Nurse Care Manager
Position Background
As an employee of Northernbridges you will help promote the health and well being of members through its dedication to the provision of accessible, cost-effective, high-quality, person-centered long term care within the Family Care benefit package. The skills, behaviors, and attitudes of every employee are vital to the NorthernBridges high member satisfaction, quality services, financial performance, and growth. As an employee of NorthernBridges you shall not fail to direct all purpose, activity and decisions towards our mission of giving members the best life possible.
Under the direction of the Interdisciplinary Team Lead, the Nurse Care Manager, along with the member, social services case manager, and other significant persons in the member’s life, serves as part of an interdisciplinary team (IDT). The IDT, led by the member, is charged with developing and implementing a person-centered plan of care that outlines the support necessary for the member to achieve his or her goals. As an IDT partner, Nurse’s play an important role in supporting the member’s health and wellness goals, and ensuring that the member’s choices and preferences are at the center of the team’s work. All of this is done to support the organization’s dedication to providing accessible, cost-effective, high-quality, person-centered care that puts the member first.
Incorporating Philosophy into Practice
We are a strengths based organization that focuses on a results only work environment. We are in the business of working with members to support the things that are important to them. We call them quality-of-life outcomes. How do we do that? By expecting that all employees will incorporate the Organizational Outcome Policies from their Employee Handbook into their every day work practice. These outcomes policies establish the primary values, goals and measures of success for NorthernBridges.
Core Values
These values represent who we are. If you read them and realize that you’re coming from somewhere else – we need to talk! We think about these every day and evaluate our efforts by measuring against them.
Integrity/Respect/Humility: The most important thing we sell is our integrity as care managers! When integrity is coupled with humility, respect follows. We strive every day to earn the respect of our members and colleagues.
Leadership/Ownership: Our successes, our failures -- we own the results. If we have a problem, we fix it. If we have success, we share it. Everyone on the team owns the results.
Excellence: We believe in excellence. You should bring your best effort every day and bring out the best in others.
Passion for Win/Win: If the member wins, we win. Same deal with our team. If the team wins, we all win. We don’t tolerate win/lose approaches.
Fun with Challenge/Change: Life is not a dress rehearsal. If we can’t enjoy our members and each other – what are we doing here? We believe in accepting challenges and embracing change, but also in putting fun into the equation.
Simplicity/Good Judgment/Common Sense: What a mouthful! As an employee you are empowered to do the right thing. We firmly believe that we add great value by keeping things as simple as possible, making sound judgments and using common sense. None of this happens without doing a lot of listening to our members -- and to each other.
Accountability/Profitability: We do not run a losing business. Our accountability enables us to provide top quality choices for our members, stability for our employees, and survival through downturns. Profitability allows us to give members the best life possible while helping our communities grow at the same time.
Goals, Objectives, and Responsibilities
Goal & Objective: Ensure members have access to necessary health-related services.
Related Responsibilities
* Assist and support members in maintaining their eligibility and enrollment, including the use of the Long-term Care Functional Screen.
* Provide nursing services such as assessment, care planning, education, counseling and referral.
* Assist the member in accessing, understanding and participating in their medical care.
* Understand the Family Care benefit package, and be able to communicate that information to the member.
* Provide ongoing strength-based, person-centered care management.
Goal & Objective: Provide the support necessary for the member to explore the full range of service options both within and outside the Family Care benefit package.
Related Responsibilities
* Work with other people in IDTs to create timely, cost-effective care plans responsive to each member’s individual health-related needs and preferences.
* Assist member and family in identifying resources.
* Coordinate health-related services with other community professionals.
* Educate members on the importance of preventative health practices, and assist them in accessing those services.
* Understand the concept of personal outcomes and be able to successfully utilize them in care planning and everyday care management.
Goal & Objective: Monitor the effectiveness of care plans and services based on member goal achievement, clinical and functional indicators, member satisfaction and events response data.
Related Responsibilities
* Utilize member outcome achievement, clinical and functional indicators, member satisfaction and events response data to improve the quality of services.
* Based on data provided, work with the IDT as needed to improve upon existing care plans.
* Participate in quality assurance and quality improvement activities.
Goal & Objective: Monitor costs associated with member care plans, and ensure the services being provided are the most cost-effective.
Related Responsibilities
* Understand and be able to use the Resource Allocation Decision method in care planning and everyday care management. This method assists the IDT to identify options, compare costs and reach agreements with parties involved.
* Involve informal supports in the member’s care plan when appropriate.
Goal & Objective: Supports team member excellence.
Related Responsibilities
* Performs own functions and other duties necessary to fulfill the responsibilities of this role. Fills-in where needed in order to achieve the mission and goals of the organization or at the request of the IDT Lead.
* Keeps team informed of member and provider issues and consults with the team to provide coordinated services.
* Invests time and effort in building a cohesive, well-functioning team.
* Commit to ongoing skill-based training and mentoring opportunities.
Necessary Training and Experience
The NorthernBridges expects employees to understand and to incorporate the values of our organization in their day-to-day practice. While ensuring that statutory parameters are satisfied, the organization is willing to consider a combination of the following education, training and experience requirements, which provides the necessary abilities to perform the duties of this position.
* NorthernBridges Nurse Care Manager must have a bachelor’s degree (BSN) from an accredited School of Nursing or a two-year Associate Degree in nursing (ASN) and one year nursing experience and hold a current Wisconsin Registered Nurse license.
* There is a strong preference that a candidate’s work experience be with the populations that NorthernBridges serves.
* Registered Nurses must take and pass the on-line Long-Term Care Functional Screen training within 30 days of hire.
* Maintain the integrity of highly confidential business and client information
* Champion for change
* Influencing
* Leadership
* Customer focus and relationship building
* Create employee and member satisfaction with interaction
* Communication, facilitation and presentation skills
* Problem solving and decision making
* Effective conflict resolution skills
* Ability to create employee and member satisfaction with interactions
* Strong organizational habits
* Software proficiency which would include advanced skills in the use of Microsoft Word, PowerPoint, and Excel programs
* Information and technology proficiency
* The Registered Nurse may be required to travel to other locations, and therefore will be required to hold a valid driver’s license and have access to reliable transportation.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee regularly sits, talks and listens, frequently uses hands to finger, handle, or feel, may lift and/or move up to 10 pounds, and occasionally stands and walks. Specific vision abilities normally used by this job include close vision, and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position normally works in an office environment where the noise level is usually quiet. There will be some variation in work hours due to special projects, deadlines, and other concerns. Occasional out-of-town and overnight business travel is required for business and education, by air and auto. This position is in the Primary Risk Exposure category for blood borne pathogens and will follow all recommended training and procedures for this category.
Acknowledgement
This position description describes the general nature and level of work performed by employees assigned to this position and should not be interpreted as all inclusive. It does not state or imply that these are the only duties and responsibilities assigned to the job. The employee may be required to perform other job-related duties as requested by supervisor. All requirements are subject to change over time and to possible modification to reasonably accommodate individuals with a disability.
This position description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
It is NorthernBridges policy to base hiring decision solely on an individual’s ability to perform essential job functions. Persons with disabilities are eligible for this position provided they can perform those functions with reasonable accommodations.
NorthernBridges is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the organization will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective and current employees to discuss potential accommodations with NorthernBridges.