Registered Nurse (RN) - Care Manager - St. Mary's Hospital

As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect.

About the role

The RN 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 to identify (using quantitative and qualitative methods), assess, plan, implement, and evaluate the options and services required to meet an individual’s health and health-related needs, including social determinants that affect overall well-being. The RN Care Manager screens, identifies, and assesses individuals in need of active Case Management services and promotes the right resources at the right time and place.

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.
• Monitors and revises the plan as indicated when patient condition changes.
• Completes all necessary documentation, maintaining clear, concise, and timely records in the patient record to reflect patient needs.
• Utilizes handovers at points of level of care change, staff change, and care transitions.
• Ensures documentation reflects the plan of care for post-hospital needs, resources, and evidence of patient, family, or caregiver involvement in planning.
• Incorporates patient’s and caregiver’s treatment goals and preferences into transition of care planning and communicates them to the multidisciplinary team.
• Follows standardized practices related to Advance Care Planning, Length of Stay management, and readmission prevention.
• Supports denial prevention related to medical necessity by addressing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
• Promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment.
• Ensures resources are utilized appropriately and offers alternatives to acute care to the care team.

Requirements

• Bachelor of Science in Nursing (preferred for BSMH, required for RSFH).
• 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, 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 a clinical setting (required).
• 3 years of experience in an acute care clinical setting (preferred).
• Ambulatory or post-acute care coordination experience (preferred).

Skills

• Hard/Tech/Clinical Skills: Care management, discharge planning, patient advocacy, flexible care planning, care coordination, analyzing data, 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.

Pay

Range Minimum: $38.63 per hour
Range Maximum: $61.82 per hour

Schedule

20-hour work week

Benefits

• 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.

Benefits may vary based on the market and employment status.