PHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent — managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment.
SUBSIDIARY: Health Services
DEPARTMENT: Health Connection Health Center
ROLE TYPE: Full-Time
Job Description :
Provide primary care to diverse, underserved patients at a community-based nurse-managed health center. The Nurse Care Manager will report to the Clinical Director.
Age/Patient Populations SERVED (Double-click on box to activate appropriate indicator)
Age of Patient Population Served
Neonate (birth - 28 days)
Infant (29 days – less than 1 year)
Pediatric (1 - 12 yrs)
Adolescent (13 – 17 yrs)
Adult (18 – 64 yrs)
Geriatric (65 yrs & older)
Nonage Specific Task (N/A)
Population
BMI greater than 40, or greater than 35 with weight-related comorbidities
Patient with exceptional communication needs
Patient with developmental delays
Patient at the end of life
Patient under isolation precautions
All Populations
Essential Duties and Responsibilities:
- Provides patient assessments, health education, health screenings, immunizations, and other disease prevention programs.
- Serves as care manager for patients with chronic health problems, high utilization patients, and high-risk patients.
- Assists with improving process and outcome measures toward continuous quality improvement.
- Assists with medication refills.
- Accurately records care provided and completes other assigned reports.
- Participates in interdisciplinary team meetings, including creating agenda documentation.
- Works within all state and federal laws and regulations.
- Notifies the immediate supervisor of significant problems.
- Maintains positive relationships with funding sources and community organizations
- Champion of shared decision making.
- Performs other tasks as directed and needed, including triaging of patients and linguistic services.
- Initiates opportunities to practice to the full extent of their education and training.
- Serves as a full partner of the health care team by assessing, analyzing, and addressing the chronic care needs of complex patients.
PHMC Compliance Responsibilities:
- Understands and adheres to PHMC compliance standards as they appear in the PHMC Code of Conduct, Whistleblowers, and Conflict of Interest Policies.
- Keeps abreast of all pertinent federal, state, and PHMC regulations, laws, and policies as they presently exist and as they change or are modified.
- Comply with HIPAA and Confidentiality Policies and Procedures as they apply to the job.
- Comply with Department of Public Health (DPH), The Joint Commission, and other accreditation and regulatory agencies' standards.
- Adhere to all PHMC Policies and Procedures.
- Knowledge and adherence to Infection Control and Environment of Care Guidelines and Procedures as described in the annual education module.
Job Requirements:
To perform this job successfully, an individual must satisfactorily perform each essential duty. The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Skills:
- Strong written and verbal communication skills
- Ability to work with diverse staff in an urban setting
- Current CPR certification
- Ability to maintain comprehensive, accurate, and timely nursing documentation
EXPERIENCE:
- One year of experience in ambulatory care, community health, and/or behavioral health, socioeconomic, cultural, ethnic, and diversity required.
- Experience with or desire to work with the homeless or other populations with limited access to health care preferred.
- Care of case management experience.
- Evidence of sound clinical decision-making.
EDUCATION:
- Pennsylvania LPN License Required
PHMC is an Equal Opportunity and E-Verify Employer.
