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RN Ambulatory Care Manager

Proactive Care

Salt Lake Clinic

You'll work across clinics, transitions of care, communities and post-acute settings, supporting at-risk patients proactively.

Posted Oct 19

Shift and hours
Monday-Friday, 8:00am-4:30pm, two days a week in clinic Shift: Monday - Friday 8:00am - 4:30pm, 2 days a week in clinic40 hours a week
Unit and setting
Salt Lake Clinic · Clinic Location: Salt Lake Clinic
License
RN license Current Registered Nurse (RN) license in state of practice.Current RN license in state of practice
Term
Permanent FTE: Full timeFull time

Do you qualify?

License
Current RN license in state of practice Current Registered Nurse (RN) license in state of practice.
Certification
BLS certification for home or community visits
Education
BSN from an accredited institution, with degree verification Bachelor of Science in Nursing (BSN) from an accredited institution (degree verification required).
Education
BSN within four years of hire or promotionAfter hire · within four (4) years of hire RNs hired or promoted into this role must obtain their BSN within four (4) years of hire or promotion.
Experience
Clinical nursing experience in chronic disease management Demonstrated clinical nursing experience in chronic disease management, and familiarity with chronic disease terminology and processes.
Also asks
Motor vehicle record check MVR Verification
Also asks
Understanding of disease management, length of stay and care barriers Demonstrated understanding of disease management including treatment, length of stay, identifying barriers to delivery of care and any variation.
Also asks
Basic computer skills and Microsoft Office Proficiency in basic computer skills and Microsoft Office software.
Also asks
Current driver's license, auto insurance, clean driving record and reliable transportation for home or community visits

Preferred

Certification
Care Management Certification
Education
BSN from an accredited institution Bachelor of Science in Nursing (BSN) from an accredited institution.
Experience
Experience in case management, utilization review or discharge planning Demonstrated experience in case management, utilization review, or discharge planning.

What it pays

Pay reviews
Hourly rate depends on experience Actual hourly rate dependent upon experience.Actual hourly rate dependent upon experience

Benefits

  • BenefitsBenefits eligibleBenefits Eligible: Yes
  • BenefitsGenerous benefits package covering wellness programswe provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness
  • Generous benefits package covering a wide range of wellness programs

The role and schedule

Day to day
Identify patients for proactive intervention from risk scores and referrals Identifies patients for proactive interventions using specific screening criteria, medical record review, payor models, medical risk scores, or referrals.
Day to day
Care management screenings, assessments and evaluations this role involves conducting care management screenings, assessments, and evaluations.
Day to day
Coordinate social-needs and community services for patients Coordinates internal and external services for SDoH needs and care in the community.
Day to day
Motivational interviewing and coaching for patient self-management Supports patient self-management and behavior change using motivational interviewing and coaching techniques.
Day to day
Patient teaching on conditions and self-management Educates patients about their medical/behavioral health conditions and self-management.
Day to day
Advanced care planning and patient and family care conferences Facilitates advanced care planning and engages in patient and family care conferences as appropriate.
Day to day
Root cause analysis of readmissions and extended post-acute stays Conducts root cause analysis of extended post-acute stays, inappropriate utilization, readmissions, and tracks key data elements or metrics.
Day to day
Rounds and case conferences when needed Participates in rounds or case conferences when necessary.
Hours stated
Monday - Friday 8:00am - 4:30pm, 2 days a week in clinic
Details
Caregivers whose duties require home or community visits must maintain current BLS certification, a current driver's license, current auto insurance, an acceptable driving record and reliable transportation.
Details
Lifting and patient transfers Expected to lift and utilize full range of movement to transfer patients.

The workplace

Proactive Care
Hiring organization

Your fit

Questions to ask

  • Can you walk me through base pay range and differentials?
  • What should I expect for weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

Original listing

Posted on Proactive Care’s careers page.

