You haven't searched anything yet.
Primary Function/General Purpose of Position
The Care Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process, the care manager identifies (using quantitative and qualitative methods), assess, plan, implement and valuate the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing. The care manager is responsible for screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at the right time and at the right place.
Essential Job Functions
Identifies and prioritizes patients in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors. Plans with the patient, family, other caregivers, and other members of the healthcare team to maximize health care responses, quality, and cost-effective outcomes, monitors and revises as indicated or when patient condition changes. Completes all necessary care management documentation. Handovers are expected to be utilized at points of level of care change, staff change, weekends as well as care transitions.
Maintains clear, concise and timely documentation in the patient record (in which CM is providing services to) to reflect physical and functional limitations, psychosocial characteristics, educational needs of patient and family or caregiver, financial, and transitional needs. Initiates referrals to disciplines as indicated. Documentation will reflect plan of care to address post-hospital care needs or resources and evidence of patient, family or caregiver involvement in planning. Ensuring patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
Follows standardized practices and processes related to Advance Care Planning, LOS/LOC management, readmission prevention, supports denial prevention related to medical necessity through addressing/removing barriers to progression of care, Interdisciplinary Discharge Rounding, patient satisfaction related to transitions of care, transitional management to the next level of care.
Supports and promotes assertive, proactive care for inpatients and observation patients, assisting in removing barriers related to achieving timely testing and treatment, and ensures resources are utilized appropriately. If continued treatment can potentially be managed in the ambulatory setting, the care manager will collaborate with the physician and care team offering alternatives to acute care, and escalate to care management leader or physician champion at the facility level if warranted to resolve barriers.
Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are converted to the appropriate classification as guided by the physician, ensuring CC 44 process is followed.
Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives within care management. Works collaboratively with peers to achieve facility and department goals and daily work as evidenced by appropriate and timely communication which is respectful and clear. Shares responsibilities, promoting team-based approach to accomplish work. Understands data relative to patient population and utilizes information to improve clinical and financial outcomes, and support facility goals. Strong collaborative partnerships with nursing and physicians, other care team members required.
Supports and follows compliance rules and regulations such as CC 44, IMM, ABNS, HINs, Moon, Bundle letters, and Conditions of Participation for DC Planning and Utilization Management, and address opportunities or potential concerns with leadership. Identifies potential or current patient situations which require referral to other members of the health care team such as infection control, risk management, legal or quality management. Keeps facility and CM leadership abreast of potential issues.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Licensing/Certification
BLS Basic Life Support – American Heart Association (required)
Current RN License in the state in which they are working or covered by compact (preferred)
Case Management Certification (ACM, CCM, or ANCC) (preferred upon hire, required within 3 years of hire)
Education
Associate degree in Nursing (required for RNs must start BSN program within 2 years of hire and complete BSN within 5 years)
Work Experience
1 year of experience in clinical setting (required)
1-2 years of experience in an acute care clinical setting (preferred)
Ambulatory or post-acute, care coordination experience (preferred)
Training
None
Language
None
Patient Population
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
Neonates (0-4 weeks)
Infant (1-12 months)
Pediatrics (1-12 years)
Adolescents (13-17 years)
Adults (18-64 years)
Geriatrics (65 years and older)
Working Conditions
Periods of high stress and fluctuating workloads may occur.
Long-distance or air travel as needed- not to exceed 10% travel.
General office environment.
May be exposed to high noise levels and bright lights.
May be exposed to physical altercations and verbal abuse.
May be exposed to limited hazardous substances or body fluids.*
May be exposed to human blood and other potentially infectious materials.*
May have periods of constant interruptions.
Required to car travel to off-site locations, occasionally in adverse weather conditions.
Prolonged periods of working alone.
* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
Physical Requirements
Physical Demands
Frequency 0% 1-33% 34-66% 67-100%
Lifting/ Carrying (0-50 lbs.) X
Lifting/ Carrying (50-100 lbs.) X
Push/ Pull (0-50 lbs.) X
Push/ Pull (50-100 lbs.) X
Stoop, Kneel X
Crawling X
Climbing X
Balance X
Bending X
Work Position
Frequency 0% 1-33% 34-66% 67-100%
Sitting X
Walking X
Standing X
Additional Physical Requirements/Hazards
Physical Requirements
Manual dexterity (eye/hand coordination)
Perform shift work
Hear alarms/telephone/audio recordings
Reach above shoulder
Repetitive arm/hand movements
Finger Dexterity
Color Vision
Acuity – far
Acuity – near
Hazards
Depth perception
Use of Latex products
Exposure to toxic/caustic/chemicals/detergents
Exposure to moving mechanical parts
Exposure to dust/fumes
Exposure to potential electrical shock
Exposure to x ray/electromagnetic energy
Exposure to high pitched noises
Gaseous risk exposure
Skills
Care management
Discharge planning
Patient Advocacy
Flexible
Care Planning
Care Coordination
Analyzing data or information
Reimbursement methodologies
Staffing workflow and bed allocation
Clinical knowledge
Tracking
Working knowledge of local and state resources
Knowledge of government and non-government payor practices, regulations, standards and reimbursement
Knowledge Sharing
Attention to detail
Critical thinking
Communication with family members
Conflict resolution
Proactive
Problem Solving
Active listening
Relationship building
Effective problem solving
Teamwork
Facilitation
Many of our opportunities reward* your hard work with:All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
Other
Hospital
$81k-98k (estimate)
06/10/2024
06/19/2024
bschs.org
PORT JERVIS, NY
1,000 - 3,000
1824
Private
PHILIP A PATTERSON
$500M - $1B
Hospital
Bon Secours owns and operates as acute care hospitals that provides health care services.
The job skills required for RN Case Manager - PRN include Case Management, Coordination, Planning, Care Management, Problem Solving, Acute Care, etc. Having related job skills and expertise will give you an advantage when applying to be a RN Case Manager - PRN. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by RN Case Manager - PRN. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for RN Case Manager - PRN positions, which can be used as a reference in future career path planning. As a RN Case Manager - PRN, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary RN Case Manager - PRN. You can explore the career advancement for a RN Case Manager - PRN below and select your interested title to get hiring information.