Care Manager (Flexi)

Chesapeake Regional Healthcare•Chesapeake, VA

11d

About The Position

The Care Manager is a member of the Care Management team responsible for coordinating patient care across the continuum during assigned shifts. This role integrates clinical expertise with knowledge of post-acute care needs and community resources to support safe, timely, and cost-effective transitions of care. The Care Manager performs core care management functions, including discharge planning, quality management, and resource utilization, while collaborating with the multidisciplinary team to achieve optimal patient outcomes. This position is scheduled on an as-needed basis to support staffing and patient care demands, with no guarantee of hours. Assignments are based on areas of highest organizational and departmental need. While working, the Care Manager is expected to perform the essential functions of the role; however, this position does not carry ongoing responsibilities outside of scheduled shifts such as routine meeting attendance, committee participation, mentoring, or precepting. The incumbent is responsible for maintaining required competencies, licensure, and completion of mandatory education. Essential Duties and Responsibilities These duties and responsibilities described below represent the general tasks performed; other tasks may be assigned. Demonstrates required clinical knowledge and psychomotor skills to perform job duties effectively Interprets and applies clinical data to prioritize patient care needs and determine appropriate actions Communicates and collaborates effectively with patients, families, and interdisciplinary team members Manages time effectively and independently prioritizes workload to meet deadlines and shift expectations Assesses, plans, implements, and evaluates care management strategies to support appropriate resource utilization and length of stay management Develops, implements, and evaluates individualized discharge plans for all assigned patients Completes thorough patient assessments including medical, functional, psychosocial, legal, financial, and safety needs Coordinates with physicians, nurses, social workers, and care team members to support safe and effective discharge planning Identifies and addresses social determinants of health and connects patients with appropriate community and support resources Leads discharge planning efforts, resolves barriers, and ensures timely and safe patient transitions Monitors length of stay, identifies delays or avoidable days, and escalates concerns appropriately Communicates effectively with providers, insurers, and stakeholders regarding utilization, discharge barriers, and authorization processes Facilitates peer-to-peer reviews and communicates insurance determinations or service denials as needed Ensures compliance with CMSA standards, organizational policies, licensure, certifications, and mandatory training requirements Performs PRN care management duties, floats to high-need units as assigned, and maintains proficiency within 90 days of hire or role transition

Requirements

Bachelor of Science in Nursing (BSN), Associate Degree in Nursing with three (3) years of clinical experience, or a Bachelor's degree in Social Work required.
Minimum one (1) year of clinical experience in an acute care setting required.
Must be self-directed.
Possess critical thinking skills.
Possess excellent organizational skills.
RN Licensure required unless you hold a degree in Social Work.
Obtain CPR certification within 6 months and maintain CPR certification by following hospital policy for renewals reference the RQI policy.

Nice To Haves

Acute care case management, discharge planning, or care coordination highly preferred.

Responsibilities

Coordinate patient care across the continuum during assigned shifts.
Integrate clinical expertise with knowledge of post-acute care needs and community resources.
Support safe, timely, and cost-effective transitions of care.
Perform core care management functions, including discharge planning, quality management, and resource utilization.
Collaborate with the multidisciplinary team to achieve optimal patient outcomes.
Demonstrate required clinical knowledge and psychomotor skills.
Interpret and apply clinical data to prioritize patient care needs and determine appropriate actions.
Communicate and collaborate effectively with patients, families, and interdisciplinary team members.
Manage time effectively and independently prioritize workload.
Assess, plan, implement, and evaluate care management strategies.
Develop, implement, and evaluate individualized discharge plans.
Complete thorough patient assessments including medical, functional, psychosocial, legal, financial, and safety needs.
Coordinate with physicians, nurses, social workers, and care team members.
Identify and address social determinants of health and connect patients with appropriate community and support resources.
Lead discharge planning efforts, resolve barriers, and ensure timely and safe patient transitions.
Monitor length of stay, identify delays or avoidable days, and escalate concerns.
Communicate with providers, insurers, and stakeholders regarding utilization, discharge barriers, and authorization processes.
Facilitate peer-to-peer reviews and communicate insurance determinations or service denials.
Ensure compliance with CMSA standards, organizational policies, licensure, certifications, and mandatory training requirements.
Perform PRN care management duties.
Float to high-need units as assigned.
Maintain proficiency within 90 days of hire or role transition.