Chronic Care Manager, RN

Welcome to the Latest Job Vacancies Site 2025 and at this time we would like to inform you of the Latest Job Vacancies from the YALE NEW HAVEN HEALTH with the position of Chronic Care Manager, RN which was opened this.

If this job matches your qualifications, please send your application directly through our latest Job site. Indeed, every job is not easy to apply because it must meet several qualifications and requirements that we must meet in accordance with the standard criteria of the Company who are looking for potential candidates to work. Good job information Chronic Care Manager, RN below matches your qualifications.

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Ambulatory Chronic Care Manager (RN) is as a member of the enterprise Ambulatory Care Management team and is accountable for improving the health outcomes for all patients, with a particular focus on patients in value-based/risk contracts. The Ambulatory Chronic Care Manager (RN) works as part of a multi-disciplinary team under the direction of the Ambulatory Care Management leadership. The Ambulatory Chronic Care Manager (RN) is responsible for performing nursing assessments, evaluations, screenings, and development of action plans to mediate gaps in clinical care. The role will participate in all components of care management including, but not limited to, management of care transitions, medication reconciliation/review, provide patient-centered education related to acute or chronic illnesses, evaluate for social determinants and barriers that impact care management , adhere to quality metrics, facilitate communication among providers, and advocate for the patient, family, and support system.

EEO/AA/Disability/Veteran

Responsibilities

• 1. Demonstrates an understanding of care management, complex disease management, transitions of care , post-acute care options, and community management standards.
• 1.1 Outreaches to and enrolls patients in chronic care management programs, establishing a therapeutic relationship and managing the patient's engagement for the duration of the program
• 2. Demonstrates an ability to serve as a collaborative member of a multidisciplinary healthcare team.
• 2.1 Participates interdisciplinary team rounds to address utilization/resources and progression of care issues. Assists in developing and implementing an improvement plan to address issues.
• 3. Demonstrates an understanding of clinical standards, quality performance goals, and expected outcomes.
• 3.1 Demonstrates application of evidence-based practice and clinical practice guidelines to care plans and patient interventions.
• 4. Performs other duties as required or requested.

Qualifications

EDUCATION

Minimum of a Baccalaureate degree in clinically related field. CT R.N. license required.

EXPERIENCE

Minimum of 3 years of combined clinical experience in direct patient care and care coordination/case management in an acute, community, or post-acute provider or health plan.

LICENSURE

RN Licensure in Connecticut required; Certified Case Manager (CCM) or accredited equivalent certification preferred.

SPECIAL SKILLS

Motivational interviewing skills necessary. Excellent verbal and written communication skills. Excellent organizational skills and ability to handle multiple priorities. Ability to work in an independent role with minimal supervision. Functions as an integral team member and demonstrates flexibility in sharing responsibilities. Validated translation capability preferred. Working knowledge of computers and basic software applications used in job functions, such as word processing , databases, spreadsheets, and others as needed.

PHYSICAL DEMAND

Role is primarily a remote work position with the ability and expectation to travel to onsite practice locations from time to time as requested by management. Ability to attend initial onsite orientation and onboarding program as well as monthly onsite training obligations. Adheres to all organizational remote worksite standards.

Additional Information Care Management experience a must. Call center experience preferred. YNHHS Requisition ID

149254

How to Submit an Application:

After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Chronic Care Manager, RN job info - YALE NEW HAVEN HEALTH New Haven, CT above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Chronic Care Manager, RN job info - YALE NEW HAVEN HEALTH New Haven, CT in 2025-06-24 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via form this bottom.