Nurse Care Manager II

Summary:
Provides nurse care management services to a caseload of eligible Behavioral Health Home clients.  Partners with behavioral health care clinicians to conduct medical/health/wellness assessment on clients to identify health care needs; develops health care goals/objectives as part of the treatment plan and connects patients to primary care and medical specialty services, as needed.  Develops and delivers wellness, health promotion, health education and prevention initiatives.  Documents nurse care management services and other client health-related data in EMR. Assists with supervising LPN staff. Responsible for the management of the agency’s Infection Control Program.

Essential Responsibilities:

• Conducts home visits, as needed to assess clients and engage clients in coordinated/managed primary and behavioral health treatment.
• Conducts medical/health/wellness assessment on clients to identify health care needs; develops health care goals/objectives as part of the treatment plan.
• Works with clinicians to develop initial treatment plan and to ensure achievement of health/wellness goals and objectives for all BHH enrollees.
• Consults with BHH Specialists and other agency case managers about identified health conditions. Coordinates need for transportation and care coordination support with case managers.
• Provides care management and health consultation to clients; develops wellness, health promotion & prevention initiatives and facilitates health education groups.
• Collaborates and coordinates care with all primary and specialty care providers to arrange for care as dictated by the treatment plan.
• Assists in coordination of care with medical providers, health care agencies, specialty providers and hospitals for admission and discharge.
• Provides trainings on medical disease, treatments & medications to clients and staff, as needed.
• Tracks required health care assessment and screenings.
• Monitors HIT tools & reports for treatment, medication alerts and hospital admissions/discharges.
• Conducts medication reconciliation between psychotropic and medical medications, particularly after patient hospitalizations.
• Attends and provides consultation at team meetings.
• Provides 24 hour on call coverage to clients, as needed.
• Completes and ensures timely follow up with specialty referrals.
• Tracks reported occurrences of illness from Infection Control reports submitted by staff.
• Coordinates Flu and PPD clinics for the agency.
• Serves as a resource for questions related to infectious diseases from program staff.
• All other duties as assigned.

Principal Customers:  Internal - Clients, CMHA clinicians, case managers and medical staff, DMHAS, Value Options/ABH (ASO), hospitals, primary and specialty care providers and other agencies.

Critical Work Relationships: All clinical and medical staff at CMHA; medical staff from primary
care and specialty care providers.

Minimum Requirements:

Education:  Bachelor’s degree in Nursing or equivalent.

Credentials and Licenses:  RN Licensure in the State of Connecticut.

Experience:

3-5 years of nursing experience in primary care, with some experience in behavioral health; knowledge of psychiatric illness and substance abuse. Intermediate experience with Microsoft Office products including Word and Outlook. Experience in/ability to use and Electronic Medical Record (EMR) system, which includes appointment scheduling, authorization tracking, assessments, treatment plans, progress notes and discharge summaries.

Competencies:

• Ability to apply knowledge of Health Insurance Portability and Accountability Act Privacy andSecurity regulatory and provisions (HIPAA).
• Organizational ability to balance priorities according to workload constraints and conflicting timelines.
• Ability to maintain composure under pressure.
• Ability to accurately assess client health care/wellness needs and their relationship to psychiatric condition.
• Knowledge of psychiatric, substance abuse and medical disorders, their symptoms and best practice courses of treatment.
• Knowledge of age appropriate developmental milestones specific to population served.
• Ability to conduct self professionally and collaboratively with multi- disciplinary teams.
• Strong written and verbal communication skills.
• Ability to ensure the confidentiality of client information and records in a manner consistent with professional and agency codes of ethics.
• Awareness of scope of nursing practice, professional boundaries, medical testing apparatus and all relevant licensing and accrediting agencies such as DCF, DPH, DMHAS and Joint Commission.
• Good communication and writing skills.
• Awareness/sensitivity to all types of issues related to client diversity, including cultural, ethnic, language, gender, sexual orientation, gender preference, physical handicap and spiritual diversity.

CMHA is an Equal Opportunity Employer and makes all employment decisions based solely on the basis of qualifications and without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, protected veteran status or any other legally protected group status. 

We Offer Competitive Pay & Benefit Packages:

• Medical and Dental Insurance

• Flexible Spending Account

• Short and Long Term Disability Insurance

• Life Insurance

• Accidental Death and Dismemberment Insurance

• Supplemental Life Insurance

• Paid Time Off (PTO)

• 403(b) Retirement Plan