About PSMC:
Pagosa Springs Medical Center is a progressive, independent hospital committed to delivering exceptional healthcare to our community. We foster a collaborative, team-oriented work environment and uphold our core values of Wholeness, Integrity, Stewardship, Excellence, and Respect (W-I-S-E-R). We are currently seeking a dedicated and compassionate Full-Time RN Care Manager to join our team. In this role, you will provide exceptional care coordination and support to patients, ensuring the seamless delivery of high-quality healthcare services across the continuum of care. Your responsibilities will include conducting comprehensive assessments, developing individualized care plans, coordinating transitions of care, collaborating with interdisciplinary teams, educating patients and families on health management, and maintaining accurate documentation.
As a key member of our healthcare team, you will work closely with patients, families, and other healthcare professionals to ensure patients receive the resources and care they need to achieve optimal health outcomes. Your expertise, critical thinking, and commitment to patient-centered care will be instrumental in fostering a supportive and healing environment. Join us in making a meaningful difference through your skillful and compassionate approach to care management.
Position Overview:
For patients experiencing complex healthcare situations, high risk patients as identified using accepted risk stratification methods, the RN Care Manager utilizes knowledge of community health concepts, principles of ambulatory clinical nursing, case management expertise and care coordination to outline and manage highly individualized care management efforts. The RNCM will utilize best practice to maximize patient engagement and patient self-management efforts, promoting optimal health, wellbeing and safety of the patient. The RNCM demonstrates personal accountability for relationship-based care, organizational mission, and core values. The RNCM facilitates active collaboration across the immediate care team – patient, patient’s family/support system, treating clinicians, delivery systems, community systems, community services and others. The RNCM works to enable the right services, at the right time and place, reinforcing the patient’s medical treatment plan with enhanced education, better communication, timely staging and orchestrated transitions across the care sites and care teams.
The RNCM conducts ongoing assessments of the patient’s immediate situation. Maintaining care coordination as a unique combination of health and community resources. The RNCM communicates directly with the patient and caregivers, proving relevant education while observing and mitigating specific developments that may create barriers to healing and safety.
