The Nurse Care Manager assumes the role as a professional Nurse Educator. The educator plans, organizes, and directs health education programs for Health Home patients; educates patients/families about chronic disease, including treatment options, lifestyle modification, and potential complications; collaborates with members of the health home team, providers and patients/families to identify health needs and develop measurable health goals; monitors patients’ progress toward goals and reports performance measures and outcomes as required by health home and organization; collaborates with health home team and providers to integrate behavioral health into primary care and to identify behavioral health concerns that present barriers to improving health outcomes; uses motivational interviewing techniques to encourage patients to implement self-management strategies that will improve their chronic health condition; ensures educational strategies adhere to current evidence-based guidelines; ensures chronic disease and preventive measures are up to date and coincide with organizational mission and values and health home initiatives.
Responsibilities:
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Develop wellness and prevention initiatives
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Facilitate health education groups; provide training on medical diseases, treatment and medications
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Participate in treatment plan development for all health home enrollees
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Collaborate with health home team to integrate behavioral health into primary care
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Identify and address patient care needs during transitions of care
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Identify and address barriers to improved self-management skills and health outcomes
Professional
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Active registered nurse licensure in Missouri
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Ability to demonstrate expertise in the area of adult education
Education
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Bachelor of Science in Nursing
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Certified Educator (preferred, not required)