Inpatient Care Manager - Registered Nurse

Schuylkill•Bethlehem, PA

1d•Onsite

About The Position

The Inpatient Care Manager-Registered Nurse applies leverages nursing expertise to coordinate comprehensive care for a designated patient population across the continuum of care. This role involves assessing, planning, implementing, and evaluating individualized care plans while ensuring safe and timely discharge planning. The Inpatient Care Manager-Registered Nurse serves as a clinician, care manager, and educator, collaborating with the interdisciplinary team to achieve high-quality, cost-effective outcomes. Additionally, the individual actively manages resources to minimize unnecessary utilization and supports performance improvement initiatives to enhance patient care and system efficiency.

Requirements

Bachelor’s Degree Nursing
3 years experience in one of the following settings: care coordination, disease management, home health care, hospital, or physician office setting
1 year prior electronic medical record (EMR) experience.
Ability to incorporate strategies for interacting with persons from diverse backgrounds.
Ability to set priorities to coordinate care plans efficiently.
Knowledge of computer applications and analytical tools.
Knowledge of nursing theory and application of learning theory.
Proven leadership skills.
RN - Licensed Registered Nurse_PA - State of Pennsylvania Upon Hire or RN - Licensed Registered Nurse_NJ - State of New Jersey Upon Hire
Current RN License in state of practice required.

Nice To Haves

Master’s Degree Nursing
Familiar with EHRs: EPIC
ACM - Accredited Case Manager - American Case Management Association within 3 Years or CCM - Certified Case Manager - Commission for Case Manager Certification within 3 Years

Responsibilities

Conducts comprehensive assessments at the patient entry to determine anticipated length of stay, discharge needs, and resources; develops and implements individualized plans of care and transition plans in collaboration with the multidisciplinary team.
Coordinates safe and timely discharge planning, including securing post-acute authorizations, arranging transportation, homecare, and facility placements, and facilitating transfers when needed.
Monitors and manages patient progress through daily review, participating in multidisciplinary rounds, initiative-taking identification and resolution of barriers to discharge.
Documents all relevant information accurately and timely in the electronic medical record, adhering to departmental policies and compliance standards.
Advocates for patients and families, addresses clinical, educational, and psychosocial needs while ensuring their preferences are reflected throughout the care continuum
Collaborates with multidisciplinary healthcare teams and provides the patient and/or family in the development and implementation of plans.
Coordinates team and/or family conferences when necessary to facilitate patient’s care progression.
Refers patient/significant other to community-based services/resources to meet patient’s continuum of care needs.
Communicates effectively with physicians, patients, families, and team members to facilitate referrals, authorizations, and resolution of medical necessity issues and coordination of transition and discharge planning.
Assists patients/families with self-management through education via in person visits, telephonic and electronic engagement and encourages and supports patient adherence to their discharge care plans.
When necessary, initiates medical assistance application in a timely manner, as needed, or ensure medical assistance application has been initiated by identified external agencies, as needed.
Follows up with identified external service regarding application.
Maintains current knowledge of Medicare, Medicaid, and other payer systems, including benefits, reimbursement methodologies, and conditions of participation.
Delivers required regulatory notices, within established times (as applicable to facility).