Read full text

The Central Market RN Ambulatory Care Manager delivers comprehensive ambulatory care management services to identified patients. Leveraging clinical expertise, this role involves conducting care management screenings, assessments, and evaluations. The manager develops and implements patient-centered care plans with shared goals and appropriate interventions.

Collaborating effectively with patients, families/caregivers, healthcare providers, payers, community-based providers, and other involved parties ensures efficient, effective, and patient-centered care management services. The role operates across various settings, including transitions of care, clinics, communities, and post-acute care environments, and supports proactive care for at-risk patients. Job Specifics Application

Requirements

Please upload a current resume that includes your work history and relevant licenses or certifications. Benefits Eligible: Yes FTE: Full time Shift: Monday - Friday 8:00am - 4:30pm, 2 days a week in clinic Click learn about additional Intermountain benefits Location: Salt Lake Clinic

Essential Functions

Patient Identification and Assessment : Identifies patients for proactive interventions using specific screening criteria, medical record review, payor models, medical risk scores, or referrals. Assesses patients' medical, functional, and social conditions per department policy/guidelines to develop individualized care plans and connect them with community resources. Assesses patients per NCQA standards as appropriate.

Care Plan Management : Develops, maintains, and monitors patient care plans consistent with NCQA and department policies/guidelines, ensuring adherence to medical plans and focusing on prevention measures. Coordinates internal and external services for SDoH needs and care in the community. Evaluates the effectiveness of the patient’s care plan and outcomes.

Modifies the plan of care or specific interventions, as appropriate. Patient Support : Supports patient self-management and behavior change using motivational interviewing and coaching techniques. Assesses patient readiness and capacity for change and confidence in self-care.

Education and Advocacy : Educates healthcare team members about case management processes, appropriate referrals, and advocate for patient rights. Educates patients about their medical/behavioral health conditions and self-management. Multidisciplinary Collaboration : Collaborates with physicians and other healthcare team members on the patient’s behalf to ensure the patient receives quality and timely care and resolves any delays or issues.

Participates in rounds or case conferences when necessary. Utilizes team-based care approach referring and consulting with social work, nutrition, pharmacy, rehabilitation, behavioral health, etc. resources as appropriate. Relationship Building : Develops and maintains collaborative partnerships with hospital care management, post-acute providers, and other care managers to ensure seamless transitions and continuity of care.

Avoids duplicative care management services/programs. Process Improvement : Actively participates in system and regional initiatives to improve transitions of care and avoid duplicative services. Advanced Care Planning: Facilitates advanced care planning and engages in patient and family care conferences as appropriate.

Data Analysis : Conducts root cause analysis of extended post-acute stays, inappropriate utilization, readmissions, and tracks key data elements or metrics. Identifies, analyzes, and monitors industry, regulatory, technology, and market-based trends that impact ambulatory and post-acute services. Mission and Values Driven: Promotes the mission, vision, and values of Intermountain Health, and abide by service behavior standards.

Minimum Qualifications

Current Registered Nurse (RN) license in state of practice. Bachelor of Science in Nursing (BSN) from an accredited institution (degree verification required). RNs hired or promoted into this role must obtain their BSN within four (4) years of hire or promotion.

MVR Verification Demonstrated clinical nursing experience in chronic disease management, and familiarity with chronic disease terminology and processes. Demonstrated understanding of disease management including treatment, length of stay, identifying barriers to delivery of care and any variation. Proficiency in basic computer skills and Microsoft Office software.

Caregivers whose duties require them to conduct home or community visits must maintain current BLS certification, have a current driver’s license, current auto insurance, an acceptable driving record and reliable transportation.

Preferred Qualifications

Bachelor of Science in Nursing (BSN) from an accredited institution. Care Management Certification Demonstrated experience in case management, utilization review, or discharge planning. Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.

Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc. Expected to lift and utilize full range of movement to transfer patients.

Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment.

This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.) May be expected to stand in a stationary position for an extended period of time. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

Salt Lake Clinic

Work City

Salt Lake City

Work State

Utah

Scheduled Weekly Hours

40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $41.20 - $62.17 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain.

Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness.

We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

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