OUTPATIENT CARE MANAGER St. Luke's Hospital - Chesterfield, MO
Company: St. Luke's Hospital
Posted on: January 7, 2022
The RN Outpatient Care Manager responsibilities include
transitioning patients through the care continuum, medication
management, coordinating communication between multiple providers,
developing patient specific care plans, assisting patients with
goal setting and lifestyle modification efforts, and evaluate
patient progress toward goals. The Care Coordination Department
institutes measures to address high-risk complex patients, improve
transitions of care, improve patient outcomes, and reduce hospital
readmissions. This position is integral to St. Luke's efforts to
design, develop, and implement successful care delivery
methodologies needed for patient care coordination across the
healthcare continuum, alternative payment models and value-based
care. The RN Outpatient Care Manager will work in active
partnership with physicians, office staff, administration and other
health care providers to develop and implement a well-coordinated
plan of care to address patient needs across the continuum and
ensure St. Luke's successfully meets quality performance and
optimizes resource utilization.
Principle Accountabilities: % of Time Spent
1. Outpatient Care Manager Duties: 70%
Responsible for coordinating care of high-risk patients after
discharge from the hospital
Review discharge instructions, perform medication reconciliation,
schedule follow-up appointments and testing
Develop patient specific care plan, assist patient with goal
setting, lifestyle modification, monitor progress, and mitigate
Coordinate communication between providers, agencies and community
Includes limited on-call responsibilities
Communicates vertically and laterally to other departments as
needed and keeps leadership informed of any issues
Promotes a culture of two-way communication that informs, engages,
and creates opportunities for staff, physicians and post-acute
provider collaborative participation
2. Continuing Education: 25%
Is knowledgeable of hospital and community resources and ensures
that appropriate resources and services are provided in the most
appropriate setting or level of care.
Develops and maintains professional relationships with St. Luke's
Medical Group physicians, and post-acute care providers.
Maintains knowledge base on industry updates, community resources,
and chronic high risk conditions relevant to role. Applies
knowledge to current practice role of RN Outpatient Care
3. Perform other duties as assigned. 5%
Current licensure as a Registered Nurse in the state of Missouri
Three years clinical experience required. Experience managing CHF,
COPD, AMI, and Pneumonia ideal.
Care management experience preferred.
Capable of utilizing computer hardware and software for the
generation of reports.
Must be able to work independently and in coordination with various
other persons and professions.
Has knowledge of physician practice operations, hospital
operations, personnel roles, and community resources.
Must have excellent customer relations, communications, and
Employee is required to sit continuously and walk frequently.
Employee must lift/carry a light (1-20 lbs.) medium (21-50 lbs.)
and heavy (50 lbs. +) load occasionally. Employee may be required
to lift over 100 lbs. with assistance. Employee is frequently
required to bend, squat, crawl, kneel, climb, lift waist to
overhead. Employee is occasionally required to reach forward and
reach overhead. Employee may be required to do simple grasping and
(Occasionally: 1-33%, Frequently: 34-66%, Continuously:
The most significant of duties are included but this does not
exclude occasional work assignments not mentioned or developmental
Job Relationships: Interacts regularly with patients, physicians,
families and other internal and external health care providers and
insurance company representatives.
Supervised by: RN Supervisor, Care Coordination
Provides direction to: N/A
Takes direction from: RN Supervisor, Care Coordination
Faithful to our Episcopal-Presbyterian heritage and its ministry of
healing, St. Luke's is dedicated to improving the health of the
communities we serve.
Using talents and resources responsibly, we provide high quality,
safe care with compassion, professional excellence and respect for
each other and those we serve.
As an independent healthcare network, we create healthy communities
in the region through our commitment to high quality, safe and
We accept and treat all persons as being created in the image of
We respond with caring to the needs of others as if they were
members of our family.
We honor each person's rights and responsibilities in light of the
We set and strive to attain high standards of performance and
We use our talents and resources wisely, with honesty and
FACES - Friendly - Available - Caring - Efficient - Safe
Communication Standards: Promotes and provides courteous and
effective communication with internal and external
Keywords: St. Luke's Hospital, Chesterfield , OUTPATIENT CARE MANAGER St. Luke's Hospital - Chesterfield, MO, Healthcare , Chesterfield, Missouri
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