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

• Education: Bachelor of Science in Nursing (preferred for BSMH, required for RSFH)
• Licensure/Certification: BLS Basic Life Support – American Heart Association (required)
• 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)

Skills and Abilities

• Hard/Tech/Clinical 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
• 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

As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support