambulatory clinic setting and/or in conjunction with the Managed Care Contracting identified goals. The ACM primary responsibility provides clinical evidence-based care management support to assist the delivery of effective education, self-management and timely health care delivery to high risk and rising risk patients associated with the assigned ambulatory clinic and/or managed care attributed patient population. The ACM works collaboratively with the multidisciplinary care team to deliver seamless transitions through the continuum of care by guiding the patient through the healthcare system in an efficient and fiscally responsible manner to achieve desired outcomes. The ACM facilitates alliance between the health care team, patients, family/caregivers and community by assessing, planning, and advocating for health care needs of an individual and/or identified population for quality, cost-effective outcomes. In collaboration with identified program and system leadership, the ACM will be responsible for identified data collection, management and analysis to assess the impact of the program. The registered nurse will demonstrate performance consistent with nursing and case management professional standards of practice, care, and the Nurse Practice Act.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
*Supportive work culture
*Medical, Vision and Dental Coverage
*Retirement Plans, Health Savings Account, and Flexible Spending Account
*Instant pay is available for qualifying positions
*Paid Time Off Accrual Bank
*Opportunities for growth and advancement
*Tuition assistance/reimbursement
*Excellent pay differentials on qualifying positions
*Flexible scheduling
Job Description
Essential Functions:
Optimize care coordination with hospital, ED, consulting physicians, and community resources as necessary.
Collaborates with physicians, providers, and practice caregivers to identify appropriate patients for care management.
Utilize evidence-based materials related to coordination of care and health transitions to facilitate identification of appropriate interventions for improvement and maintenance of health.
Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer, managed care contract guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the Healthcare team and patient/family in decision making.
Collaborate with the interprofessional health team across health care settings to effectively implement coordination plans while maintaining fiscal accountability and individual patient advocacy.
Collaborate with the patient and multidisciplinary team in evaluating change readiness, assessing patient needs, developing plan of care, designing teaching plans/programs, and evaluating the patient’s progress toward health care goals and attaining expected outcomes.
Educates the patient and the patient’s family/caregiver about self-management tasks they can undertake to gain greater control of their health status through patient involvement in activities to improve their health, encourage wellness, avoid preventable hospital admissions, support social determinants of health disparities and address advance care planning where…