RN Care Manager
For patients experiencing complex healthcare situations, high risk patients as identified using accepted risk stratification methods, the RN Care Manager (RNCM) utilizes knowledge of community health concepts, principles of ambulatory clinical nursing, case management expertise and care coordination to outline and manage highly individualized care management efforts. The RNCM will utilize best practice to maximize patient engagement and patient self-management efforts, promoting optimal health, wellbeing, and safety of the patient. The RNCM demonstrates personal accountability for relationship-based care, organizational mission, and core values. The RNCM facilitates active collaboration across the immediate care team – patient, patient’s family/support system, treating clinicians, delivery systems, community systems, community services and others. The RNCM works to enable the right services, at the right time and place, reinforcing the patient’s medical treatment plan with enhanced education, better communication, timely staging and orchestrated transitions across the care sites and care teams.
The RNCM conducts ongoing assessments of the patient’s immediate situation. Maintaining care coordination as a unique combination of health and community resources. The RNCM communicates directly with the patient and caregivers, proving relevant education while observing and mitigating specific developments that may create barriers to healing and safety.
Pagosa Springs Medical Center is an EEO employer.
