Care Management Nurse

Overview

Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is a leading outpatient treatment provider in the Mid-Atlantic region. We are committed to treating individuals whose lives have been impacted by substance use and mental health disorders. We do this by providing compassionate and evidence-based treatment, aimed at improving the quality of life for those we serve.

We stand behind our commitment to diversity, equity and inclusion, which are the core of our company with our patients and employees. Our leadership team invests to enhance the programs we offer patients to expand access to care and offer flexibility. Patient care is at the heart of everything we do. We want your experience and expertise on our team!  When you join our organization, you are connecting to a committed and caring group of colleagues.

We are currently in search of an experienced Care Management Nurse (Health Home) for our Hagerstown, MD location. The Care Management Nurse at Kolmac Integrated Behavioral Health oversees the implementation of the CCG Population Health. This position is accountable for designing and maintaining systems to ensure the continuity of care between the OTP program and somatic and behavioral healthcare providers both within CCG and in the community, as well as developing processes to assist consumers in the development and maintenance of healthy lifestyles and illness management skills. 

Responsibilities

• Schedule of Monday-Friday 5:00am-1:00pm
• Acts as a comprehensive care coordinator for participants assigned to care, assessing their needs accordingly and facilitating communication amongst other clinicians providing care 
• Leads practice transformation based on Population Health principles and state/accrediting body requirements 
• With agency leadership, acts as a "champion" for the Population Health philosophy and provides education to staff 
• Develops and maintains working relationships with primary and specialty care providers including inpatient facilities and emergency departments 
• Monitors Population Health performance at the population and participant level and implements improvement efforts via statistical data gathering 
• Designs and develops prevention and wellness initiatives 
• Establishes the effective use of patient registries (CRISP and eMedicaid) as applicable to manage specific patient populations and to improve disease and population health outcome measures 
• Collaborates/consults with specialty practices to identify data needs related to care coordination 
• Monitors participants' monthly visits to assure the appropriate population home are delivered 
• Oversees the entering of all required data 
• Performs comprehensive assessments of physical, emotional, psychosocial and environmental needs of participants and develop care plans for all assigned Population Health enrollees around physical health or social goals 
• Facilitates health education groups 
• Assesses, coordinates and implements service planning needs of assigned persons 
• Evaluates/assists in evaluation of appropriateness of plan of care and revises on an ongoing basis with communication to all other disciplines 
• Reviews result of laboratory tests and other diagnostic procedures and reports to the nurse practitioner or psychiatrist 
• Identifies significant clinical findings, makes conclusions and intervenes appropriately under the direction of the nurse practitioner consultant 
• Compares ongoing outcome data to baseline data to monitor clients 
• Initiates client education based on identified learning needs of the client and/or those providing care and documents appropriately 
• Supports and monitors compliance of the individual including checking of prescription labels and storage 
• Consults with behavioral health staff about participants identified health conditions 
• Attends treatment team meetings with behavioral health staff to plan and coordinate care 
• Assists in contacting medical providers & hospitals for coordination of care efforts 
• Supports medical and nursing team with admissions  
• Provides training on medical diseases, treatments, & medications to health home participants 
• Assists in the training and education of OTP staff regarding population health services 
• Provides training on medical diseases, treatments, & medications to behavioral health staff, as indicated 
• Takes action to correct observed risks to patient safety 
• Reports adverse events and near misses to supervisor 
• Develops effective working relationships and maintains good communication with other team members. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge 
• Provides dispensing coverage and other needed dispensing / med room tasks as needed. This may be recurring scheduled dispensing coverage, as backup coverage for dispensing nurses, or for emergency coverage  
• Other duties as assigned 

Qualifications

• Three plus years’ experience in a medical office setting, hospital, or similar patient customer service environment. Five plus years, preferred 
• Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required 
• Demonstrated success in exhibiting teaching, coaching, and development skills 
• Demonstrated effectiveness in a consultative role, and experience leading complex change 
• Ability to create a motivating environment for clinical and professional personnel 
• Highly effective interpersonal, verbal, and written communication and presentation skills.
• Demonstrate effectiveness in educating others on a broad spectrum of health issues 
• Demonstrate ability to collaborate with a multidisciplinary treatment team 
• Strong sense of teamwork and collaboration, as caseload coverage is shared amongst the entire Population Health Nurse Care team and all aspects of services are further coordinated with several multi-disciplinary teams 
• Knowledge of the Maryland healthcare industry and policy preferred 
• Ability to conduct online research to source information and resources for clients preferred 
• Knowledge of area resources and case management preferred 
• Ability to analyze and conceptualize data to ensure achievement of desired outcomes 
• Technically proficient in Microsoft Office programs and database use. Ability to learn and use electronic medical records and health information exchange to enter clinical information and run reports 

Join Our Team at Kolmac/CCG – Where Compassion Comes with Great Benefits

At Kolmac Integrated Behavioral Health and Concerted Care Group, we believe in taking care of our team—because when you're supported, you can better support others. Our benefits are thoughtfully designed to promote your health, growth, and overall well-being, both at work and in life.

 We Offer

• Competitive Compensation
• Affordable Health, Dental & Vision Insurance
• Life Insurance
• Company-Paid Life & Disability Coverage
• 401(k) Retirement Savings Plan
• Tuition Reimbursement
• Paid Professional Development Time
• Student Loan Repayment Program
• Generous Paid Time Off
• And More!

The base pay for this is up to $38 an hour. Factors, such as but not limited to, geographical location, relevant experience, licensure, education, and skill level may impact the pay for this position.

Kolmac Integrated Behavioral Health has been a leader in Outpatient Treatment since 1973. Patient care is at the heart of what we do. Kolmac Outpatient Recovery and Concerted Care Group (CCG) have merged to provide addiction treatment and behavioral health treatment services for individuals, families, couples, and groups. We serve communities across Maryland, DC, Virginia, Delaware, and Pennsylvania. We are still growing!  

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