PHSO RN Care Manager - Chronic Disease Management

The PHSO is hiring for a RN Care Manager - Chronic Disease Management to join their team!

This position will support a targeted population of UVMHN Primary Care patients with the goal of improving health outcomes for specific chronic diseases. The ideal candidate will have strong skills and experience with care coordination, clinical education, advocacy, developing and supporting clinical workflows, population health analytics, and team-based approach care.

This is a hybrid position and will require an onsite presence at UVMHN Primary Care practices.

WHO WE ARE:

The UVMHN (University of Vermont Health Network) PHSO (Population Health Services Organization) is a physician and payer partnered operation that provides the right constellation of services (e.g. care management and care coordination, data and analytics, provider reporting, Quality, Risk Adjustment, and Value-based Contract Performance, etc.), that enables the health network to successfully perform in High Value Care and Value-Base Contracts

JOB DESCRIPTION:

Coordinates the care and services of selected patient populations across the continuum of illness; promotes effective utilization and monitoring of health care resources; and assumes a role with the interdisciplinary teams to achieve optimal patient-centered, clinical and resource outcomes. Proactively identifies and intervenes to address barriers to treatment, health, wellness, prevention, improvement and outcomes. Serves as an important link between the patient, the healthcare teams, the payers and the community. Actively participates in mentorship, training, and process improvement within their assigned team. 

EDUCATION:

Current RN licensure or compact licensure recognized by the State of Vermont is required. New York RN licensure also accepted.

The University of Vermont Health Network is moving toward an all Bachelor of Science in Nursing (BSN) workforce. Current internal RNs are strongly encouraged to pursue a BSN to support this initiative.

Case management accreditation required by a nationally recognized accrediting body for case management (examples: CCM, ACM or ANCC certifications), preferred.

EXPERIENCE:

5+ years of clinical experience in a healthcare setting (or equivalent)

Care Management/Care Coordination experience preferred