About The Position

The RN or Social Worker Care Manager coordinates patient care to support safe, seamless, and timely transitions across the continuum. Using a collaborative process, the Care Manager identifies, assesses, plans, implements, and evaluates options and services needed to meet patients’ health and related needs, including social determinants affecting overall well-being. The role screens, identifies, and assesses individuals needing active case management and promotes access to appropriate resources at the right time and place. The position is based at St. Francis Medical Center in Richmond and is described as weekends only, Saturday and Sunday, for up to 24 hours. The scheduled weekly hours are 24, and the work shift is days. The role requires a Bachelor of Social Work for Social Workers. For nurses, a Bachelor of Science in Nursing is preferred for Bon Secours facilities and required for RSFH. Basic Life Support certification from the American Heart Association is required. An active RN license in the state of employment or a compact-covered license is required unless the hire is a Social Worker with a BSW. At least one year of clinical-setting experience is required. The role offers a stated pay range of $38.63 to $61.82. Bon Secours describes its mission as enhancing the health and well-being of all people in mind, body, and spirit through exceptional patient care, supported by compassion, collaboration, excellence, respect, human dignity, integrity, service, and stewardship.

Requirements

  • Bachelor of Social Work for Social Worker candidates.
  • Bachelor of Science in Nursing is preferred for Bon Secours Medical Health facilities and required for RSFH.
  • American Heart Association Basic Life Support certification.
  • RN license in the state of employment or a compact-covered license, unless hired as a Social Worker with a BSW.
  • At least 1 year of experience in a clinical setting.
  • Skills and knowledge in care management, discharge planning, patient advocacy, care planning, care coordination, data analysis, reimbursement methodologies, staffing workflow and bed allocation, clinical knowledge, tracking, and local and state resources.
  • Knowledge of government and non-government payer practices, regulations, standards, and reimbursement.
  • Interpersonal skills including knowledge sharing, attention to detail, critical thinking, communication with family members, conflict resolution, proactive problem solving, active listening, relationship building, teamwork, and facilitation.

Nice To Haves

  • Accredited Case Manager (ACM) certification from the American Case Management Association, Certified Case Manager (CCM) certification from the Commission for Case Manager Certification, or ANCC Nursing Case Management board certification.
  • 3 years of experience in an acute care clinical setting.
  • Ambulatory or post-acute care coordination experience.

Responsibilities

  • Identify and prioritize patients needing care management using a holistic approach that considers biopsychosocial, functional, cultural, spiritual, and financial factors.
  • Plan with patients, caregivers, and healthcare team members to maximize health care responses and achieve quality, cost-effective outcomes.
  • Monitor and revise care plans when a patient’s condition changes.
  • Complete necessary documentation and maintain clear, concise, timely patient-record documentation reflecting patient needs.
  • Use handovers when level of care or staff changes occur and during care transitions.
  • Document post-hospital care needs and resources, as well as patient, family, or caregiver involvement in planning.
  • Incorporate patient and caregiver treatment goals and preferences into transition-of-care planning and communicate them to the multidisciplinary team.
  • Follow standardized practices and processes for advance care planning, length-of-stay management, and readmission prevention.
  • Support denial prevention related to medical necessity by addressing or removing barriers to progression of care and participating in interdisciplinary discharge rounds.
  • Promote proactive care and help remove barriers to timely testing and treatment.
  • Ensure appropriate resource use and offer alternatives to acute care to the care team.

Benefits

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