Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Sanford Education Campus Building Location: Sioux Falls, SD Address: 1410 W 25th St, Sioux Falls, SD 57105, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $32.00 - $48.00 Department Details Schedule: Monday – Friday 0800 to 1700 Requirements: Bachelors degree required, certification preferred. May need obtain when eligible for specialty exam.5 years of experience as an RN in Inpatient, Case Management, Ambulatory, or Community spaces Day to Day of This Role: Start your day reviewing new referrals, Monday – Thursday start with prep team rounds.Manage patient lists and day to day operationsMake rounds at the hospital for new referral to review services and being assessmentsMake home visits with CAN or IHT/SW as needed Responsibilities: Manage caseload of CCCS patients including coordination, communication, collaboration with team, community, patient and family/support system. Direct provision of services in patient homes / community locationsThis CM will be responsible for leading the rounds format, managing patient lists, communicating with clinics and referral sources Round on patients at area nursing homes who will be on CCCS case load when discharged to home Develop and train staff on new initiatives and processes, collaborate and actively participate in measuring team performance Supports positive clinical and financial outcomes for patients and the organizationMaintain positive connections with inpatient care management, ambulatory care management, primary care and specialty clinics, clinical informatics and community partners. Communication is a key skill for this role, verbal and written Job Summary Demonstrates expertise utilizing the professional nursing process to provide individualized nursing care. Patient education is individualized to patient needs and condition, provider instruction. Care planning is individualized to patient needs and conditions and ensures it is updated. Assists with the coordination of patient care across the continuum by collaborating with physicians, advanced practice providers, staff and other professionals. Is a liaison with the healthcare team, and serves as a link to community resources. A sampling of the duties performed include, but are not limited to, patient assessment, data collection for research, patient education, goal setting and care planning, Care Management. Must be self-motivated, self-directed, and autonomous; willing to teach the healthcare team; and seeks professional development in area of expertise. Able to facilitate patient advocacy efforts. Knowledgeable about healthcare reimbursement models and the application for individuals, groups, and providers. Provides specialized, multidisciplinary patient and family centered education and coordinates off-site education opportunities as needed. Acts as an advocate for patient and families to coordinate care with insurance companies, state and applicable assistance programs and travel arrangements as needed. Support quality improvement and transformation of the health care delivery system. Qualifications Bachelor's degree in nursing required. Graduate from a nationally accredited nursing program required, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). For Rural Health Network facilities only, employees who do not possess a Bachelor’s degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor’s degree in Nursing within five years of hire into position. For current employees in this role, leadership may have considered acceptable qualifications and work experience equivalency based on facility size, rural market, and business need, prior to new Sanford education requirements. Thorough knowledge of the nursing practice act and standards of nursing care, and a working knowledge of administrative and management techniques. Minimum of three years’ experience in population health, case management, utilization review, health plan, ambulatory care, or quality management required. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Care Coordination Transition Manager (CCTM) certification required within 18 months of accepting the position. If the CCTM certification is ever on hold or not available, must become a Certified Case Manager (CCM) within 18 months of accepting the position. Basic Life Support (BLS) is required and must be obtained within six months of employment. Must possess a valid driver's license. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-or send an email to . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0201169 Job Function: Care Coordination Featured: No