Registered Nurse (RN) - Care Manager - Memorial Regional Medical Center

About the role

Bon Secours Memorial Regional Medical Center is offering a $10,000 Sign on Bonus for this Case Manager role if eligible.

Responsibilities

• 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes.
• Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients.
• Ensures patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
• Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
• Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment.
• Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.

Requirements

• Bachelor of Science in Nursing (preferred for BSMH, required for RSFH)
• RN License in the state in which they are working or covered by compact (required)
• Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred)
• 1 year of experience in clinical setting (required)
• 3 years of experience in an acute care clinical setting (preferred)
• Ambulatory or post-acute, care coordination experience (preferred)

Qualifications

• BLS Basic Life Support – American Heart Association (required)

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
• Hard/Tech/Clinical Skills
• Soft/Interpersonal Skills
• 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

Benefits

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 Bon secours – 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.

Pay

Range Minimum: $38.63
Range Maximum: $61.82

Schedule

Not specified