RN CARE MGR I

About the Role

Fort Sanders Regional Medical Center is a 444-bed hospital recognized for pairing clinical expertise with advanced medical technology to deliver exceptional care. As a Joint Commission Comprehensive Stroke Center, we provide leading-edge treatment for stroke recovery. Our facility also offers specialized services in bariatric surgery, robotic surgery, minimally invasive spine procedures, and advanced orthopedic care.

The RN Care Manager III integrates evidence-based clinical practice into the patient care setting, coordinates education of staff and patients, and serves as a clinical resource and consultant to the health care team. This role promotes patient care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager III actively seeks opportunities in research designed to identify best practices and has responsibility, accountability, and authority for providing comprehensive care coordination for a designated patient population.

This is a PRN/OCC position with variable hours and shifts.

Responsibilities

• Utilize case-finding criteria to screen patients and gather information from medical records, physician documentation, patient/family, and other sources to develop a comprehensive care plan.
• Evaluate patient progress daily through discussions with patients, caregivers, and chart findings to ensure daily objectives are met; modify the care plan as needed.
• Secure necessary resources via a multidisciplinary approach to ensure timely, efficient, and cost-effective services.
• Design and implement practice guidelines and clinical care designs in collaboration with physicians, nursing, and other healthcare team members for the assigned patient population.
• Identify specific objectives, goals, and actions to meet patient needs; collaborate and communicate effectively with physicians and healthcare team members.
• Participate in daily multidisciplinary rounds and ensure appropriate disciplines are involved.
• Work closely with physicians to identify necessary resources and ensure appropriate utilization; communicate effectively with physician offices, home health agencies, rehabilitation facilities, long-term care facilities, and third-party payers.
• Provide documentation in the patient’s medical record to communicate goals and transition plans; execute and document care management activities and interventions.
• Serve as a liaison to facilitate communication between the patient/family, physician, and healthcare team; coordinate and secure resources needed for the discharge plan.
• Gather sufficient information to determine the effectiveness of the care management plan; mobilize resources to achieve positive patient transitions.
• Identify, communicate, and initiate actions to mitigate variances in the patient’s care process; stay updated on changes in quality measures and regulatory requirements.
• Monitor patient population for potential healthcare-acquired conditions and hospital-acquired infections; proactively initiate preventive actions.
• Serve as a "brokering" agent to secure coverage for needed community services; mobilize resources for positive patient transitions to the next level of care.
• Ensure multidisciplinary daily rounds at the patient’s bedside with caregivers and the healthcare team to achieve desired outcomes and goals.
• Evaluate and modify the care management plan as needed to meet patient needs.
• Utilize statistical analysis techniques to measure clinical and fiscal variances from established patient care guidelines and core measures; develop reporting mechanisms to communicate outcomes.
• Support cost containment efforts through performance improvement recommendations; maintain fiscal awareness by communicating outcomes to stakeholders.
• Monitor and address outcome variances concurrently; identify causes and implement corrective actions.
• Conduct research to identify "best" practices for achieving patient outcomes; participate in quality improvement initiatives.
• Address end-of-life issues with the physician, family, and healthcare team; maintain patient privacy information.
• Follow policies, procedures, and safety standards; complete required education assignments annually.
• Provide care management services within the scope of practice as a registered nurse, meeting all legal and regulatory standards.
• Plan, develop, and assist in patient education in collaboration with nursing and other healthcare team members; ensure understanding through return demonstrations.
• Participate in staff development, orientation, and unit meetings through mentoring, consultation, educational presentations, and clinical direction.
• Assist with hiring, supervision, education, orientation, evaluation, and disciplining of staff; maintain awareness of hospital policies applicable to the assigned patient population.

Requirements

• Minimum of three (3) years of acute care nursing experience.
• Minimum of two (2) years of experience in the area of assigned responsibility.
• Current Tennessee RN License.

Benefits

Fort Sanders Regional is part of Covenant Health, East Tennessee’s largest nonprofit health system, which includes nine hospitals and nearly 150 service locations. Employees receive a comprehensive benefits package featuring:

• Tuition reimbursement
• Student loan assistance
• Certification bonuses
• Leadership development programs