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UnityPoint Health Cross Continuum Care Manager-RN in Waverly, Iowa

We're seeking a Cross Continuum Care Manager- RN to join our team! The care manager provides care management and population health services to patients within an assigned region. The primary target population to serve is the stratified risk patient or patients with high vulnerability at times of transition between care settings.

Location: UnityPoint Clinic Family Medicine - Rohlf Memorial, Waverly, Iowa.

COVID-19 and Flu Vaccination Requirement: It is required to be fully vaccinated for COVID-19 and Influenza. Exemption requests based on medical or religious reasons may be submitted, but must be approved for active employment.

Why UnityPoint Health?

  • Commitment to our Team – We’ve been named a Top 150 Place to Work in Healthcare 2022 by Becker’s Healthcare for our commitment to our team members.

  • Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.

  • Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.

  • Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.

  • Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.

  • Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

Visit us at to hear more from our team members about why UnityPoint Health is a great place to work.


Cross-continuum care managers create longitudinal, personalized care plans for patients/family/support system, collaborate with and coordinate the efforts of care team across the continuum, and increasingly use data analytics to manage the health of populations to improve patient access to care and clinical outcomes.


  • Graduate of an accredited program for Registered Nurses

  • Bachelors of Science in Nursing (BSN) Preferred

  • Basic Life Support (BLS) certification required


  • 3 years of clinical nursing experience required

  • Previous clinical experience in a clinic or Home Care setting preferred

  • Previous experience with care coordination /care management and population health preferred


  • Current license in good standing to practice nursing in the state where care is provided

  • Basic Life Support (BLS) certification required for team members that perform the majority of their work in the clinic setting. BLS certification optional for team members that perform the majority of their work at a remote location.

  • Valid driver’s license when driving any vehicle for work-related reasons


  • Basic computer knowledge using email, web browser and documentation of care in an electronic health record

  • Knowledge of the healthcare system and resources available to patients.

  • Strong clinical proficiency and ability to apply critical decision making in dynamic situations.

  • Motivational Interviewing and applies Integrated Chronic Care Management skills.

  • Cultural compliance

  • Trauma informed care

  • Ability to problem solve in complex situations.

  • Strong interpersonal skills and ability to collaborate.

  • Excellent communication skills-written and verbal

  • Strong self-motivation and ability to work independently, setting priorities to coordinate care plan efficiently

  • Proven leadership skills

  • Ability to function effectively as a team leader in a team based environment.

  • Patient focused

  • Excellent customer service skills

  • Strong organizational skills and ability to efficiently use tools and resources.

  • Ability to perform multiple tasks

  • Effective behavioral and educational strategies, including, but not limited to, motivational interviewing, teach-back method and self-management support

Requisition ID: 2023-138004

Street: 312 9th St SW

Name: 9010 System Services Administration

Posting Minimum: USD $32.73/Hr.

Name: Care Management- Ambulatory

FTE (Numeric Only; Ex. 0.01): 1.0

Scheduled Hours/Shift: Monday-Friday, 8:00am-4:30pm

External Company URL:

Work Remotely within the US: No