FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Registered Nurse, Continuum of Care Manager
Prisma Health. Identify, evaluate, and enroll high-risk members of specified populations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Care Management and Case Coordination, with a strong focus on patient assessments, development of Plans of Care, and collaboration with interdisciplinary healthcare teams. Holds a valid RN license and is committed to obtaining case management certification within the required timeframe.
Highest-signal resume keywords
Care ManagementCase CoordinationPatient AssessmentPlans of Care DevelopmentRN License
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient EducationHealth Status AssessmentImplementation MonitoringDocumentation in Medical RecordsEvidence-Based Methods
Soft Skills
CollaborationCommunicationProblem-Solving
Tools & Technologies
Care Management ToolsTeam Tools
Certifications & Qualifications
Case Management Certification (CCM)
Industry Keywords
PQRSNCQAURACHEDISInterdisciplinary Healthcare Team
About the role
Key responsibilities & impact- Identify, evaluate, and enroll high-risk members of specified populations
- Perform complete assessments of patients’ current health status, barriers to optimal health, and available resources
- Develop initial Plans of Care and Self-Management Plans with patients, families, providers, and healthcare team members
- Facilitate and monitor implementation of Plans of Care
- Coordinate patient and family participation in care and self-management
- Coordinate patient education using evidence-based methods such as teach-back
- Perform home visits as necessary to evaluate barriers and develop strategies to overcome them
- Participate in care planning across acute, post-acute, ambulatory, and home settings
- Serve as a care-management resource to the interdisciplinary healthcare team
- Apply external and internal regulatory requirements to case review and management
- Collaborate with Prisma Health staff and non-Prisma Health staff to facilitate continuity of care
- Serve as the patient’s consistent point of contact across clinical settings
- Facilitate referrals to internal and community-based programs
- Use efficiency and effectiveness indicators, including PQRS, NCQA, URAC, and HEDIS, when coordinating care
- Document care planning, interventions, and evaluations in medical records and team tools
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's degree in Nursing
- Three (3) years nursing experience
- One (1) year Care Management/Case Coordination preferred
- Associate degree in Nursing may be accepted only if the applicant agrees to enroll in an accredited BSN or MSN program within one (1) year of their job effective date and obtain a BSN or MSN degree within four (4) years; this alternative applies only to current employees of Prisma Health or its affiliated companies
- Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working
- Valid driver’s license, acceptable motor vehicle record, and proof of auto insurance
- Must obtain case management certification (CCM) within two (2) years of hire or eligibility to sit for the certification exam
- Ability to increase knowledge of best practices and clinical standards of care and incorporate knowledge into practice