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Project HOME, Philadelphia – Nurse Care Manager

Job Summary The Nurse Care Manager is a key member of an integrated health care team and instrumental to its success. The primary focus for this position is providing care management to targeted patients at the Stephen Klein Wellness Center. This position is focused on Project HOME patients who are also members of Medicaid Managed Care Organization (MCO).

Essential Duties and Responsibilities

For Project HOME patients who may or may not be MCO Members:
Provides nursing assessments and triage to walk-in patients as well as handles in-coming “sick” calls from patients per the Stephen Klein Wellness Center triage protocol.
As Wellness Coordinator- develops, organizes, implements and evaluates wellness programming at SKWC.

For MCO Members/Patients of Project HOME:
Serves as the primary care coordinator between the patient, the patient’s medical providers, behavioral health provider, pharmacist, dentist, hospital-based service providers, financial assistance specialist, residential and/or behavioral case manager, peer specialist, visiting nursing agency, community health worker and/or other specialists.
Demonstrates excellence in clinical care
Educates and counsels patients and their families about issues including, but not limited to, medications, disease and disease management, stress reduction and healthier life-style choices
Demonstrates excellence in care management by coordinating care with intensive emphasis during care transitions
Participates in Quality and Risk Management Committee as designated.
Develops and maintain activities to achieve Patient Centered Medical Home as required.
Assists with clinical procedures
Documents clinical and care management activity in both NextGen and Health Partners Plans’ systems.

Minimum Qualifications
Current RN license
CPR certification

Preferred Qualifications
BSN preferred
Public Health degree a plus
Knowledge and prior practice of trauma informed care
Proficiency in Microsoft Outlook
Prior experience as a Nurse Care Manager in a primary care setting.
Prior experience delivering services to patients who have experienced homelessness, mental illness, and/or substance dependence, often complicated by histories of trauma.
Strong computer, organizational and administrative skills.
EHR experience

Project HOME is an Equal Opportunity Employee. This position requires criminal background checks and drug screen.



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