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Job Summary

The West Ann Arbor Health Center – Parkland Plaza is the newest Ambulatory Care facility dedicated to providing high quality health care services for adults and children.  The brand new 2-story facility is located 380 Parkland Plaza in Ann Arbor.  We are actively seeking compassionate, enthusiastic, and patient-oriented individuals who will share in the goal of creating the ideal experience for our patients, families and employees.
Anticipated opening of the new West Ann Arbor Health Center – Parkland Plaza is November 2017.
RN Complex Care Manager (Care Navigator):
Provides care management and care coordination for adult and pediatric patients with complex illness, in the primary care setting, under minimal supervision. 
In partnership with the primary care practice leadership team, the Complex Care Manager leads care management within the team through process improvement, workflow redesign, providing assistance with training, and delegating to other members of the team.  
Serves in an expanded health care role to collaborate with specialists, members of the health care team, and patients/families to ensure the delivery of quality, efficient, and cost-effective health care services.  
Assesses plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient’s health status.  
Integrates evidence-based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient-centric, promoting quality and efficiency in the delivery of health care.    
Manages a caseload of patients.   
Provides targeted interventions to avoid hospitalization and emergency room visits. Coordinates care across settings and helps patient/families understand health care options.



RN Complex Care Manager (Care Navigator):
1. Identifies the targeted high risk population within practice site(s) per PCP referral, risk stratification, and patient lists.  Includes patients with repeated social and/or health crises. 
2. Assesses over time the health care, educational, and psychosocial needs of the patient/family.   Uses standardized assessment tools such as depression screening, functionality, and health risk assessment. 
3. Collaborates with PCP, patient, and members of the health care team, including continuum of care settings and community.  Responsible for developing a comprehensive individualized plan of care and targeted interventions.  Continually monitors patient/family response to plan of care, and revises the care plan as indicated. 
4. Provides patient self-management support with a focus on empowering the patient/family to build capacity for self- care. 
5. Implements systems of care that facilitate close monitoring of high-risk patients to prevent and/or intervene early during acute exacerbations. 
6. Implements clinical interventions and protocols based on risk stratification and evidence-based clinical guidelines.  
7. Coordinates patient care through ongoing collaboration with PCP, patient/family, community, and other members of the health care team.  Fosters a team approach and includes patient/family as active members of the team. Takes the lead in ensuring the continuity of care which extends beyond the practice boundaries.  Serves as liaison to acute care hospitals, specialists, and post-acute care services.  
8. Provides follow-up with patient/family when patient transitions from one setting to another.  Completes timely post-hospital follow-up:   Medication reconciliation, PCP or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers.   
9. Provides telephone triage and advice, patient education, and direct patient care.  
10. Provides functional supervision of assistive personnel.  
11. Demonstrates excellent written, verbal, and listening communication skills, positive relationship building skills, and critical analysis skills.   
12. Maintains required documentation for all care activities. 
13. Works with practice and PO/PHO leadership to continuously evaluate process, identify problems, and propose/develop process improvement strategies to enhance care management and Patient Centered Medical Home delivery of care model. 
14. Reviews the current literature regarding effective engagement and communication strategies, care management strategies, and behavior change strategies and incorporates into clinical practice. 
1. Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals. 
2. Demonstrates ability to work autonomously and be directly accountable for practice. 
3. Demonstrates ability to influence and negotiate individual and group decision-making. 
4. Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment. 
5. Demonstrates leadership qualities including time management, verbal and written communication skills, listening skills, problem solving, critical thinking, analysis skills and decision-making, priority setting, work delegation, and work organization. 
6. Demonstrates ability to develop positive, longitudinal relationships and set appropriate boundaries with patients/families.

Nursing Specific Info

Salary & Nursing Framework Level:
This UMPNC RN posting is posted as Nursing Framework LEVEL C (B INC).
Actual Nursing Framework LEVEL and salary will be determined at time of hire.
Nursing Framework levels range from Level A to Level E.

Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined.

If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.

Required Qualifications*

Current Michigan license as a Registered Nurse 
Three (3) years of experience with adult patients in care management within the past five (5) years 
Knowledge of chronic conditions, evidence based guidelines, prevention, wellness, health risk assessment, and patient education 
Experience with pediatric patients
Critical thinking skills and ability to analyze complex data sets.  Ability to manage complex clinical issues utilizing assessment skills and protocols 
Excellent assessment and triage skills.  Ability to implement evidence base interventions and protocols for chronic conditions 
Demonstrates excellent communication--both verbal and written 
Excellent interpersonal and facilitation skills 
Ability to affect change, work as a productive and effective team member, and adapt to changing needs/priorities 
Time management, priority setting, work delegation and work organization. 
General computer knowledge and capability to use computer 
Demonstrated excellent attendance and punctuality.

NOTE: Required qualifications must be met by the candidate inCurrent Michigan license as a Registered Nurse 

RESUME REQUIRED (for both internal & external applicants): 
You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications*

Bachelor’s degree in Nursing or higher
Demonstrated partnership and leadership with members of the health care team in current chronic care initiatives as validated by performance evaluations and references. 
Completion of self-management support training 
Certification as a Case Manager by the Case Management Society of America. 
Experience as participant in continuous quality improvement

Work Schedule

Hours/Week: 40 hours per week 
Shift/Hours/Days: Day/Evening shift.  ***NOTE: Schedule is primarily Monday through Friday, days with some early evening hours. The RN needs to be available for patient care Monday through Friday (all 5 days) with variable shift lengths. 
Location: West Ann Arbor Health Center: Parkland Plaza  
Note: All new employees will be expected to float to a designated unit(s) in times of low census.


Additional Information

West Ann Arbor Health Center- Parkland Plaza Transfer Start Dates

This confirms the agreement reached between the University of Michigan, the University of Michigan Professional Nurse Council (UMPNC) and the Michigan Nurses Association (MNA) concerning the implementation of staggered transfer dates for hires into the West Ann Arbor Health Center- Parkland Plaza, that occur through and including November 7, 2017.
Upon an offer of a position, the transfer date will be communicated and the transfer date will also be clearly identified within the letter of transfer. The individually negotiated transfer date may be past the 30 days per Paragraph 287 language, but the transfer will not occur at a date later than November 7, 2017. While the transfer date indicates the absolute transfer date for the employee, it is understood that the employee may be released to the accepting unit sooner, whichever is feasible by mutual agreement.

Union Affiliation

This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.