Nurse Care Manager in Washington, DC at Volunteers of America Chesapeake and Carolinas, Inc.

Date Posted: 9/16/2020

Career Snapshot

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    Not Specified
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Career Description

The Nurse Care Manager is responsible for conducting Health Home Service activities in accordance with VOA Chesapeake’s operation as a Mental Health Rehabilitation Service Provider/Health Home.  In this role, the Nurse Care Manager assists the Health Home Director in the developing and enhancing wellness initiatives. Coordinates care management relationships with external health care providers.  Approximately 25% of the time, the RN will be engaged in activities out in the community and/or the consumers’ natural setting.

  • Develop the IRP/IPC along with the consumer and other staff members with specific, measurable, behavioral objectives and action plans that take into account the consumers behavioral Health and physical needs.
  • Assess each consumer for bio-psychosocial needs, provide and coordinate referrals and make sure that the consumer receives the requested assistance.
  • Provides clinical direction to assigned CSW/CM’s via ongoing individual and or group supervision
  • Participates as a member and/or leads a care team depending upon the consumer panel characteristics
  • Coordinates care management relationship with external health care providers, including pharmacies and other primary and specialty providers
  • Receives, identifies and follows up treatment and medication alerts reported by HIT tools
  • Consults with CSA/health home team about identified health conditions of clients and provides education training on chronic disease states, health coaching, medications and healthy  living
  • Makes initial contact with hospitals regarding client admission, conducts a medication reconciliation with input from the clients primary care physician
  • Tracks all required assessment and screenings, including a health screening and metabolic screening, are complete for each client on their case load
  • Leads development and implementation of an integrated person centered care planning related to  physical health care needs of each consumer
  • Provide educational training on chronic disease states and treatment protocols as needed
  • Identifies and assist with the implementation of self management protocols for use by consumers
  • Conducts at least every 180 days a medication review and reconciliation with each consumer and as appropriate prescribing practitioners and the health Home team
  • Dispenses medications and administers IM’s to consumers within the CSW/HH as indicated by the MD
  • Obtain vitals on consumers
  • Conduct groups as needed
  • Provide Medication Management services to non HH consumers
  • Attend meetings in the community on behalf of the consumer (St Elizabeth, nursing homes, etc.) when needed.
  • Conduct visits to the consumer’s job site, home, jail, hospital room, and other natural settings as assigned and when needed.
  • Attend training as required to stay abreast of District of Columbia Departments of Mental Health standards for Health Home Teams.
  • Provide crisis intervention to consumers on a walk in basis and as necessary.
  • Perform other duties as assigned.