Care Manager, Outpatient - Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504980 **Minimum Qualifications:** + Bachelor’s degree in nursing or related field or equivalent and two years of case management experience or four years related experience. + Registered Nurse (RN) **Job Summary:** To assess, counsel, educate and provide problem solving to assigned patient population. To provide timely and valid information to the interdisciplinary team, physicians and community partners related to the on-going and follow-up care of program specific chronic disease patients. Acts as an advocate for patients and coordinates and collaborates with the medical home to provide quality, cost-effective care and promote positive outcomes for all Integrated Care Team patients. **Job Duties:** + Screens and/or assesses patient and/or family to determine on-going care needs, identify barriers and solutions to self-management and health care access. + Interacts with each patient at least monthly via telephone or in person contacts. + Participates in activities that improve the quality and efficiency of patient care. + Documents appropriately on all care management activities in the medical record and other departmental databases. + Creates an individualized care plan that addresses the patient’s disease specific educational needs and works with the patient to set self-management goals. + Coordinates patient care throughout enrollment in the program, ensuring that plans are communicated among the medical home practitioners, ancillaries and community partners caring for the patient. + Enrolls patients in a timely manner based on department policy. + Accountable for professional practice, including time management, clinical documentation, statistical and other record-keeping as needed. Reports as required to the appropriate Manager or designee. + Facilitates productivity, team-building, and high team morale in the department. + Attends educational seminars to keep abreast of current knowledge in the field of nursing, chronic disease and/or care management. + Participates in the planning, development, implementation, and evaluation of special projects, programs, and research, as assigned. + Participates in discharge planning as required. + Attends staff meetings and participates in departmental problem-solving activities and performance improvement and quality assurance activities. + Consistently communicates and displays oneself in a professional and courteous manner. Demonstrates productive problem-solving techniques and interpersonal relations. + Practices and promotes the principles of patient confidentiality, including adhering to HIPAA guidelines on authorizations and documentation of disclosures of protected health information (PHI). + Adheres to internal controls and reporting structure. **Salary Range:** Actual salary commensurate with experience. **Work Schedule:** On-site at Clear Lake Center, Monday through Friday, 8am to 5pm, and as needed on occasion. Remote opportunities available. **Equal Employment Opportunity** UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation