Registered Nurse, Medical Care Manager

Job Description

Job Description

Description:

Envision Unlimited is a full spectrum of care organization serving people with disabilities from infants to 80+ years old regardless of race, gender, religion, or ability to pay. Founded in Chicago in 1948, Envision Unlimited has a legacy of evolving care delivered with empathy, every time and everywhere. Innovative services offered across Chicagoland and Central Illinois include community living options, novel day programs, behavioral health services, employment programs, respite for families, and foster care for children with disabilities.

Summary:

The Medical Care Manager (MCM) is a member of the interdisciplinary team providing pre- and post-transition medical care management and clinical services to persons with mental or physical illness who are part of the Williams or Colbert Class Membership.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Responsibilities, include but are not limited to:

• The MCM will provide pre- and post-transition services.
• The MCM will adhere to all nursing timeframes in the Williams/Colbert Consent Decree.
• The MCM will complete a physical assessment at the member’s home within 7 days of discharge.
• The MCM will be responsible for following up with the member, in person, after any crisis or unscheduled ER visit
• The MCM will conduct weekly phone screenings to assigned members and any member who has questions about a diagnosis or test result or specialty visit.
• The MCM will be responsible for conducting on-going assessments of CM’s level of functioning and update plans including (1) functional status, (2) risk of harm, (3) medication status, (4) healthcare utilization, (5) psychosocial status, and (6) community engagement as needed.
• The MCM will conduct medication status evaluation and report the Healthcare Coordinator the CM’s ability to self-manage their medication and keep a tracking sheet.
• The MCM will be responsible for assisting the care managers with development and implementation of the medical portion of comprehensive assessments and service plans. MCM support is needed in reviewing medical documentation for initial assessments and plans.
• The MCM will conduct medication status evaluations and report and document the class member’s ability to self-manage their medication.
• The MCM will work with Managed Care Organizations to secure appropriate referrals, linkages, and appointments.
• The MCM will meet productivity targets and complete documentation in a timely manner, including clinical documentation and service reporting.
• In conjunction with the client’s treatment team, the MCM will keep the client’s family, guardian, and other Envision Unlimited staff informed of the client’s progress, including emergency room visits, hospitalizations, and medication changes/adjustments.
• The MCM will provide, and document crisis interventions as needed, within 24 hours of an incident and complete the reportable event when necessary.
• Other duties as assigned (i.e., RI follow-up, CM visit post transition, unscheduled ER visit, and ER to hospital transfers.

OTHER EXPECTATIONS:

Employees shall respect the diversity of all individuals (e.g., clients, co-workers, stakeholders) and refrain from any form of discrimination and/or based upon a person’s legally protected characteristics or conduct, including but not limited to race, color, religion, sex, national origin, age, disability, sexual orientation, and gender identity or expression.

Employees share the responsibility of creating and maintaining a welcoming, supportive, and inclusive work environment.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and/or skills required of all employees so classified.

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, physical requirements may include standing, walking, and sitting; seeing, hearing and listening; clear speech; dexterity and use of hands and fingers.

WORK ENVIRONMENT:

The work environment described here is representative of that an employee encounters while performing the essential functions of this job.

The noise level in the work environment is usually low to moderate.

The work environment may include any or all the following: working alone; working with others, verbal contact with others and face-to-face contact.

EDUCATION, SKILLS, and/or EXPERIENCE

• BSN, must have a current state of Illinois RN License.
• 1-2 years of related experience working with individuals with chronic mental and physical health conditions.
• 3-5 years of experience preferred working with vulnerable populations within Social Services and Healthcare industries.
• It is mandatory that the candidate completes all annual trainings.
• Must have a valid driver’s license.
• Must have the ability to walk, bend, stoop, sit, stand, reach, and lift 50 pounds.

Envision Unlimited provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Envision Unlimited offers competitive salaries and a generous benefit package to our professionals:

Blue Cross/Blue Shield Medical Coverage: HMO, PPO

Dental and Vision Insurance Options

Company paid Life and LTD Insurance

Voluntary plans (Pet insurance, AD&D, Life, Critical Illness, Short Term Disability)

12 Paid Holidays

Paid vacation, sick time and personal days

403B plan

In house training and CEU’s

Employee Assistance Network

Support for pursuing clinical licensure (financial and time off)

Opportunity for career growth & development

Participate in Tuition forgiveness program