Description
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Type of Position: Management - Operations
Job Type: Regular
Work Shift:
Sponsorship Available:
NoInstitution Name: University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
UAMS offers amazing benefits and perks (available for benefits eligible positions only):
- Health: Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Retirement: Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.
Persons must have proof of legal authority to work in the United States on the first day of employment.
All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
At UAMS we value Diversity, Equity and Inclusion.
For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.
Department: ICE | IMSL Care Management
Department's Website:
Summary of Job Duties: The RN Care Manager provides longitudinal care management services, by phone and face to face, to promote wellness, improved outcomes and self-care within a defined population of patients with chronic condition(s), complex health needs, and support their appropriate utilization of health services. The RN Care Manager will work with the individual patient, their families, providers and interdisciplinary care team to develop and implement individual care plans and provide education and self-management support to patients' for their optimal functioning and to improve collaborative coordination of care to reduce waste and inefficiency within the concept of the patient centered medical home. Conducts transitional care outreach to patients within 48 hours of a hospital discharge and assists with effective coordination of services internally and externally. The RN Care Manager achieves targeted outcomes guided by the organization's strategic initiatives, value-based program measures/activities, and as determined within the service line or department. This position will support the ACO population care management and population health activities.
Standard Duty Areas (list primary functions of the position with the percent of time generally allocated to each)
30% Circle of Excellence--We Create Comfort, Hope and Healing for our Patients and Families. The Circle of Excellence consists of behavior and service standards which demonstrate the culture and policies and procedures of UAMS and the Clinical Programs Division. The service standards are: Safety 20%, Respect 20%, Excellence 20%, Image 20%, and Efficiency 20%. The behavior standards consist of: our environment, attitude, ethics, communication, teamwork, appearance, and quality. These are all attributes which are essential in providing the patient care and support in achieving the overall mission of the organization. A full description of COE can be found at http://intranet.uams.edu/coe/standards.asp (click here to review)
70% Job Duties
Nursing Process
• Triage, assessment, planning, implementation, and evaluation of nursing care and patient education either by telephone or within the assigned UAMS clinic using the care management model. Conducts care management, including care plans, assessing progress and barriers. Coordinates care and/or follow-up for patients who receive care in inpatient and outpatient facilities.
• Delivers nursing care according to standards as defined by UAMS, American Nurses Association (ANA), AR State Board of Nursing (ASBN), and those set forth by nursing specialty organizations.
• Helps develop patient's Plan of Care (POC) per clinic standards utilizing assessment data.
• Evaluates the progress of patients' toward attainment of desired outcomes.
• Verifies and evaluates care delivered to ensure care is consistent with standards and regulatory requirements.
• Coordinates patient education coordination in collaboration with physician staff.
Education/EBP/Research /QI
• Initiates Performance Improvement, Evidenced Based Practice/Research process.
• Systematically evaluates the quality and effectiveness of nursing practice.
• Supports the integration of current evidence into nursing practices.
• Promotes an environment conducive to positive educational experience for all students and staff.
• Provides effective patient/family education (link to PFCC)
Communication/Collaboration
• Implements POC using an approach that is interdisciplinary and Patient and Family Centered Care.
• Effectively collaborates and communicates with nursing staff at all levels, interdisciplinary teams, executive leaders, and other stakeholders.
• Communicates care appropriately through documentation in the medical record.
• Reports variances in care/systems/processes through the appropriate means.
Leadership
• Acts as a resource/support to others in the performance of duties.
• Demonstrates a commitment to the personal and professional development of other UAMS employees.
• Participates in recruitment/retention of staff.
• Facilitates development and implementation of nursing practice standards that are evidence-based and incompliance with ANA standards.
• Delegates care based on UAMS standards, legal and regulatory requirements, specific job descriptions, scope of practice and individual level of education and training.
Professional Practice
• Participates in unit/department based organizational activities/committees, such as the Professional Nursing Organization (PNO).
• Demonstrates commitment to development and growth as a professional nurse.
• Evaluates personal performance based on professional practice standards.
• Uses constructive feedback from peers and supervisors to improve practice and performance.
• Maintains clinical competencies specific to area of practice/responsibility.
Serves as clinic Care Manager and performs all other duties as assigned.
