Rn (Full-Time) - Quality Clinical Care Manager (Boulder, Co)

Do you enjoy working with friendly and helpful people in a positive work environment? Are you ready to embrace a career that offers a variety of learning opportunities? Are you looking to make a positive impact on peoples' lives in our community?

Consider a career at Boulder Medical Center (BMC). We are 100% privately owned and Physician operated, we provide care in over 20 different specialties, have 90+ providers practicing today, we employ 325+ Healthcare Professionals, and we have locations through-out Boulder County, CO.

Summary:

Boulder Medical Center (BMC) is currently seeking Registered Nurse (RN) candidates to join our team as a Quality Clinical Care Manager! This is benefit eligible working full-time 40 hours per week Monday - Friday.

Job Perks:

• Full-time employees are eligible for medical / dental / vision, flexible spending, company-paid life insurance and Short Term Disability (STD) as well as several voluntary benefit options, RTD EcoPass, 401(k), Paid Time Off (PTO) and six (6) paid holidays annually.
• Part-time employees are eligible for medical / dental / vision, company-paid life insurance, voluntary benefits, RTD EcoPass, 401(k), and holiday pay (if regularly scheduled to work on an observed holiday).
• Day shift schedules are Monday through Friday. There are occasional voluntary four (4) hour shifts on Saturday mornings from 8 am - 12 pm for several primary clinics (Family Medicine and Pediatrics).
• Experience working in both primary care and specialty care clinics.

Job Duties :

• Coordinates healthcare services for patients through assessment of their chronic conditions and/or other health care needs.
• Utilizes the case management process to guide service delivery throughout the healthcare continuum to ensure quality care is delivered in the most efficient and effective manner.
• Develops personalized care plan for highest risk patients.
• Facilitates and coordinates services to develop patient-centered, individualized, and integrated self-management plans that include outcomes and goals.
• Evaluates the patient's comprehension / self confidence in self-management capabilities, recognizing and reinforcing change talk and managing resistance/barriers.
• Works closely with patients engaging families to educate them on how to follow their care plan and achieve set goals for successful outcomes.
• Engages the patient and their caregivers in understanding and setting self-management plans in a culturally and linguistically appropriate manner.
• Documents ICP and care coordination in case management module database (NextGen, etc.)
• Supports the Primary Care Physician (PCP) to implement the integrated plan so it achieves the desired outcomes.
• Comprehends transition of care and medication reconciliation.
• Coaches, inspires and supports change. Assesses patient readiness to change, and their health literacy as well as cultural and/or social aspects that may lead to potential barriers.
• Coordination of Primary Care Anticoagulation Clinic
• In collaboration with providers, the BMC cardiology department, and other Care Managers, maintain empanelment of anticoagulation patients and manage their care as appropriate.
• Conduct visits for INR testing and medication adjustment via protocols, as appropriate.
• Performs Population Management using both registry functionality within EHR as well as reports from Clinical Quality Metrics and Payer Feedback Reports in order to identify gaps in care around evidence-based guidelines. Utilizes this information to guide the work of the Quality Improvement Team and suggests adjustments in internal workflow to improve patient health outcomes.
• Collaborates with all members of the healthcare team to include the patient, members of the interdisciplinary care team, the patient's family, and the physician in the clinic.
• Collaborates with various healthcare providers across the continuum to ensure that patients are effectively managed and their healthcare needs are met.
• Provides disease specific educational support and in-services to clinic staff.
• Assists in the development of departmental policies and procedures, including assessment techniques to evaluate and track patient outcomes.
• Attends and actively participates in quality and program team meetings, patient/family advisory council, webinars, and learning collaboratives.

Skills and Judgement:

• Must have exceptional interpersonal and communication skills to support the development of exceptional working relationships with patients, their dependents and healthcare providers.
• Relies on experience and judgment to plan and accomplish goals.
• Performs a variety of tasks that require a degree of creativity and latitude; Must have a proven commitment to customers that continually focuses on improvement and enhancement to the service delivery process.
• Must possess strong analytical and computer skills with proficiency in computer and Electronic Health Record systems (EHR) such as MS Office products and NextGen
• Must be able to analyze issues, predict trends and outcomes, and offer recommendations; Must be well-versed in all areas of state and federal regulations regarding HIPAA, EEO, and ADA.

Education Requirements:

• Bachelor's Degree with an active Colorado RN licensure in a clinical service area (RN) required.

Previous Experience:

• Must have a minimum of 3 - 5 years clinical experience; previous quality or care management experience preferred
• Cardiology or diabetes education background preferred.
• Must be familiar with standard concepts, practices and procedure within a particular field.

Salary Range:

• $29.50 - $37.50/hour; depending on experience

Location:

• Boulder, CO

Benefits:

In addition, part-time and full-time employees are eligible to participate in a comprehensive benefit package that includes medical, dental, company-paid life insurance, flexible spending accounts, 401(k), and a variety of voluntary benefits. Full-time employees are also eligible for an RTD Eco-pass, Paid Time Off (PTO) and Extended Illness time.