RN, Care Manager; SW Dallas

Company

Oak Street Health

RN, Care Manager

Duncanville Clinic, 319 S Cedar Ridge Dr, Duncanville, TX 75116
North Arlington Clinic, 819 E Abram St, Arlington, TX 76010

In partnership with the primary care provider (PCP), the RN, Care Manager leads care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure continuity for complex patients. The role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, on-site role requiring strong relationships between patients, providers and care team members.

• Manages an assigned caseload of complex patients in a value-based care environment, focusing on reduced admissions, readmissions, and medical utilization.
• Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics.
• Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team.
• Manages transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and address identified needs directly or via collaboration with other team members.
• Collaborates with the patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression.
• Ensures timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings.
• Leads in-person interdisciplinary care planning meetings to ensure effective care coordination and management between provider visits.
• Performs timely nursing assessments and provides patient education for chronic condition management and transitions of care.
• Educates patients and families, empowering them in their care, and advocating for their needs.
• Documents visits in electronic health record according to internal standards.
• Other duties as assigned.

• Fluency in Spanish or other languages spoken by people in the communities we serve, strongly preferred.
• Current RN license in assigned state is required;
  Bachelor degree in nursing preferred.
• Minimum of 6-8 years nursing experience.
• Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience.
• 2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred.
• Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources.
• A flexible and positive attitude.
• Comfort with ambiguity and change.
• High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution.
• Access to reliable transportation and ability to travel throughout the communities OSH serves.
• US work authorization.
• Someone who embodies being Oaky.

• Radiating positive energy
• Assuming good intentions
• Creating an unmatched patient experience
• Driving clinical excellence
• Taking ownership and delivering results
• Being relentlessly determined

Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move!

With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission.

• Mission-focused career impacting change and…