Pay Range: $69,800.00 - $104,700.00 / year

Additional Components Of Compensation May Include:

• • Evening, night, and weekend shift differential
  • Overtime
  • On-call pay
    

Benefits information: https://careers.uwhealth.org/benefits/

At UW Health In Northern Illinois, You Will Have:

• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancement--ask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice
  
  

POSITION SUMMARY:

The Chronic Care Manager manages the cross-continuum care and provides support for patients with a high or rising health risk and their families. Chronic Care Managers work in tandem with primary care and other providers to engage patients, reduce health risks, ensure optimal health outcomes and achieve quality measures. CCMs provide a comprehensive planning, implementation, coordinating, monitoring, and evaluation of a longitudinal plan of care to best manage their chronic conditions. The plan of care will have an emphasis on disease self-management, communication and aligning resources within the community or health system in order to meet population needs. Patient engagement may include an assessment of knowledge deficits related to self-care, goal setting, coaching to improve disease management, connecting patients to community or other resources for identified needs, and improving each patient's quality of health and wellness. CCMs participate in continuous quality improvement activities and educational experience in support of departmental and divisional nursing philosophy and objectives as well as Health System population health initiatives. The ideal candidate will have:

• Robust disease management content knowledge,
• Comfort with – or a willingness to learn – motivational interviewing and other evidence-based care management techniques,
• Strong interpersonal skills, and
• A passion for making a difference in the lives of patients.
  
  

Minimum:

EDUCATION/TRAINING:

Graduate of accredited Bachelor of Science in Nursing program.

Preferred:

N/A

Minimum:

LICENSURE/CERTIFICATION:

Current Registered Nurse licensure from the Illinois Department of Professional Registration.

Preferred:

Case Management certification.

EXPERIENCE:

Minimum:

N/A

REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES:

Successful completion of annual age and job specific competencies and skill validation tools.

Good interpersonal skills and ability to relate well with all levels within the organization and community.

Flexibility and excellent verbal, written, organizational and critical decision-making skills.

Ability to analyze and evaluate information from multiple sources.

Demonstrated ability to consider the specific needs of different age groups in all interactions.

MAJOR RESPONSIBILITES:

In conjunction with physicians, nursing staff and other health care professionals works to improve the quality of patient care and ensure the efficient and cost-effective care. Primary focus is to assist patients to maximize self-management of chronic disease and reduce avoidable health system utilization.

Manages electronic data bases to achieve quality measures for PCMH recognition, Blue Cross Treo, MIPS, and other third-party payors.

Utilizes electronic Worklist to identify high-risk patients that require additional care management.

Serves as a liaison between the patient, Provider and community referral agencies.

Performs needs-based assessment of clients. Collects specific data, assesses the client’s condition, provides accurate consistent information, formulates and recommends a plan, negotiates appropriate options with the client, and validates the plan with the client for completeness and accuracy.

Serves as a disease management coach based on the patient’s self-care knowledge deficits or non-compliance with prescribed plan of care. Must have chronic disease knowledge base.

Directs patients to the appropriate referral agency based on the needs assessment. Assists in scheduling appointments for client, as needed, with appropriate provider and services and encourages appropriate use of SAH resources and services.

Acts in the role of client advocate to assist them through the health care system and community resources.

Reports pertinent observations and reactions regarding clients to the appropriate person (i.e. primary care provider, social work, or Director).

Maintains a patient centric, customer-driven professional attitude. Demonstrates awareness of own values and attitudes and how they may affect information given to a client. Provides non-judgmental advice based on protocols and resources.

Collects and updates demographic information, as appropriate and ensures that complete and accurate documentation is recorded in the computerized database for each contact.

Monitors compliance with Medicare law and issues follow up Important Message notices on Medicare patients as required. Facilitates appeal process and follow up.

Monitors patient records for quality concerns and addresses with medical, nursing, or leadership staff as needed. Refers potential litigation problems to Risk Management. Participates in the development of clinical pathways, CQI or other problem-solving teams as appropriate.

Functions independently and demonstrates leadership in decision making, communication, and problem-solving techniques to resolve clients’ questions/concerns. Collaborates with Social Worker, healthcare providers and Director as needed.

Maintains excellent communication skills, chronic disease knowledge base, proficient with computer applications and good problem-solving skills.

Our Commitment to Diversity, Equity, and Inclusion

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and physician brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.