Primary Care RN Care Manager Duties
a) Works in conjunction with all care team members across the continuum to identify and proactively manage complex care needs and close care gaps of the highest risk patients with chronic conditions such as diabetes, uncontrolled hypertension, COPD, CHF, and age-related illnesses within the primary care setting to improve clinical outcomes.
b) Conducts initial and ongoing assessments of patients at high risk that may benefit from care management services. Identifies the high-risk complex patients and works with team members to ensure efficient care coordination for this patient group.
c) Actively manages assigned panel of high-risk chronic care patients utilizing registries and reports. Documents care and interventions appropriately in the EMR.
d) Coordinates care plans and conduct transitional care calls for patients with frequent Emergency Department utilization and those who are recently discharged for inpatient hospital admissions as directed.
e) Participates in patient-centered medical home (PCMH), aids in the development of clinic workflows and collaborates with physicians to develop and maintain current care plans with preventive services and chronic disease management.
f) Identifies and stratifies high risk patients needing care management services to reduce re-hospitalizations in people with chronic illnesses (i.e. uncontrolled Diabetes, HTN, COPD, CHF, depression, out of range BMI and age-related conditions), socioeconomically disadvantaged, and/or the chronically mentally ill.
g) Promotes patient, staff, provider and organizational satisfaction by coordinating and facilitating the delivery of quality and continuity of care while focusing on productivity and the cost effective utilization of resources. Serves as a liaison to providers, patients and families for coordination of services. Work with the providers, pharmacist, social worker, quality improvement coordinator, and other clinical staff to best serve the needs of the patient panel.
h) Provides effective education, self-management support, timely health care delivery/outreach to patients over the phone and in person ensuring all aspects of care plan are met including but not limited to:
(1) Management of transitions in care delivery settings
(2) Review and update medications for reconciliation by provider
(3) Assess and address educational needs associated with chronic disease and prevention
(4) Assess and address any social and psychological determinants that impact disease management
(5) Facilitate adherence to quality metrics determined by quality programs e.g. UAMS, CMS- ACO & Primary Care First, PCMH
(6) Facilitate transfer of information and communication among providers
(7) Educate and encourage adherence to regular primary care provider visits
(8) Serves as an advocate for the patient and family.
i) Use of motivational interviewing to provide 1:1 coaching to patients regarding behavior changes to improve health status, reduce health risks and improve quality of life. Must be able to assess readiness to change and implement actions to assist patients in reaching their goals. Will work with patients to establish health improvement plans, set personalized goals, and support patients in achieving those goals.
j) Develops and supports a practice based care management model by providing on-site and telephonic services i.e. wellness, health coaching, goal setting, self-management techniques, disease management and case management including coordination with community services per Patient Centered Medical Home (PCMH) standards.
k) Facilitates regular patient follow up, education, crisis management, and coordination/support for people at risk or who are vulnerable because of their socioeconomic status and/or level of healthcare literacy who are reluctant to seek treatment due to limited knowledge of their condition and barriers to care.
l) Routinely scans medical literature for updates on clinical practice guidelines, new developments in the management of chronic diseases and communicates and disseminates information to staff.
Qualifications:
Minimum of 3 years RN experience in a clinical environment with current BLS certification.
Certification in Case Management (e.g. CCM, ANCC) or obtain within 1 year of hire date.
Knowledge or experience in PCMH desired.
Valid Arkansas Registered Nursing License
Additional Information:
Constant Physical Activity:
Hear, Read, Concentrate, Think Analytically,
Frequent Physical Activity:
Stand
Occasional Physical Activity:
Bend, sit, crawl, crouch, kneel, stoop or reach overhead
Lift/Carry Weight: 11 - 25 Lbs. or more
Push/Pull Weight: 100 Lbs. or more
Physical Environment: Inside medical Facility
Noise Level: Moderate
Visual Requirements: Color discrimination, Depth perception, Far visual acuity
Near visual acuity
Hazards:
Biological, Dust, Fumes/Gases/Odors, Radiation, Sharp objects/tools
Salary Information:
Required Documents to Apply:
Optional Documents:
Special Instructions to Applicants:
Recruitment Contact Information:
Please contact askrecruitment@uams.edu for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements: Criminal Background Check, Substance Abuse Testing
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity: Feeling, Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion
Frequent Physical Activity: Sitting, Standing, Talking, Walking
Occasional Physical Activity: Crouching, Grasping, Kneeling, Lifting, Pulling, Pushing, Reaching, Stooping
Benefits Eligible: Yes
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