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Nurse Care Manager IHH @ East Bay Community Action Program

Barrington - OCR, Rhode IslandOnsiteFull-time
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About this role

Make a Meaningful Difference Every Day Are you a compassionate Registered Nurse who thrives on building connections, coordinating care, and improving lives? Join our Behavioral Health team and play a vital role in delivering integrated, person-centered care to individuals with complex medical and behavioral health needs. In this rewarding position, you'll help bridge gaps in care, advocate for patients, and work alongside a multidisciplinary team dedicated to improving health outcomes across our community. Job Description The Nurse Care Manager serves as a key clinical resource within our Behavioral Health program, ensuring patients receive coordinated, high-quality care across medical, behavioral health, and community settings. This role combines direct nursing care, care coordination, patient education, and clinical advocacy to support improved health outcomes and greater access to essential services. Care Management & Clinical Coordination Complete comprehensive patient assessments and identify barriers to care. Create and maintain individualized care plans that address both medical and behavioral health needs. Coordinate services with providers, hospitals, pharmacies, labs, specialists, and community agencies. Monitor patient progress and adjust interventions to support improved clinical outcomes. Facilitate access to healthcare services, social supports, transportation, housing resources, and other community-based assistance. Follow up on hospital discharges, laboratory results, referrals, and ongoing treatment needs. Direct Nursing Support Conduct clinical triage for both walk-in and telephone patient encounters. Administer medications, injections, and other prescribed treatments. Monitor medication effectiveness and adverse reactions. Assist with prior authorizations and medication-related documentation. Support specialized clinical services, including toxicology screening and Clozaril management. Maintain accurate, timely documentation within the electronic health record. Patient & Family Education Educate patients on chronic disease management, behavioral health conditions, and medication adherence. Promote patient engagement and self-management strategies. Provide guidance and support to family members and caregivers when appropriate. Team Collaboration & Quality Improvement Partner with multidisciplinary teams to deliver integrated care. Participate in case reviews, clinical meetings, and care planning discussions. Support quality improvement initiatives, grant reporting, and outcome tracking. Help strengthen community partnerships and referral networks. Contribute to the ongoing development of clinical workflows and best practices.

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