Behavioral Health Case Manager (RN)

Job Description

Provides clinically and evidence-based patient care coordination for patients with behavioral and mental health (BMH) needs. Supports delivery of safe, effective, high-quality, and efficient patient care at Children’s Healthcare of Atlanta. Coordinates assessment, interdisciplinary discharge planning, and coordination of community-based services to assigned patients discharged from a Children's Healthcare of Atlanta facility. This will focus on case management duties for Behavioral Mental Health/Neuropsychiatry patients.

Experience

• 3 years RN experience with a Bachelor of Science in Nursing (BSN) OR a current Children’s nurse with 5 years/7,500 hours of experience with an Associate’s degree in nursing (Current Children’s nurse with an associate’s degree in nursing is required to obtain a BSN within 2.5 years of hire date)
• 3 years of broad clinical experience, predominantly in pediatric or behavioral and mental health care
• Preferred Qualifications: Master's degree, Previous Mental Health experience, pediatric or adult, EPIC experience, Experience in care coordination, case management, discharge planning, and utilization review

Education

• Graduation from an accredited school of nursing
• Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the Enhanced Nurse Licensure Compact
• Basic Life Support (BLS) within 30 days of employment
• Registered Nurse case management certification from approved accrediting organization within 1 year of meeting eligibility requirements

Knowledge, Skills And Abilities

• Excellent communication skills, both verbal and written
• Effective decision making/problem-solving skills and demonstration of creativity in problem-solving
• Influential leadership skills
• Demonstrated effective critical thinking skills and ability to anticipate patient discharge needs
• Moderate to expert computer skills
• Working knowledge of financial aspects of third-party payors and reimbursement

Job Responsibilities

• Serves as a system clinical resource for Care Coordination Assistants during scheduled shift.
• Completes initial screen of all patients on admission (not to exceed within 24 hours of admission) utilizing specific trigger criteria to identify needs related to care coordination and/or discharge planning.
• Develops, initiates, and implements a robust transition care plan in collaboration with clinical team for all applicable patients.
• Cultivates and maintains effective interaction/communication with providers, nursing staff, social workers/counselors and others to drive care coordination process and facilitate continuity of patient care.
• Communicates with all members of multidisciplinary team to facilitate care coordination process for assigned workload.
• Oversees psychiatric residential treatment facility (PRTF) referral process, documentation, and submission, as necessary.
• Communicates with home health agencies, third-party payors, acute and long-term psychiatric facilities, and other community resources as needed to coordinate discharge needs.
• Ensures information sharing with Community Care Navigators regarding any BMH patients who require PRTF, meet high-utilizer criteria, or are identified as complex.
• Facilitates and provides ongoing communication with patient/family and interdisciplinary staff to identify, escalate, and resolve potential barriers.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.
• Serves as the clinical tiered support for EMS transport needs and escalations.
• Completes medication prior authorizations and prescription arrangements, as necessary.
• Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
• Facilitates care conferences, interdisciplinary rounds, and other meetings.