RN Care Manager Ambulatory PRN

SCL Health
Billings, MT
Post Date:
June 19, 2022
Job Status:





You bring your body, mind, heart and spirit to your work as a Registered Nurse Care Coordinator.




Your compassion is tangible: patients feel it in the hand they hold. Families feel it in your prayers. Colleagues feel it in your support.  




Youre generous with your compassion, your partnerships and especially your passion for patient advocacy.




Youre great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible.








SCL Health Medical Group is part of SCL Health, a faith-based, nonprofit healthcare organization that focuses on person-centered care. With locations throughout Colorado, Montana and Wyoming, we offer a wide variety of primary and specialty care services. 




Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, weve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning.








Together well align mission and careers, values and workplace. Well encourage joy and take pride in our integrity.




Well laugh at each others jokes (even the bad ones). Well hello and high five. Well celebrate milestones and acknowledge the value of spirituality in healing.




Were proud of what we know, which includes how much there is to learn.




Your day.




As an RN Care Coordinator, you need to know how to:



  • Perform comprehensive assessment of patients health needs, including health status and behaviors, level of function, psychosocial situation, and available support systems and determines potential needs.
  • Establish care plans in collaboration with the primary care physician and the patient care team.
  • Provide health education.
  • Identify patients at risk for proactive intervention.
  • Pull and manipulate data to identify risk patients and present information to the care team.
  • Refer patients to a variety of resources including, but not limited to: nutrition, social work, rehabilitation, behavioral specialist, diabetes education, Healthy Living Workshop, etc.
  • Contact patients who utilize ED or have been hospitalized after discharge to determine the reason for the ED visit or hospitalization and work with patient to develop a plan to avoid those facilities.
  • Coordinate care for complex cases or those patients seeing multiple specialists.
  • Maintain up-to-date and accurate documentation of patient assessment and plan provided to the patient to ensure the effective integration of information for use by the health care team to ensure on-going and continued quality of care, in accordance with evidence-based practice. Analyze patient care trends and actively seek out and collaborate with the care team to improve overall quality and efficiency of care.
  • Use registry data to identify problems or gaps in services and initiate intervention.
  • Demonstrate critical thinking for problem solving and prioritization.
  • Participate and lead patient care conferences.
  • Manage patient panel with physician office staff to identify appropriate patients and measure outcomes.
  • Collaborate with physicians and office staff.
  • Pro-actively advocate for patient care issues to ensure that overall quality and type of care is sensitive to each specific patient/familys needs.
  • Collaborate with payers and outside agencies to promote a patient centered delivery concept.
  • Participate in committees and activities related to the development of Medical Home, Accountable Care Organization (ACO), and other insurance carriers.



Your experience.




We hire people, not resumes. But we also expect excellence, which is why we require:



  • Associates Degree in Nursing (ADN / ASN)
  • Current RN license in state of practice
  • Minimum of two (2) years of clinical experience in an outpatient setting or a minimum of two (2) years of experience coaching individuals with complex and/or chronic conditions






  • Bachelors Degree (BS/BA/BSN)
  • Prior experience in care coordination in a community setting or primary care practice
  • Program development, operations management, and/or supervisory experience



Your next move.




Now that you know more about being an RN Care Coordinator on our team we hope youll join us. At SCL Health youll reaffirm every day how much you love this work, and why you were called to it in the first place.




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