Inpatient Care Manager-BSN

Jefferson Health Plans • Philadelphia, PA

7d • Onsite

About The Position

The Inpatient Care Manager-Registered Nurse uses nursing expertise to coordinate comprehensive care for a designated patient population across the continuum of care. The role assesses, plans, implements, and evaluates individualized care plans and supports safe, timely discharge planning. Serving as a clinician, care manager, and educator, the manager collaborates with interdisciplinary teams to achieve high-quality, cost-effective outcomes, manages resources to minimize unnecessary utilization, and supports performance improvement initiatives to enhance patient care and system efficiency.

The position is based at Thomas Jefferson University Hospitals in Philadelphia, Pennsylvania, and has a rotating work shift. The role requires a current RN license in the state of practice, with Pennsylvania or New Jersey licensure specified upon hire.

Requirements

• Bachelor’s degree in Nursing.
• At least 3 years of experience in care coordination, disease management, home health care, a hospital, or a physician office setting.
• At least 1 year of prior electronic medical record (EMR) experience.
• Ability to incorporate strategies for interacting with people 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.
• Pennsylvania or New Jersey Registered Nurse license upon hire; a current RN license in the state of practice is required.

Nice To Haves

• Master’s degree in Nursing.
• Familiarity with EHRs, including EPIC.
• Accredited Case Manager (ACM) certification from the American Case Management Association within 3 years, or Certified Case Manager (CCM) certification from the Commission for Case Manager Certification within 3 years.

Responsibilities

• Conduct comprehensive assessments at patient entry to determine anticipated length of stay, discharge needs, and resources; develop and implement individualized care and transition plans with the multidisciplinary team.
• Coordinate safe and timely discharge planning, including post-acute authorizations, transportation, homecare, facility placements, and transfers.
• Monitor patient progress through daily review and multidisciplinary rounds; identify and resolve barriers to discharge.
• Document relevant information accurately and promptly in the electronic medical record in accordance with departmental policies and compliance standards.
• Advocate for patients and families, address clinical, educational, and psychosocial needs, and ensure patient preferences are reflected throughout the care continuum.
• Collaborate with multidisciplinary teams and patients and/or families to develop and implement care plans; coordinate team or family conferences when needed.
• Refer patients or significant others to community-based services and resources to meet continuum-of-care needs.
• Communicate with physicians, patients, families, and team members to facilitate referrals, authorizations, medical-necessity issue resolution, and transition and discharge planning.
• Educate and support patients and families in self-management through in-person, telephone, and electronic engagement, encouraging adherence to discharge care plans.
• Initiate medical assistance applications when necessary, or ensure external agencies have initiated them, and follow up with relevant external services.
• Maintain current knowledge of Medicare, Medicaid, and other payer systems, including benefits, reimbursement methodologies, and conditions of participation.
• Deliver required regulatory notices within established timeframes, as applicable to the facility.

Benefits

• Medical insurance, including prescription coverage.
• Supplemental insurance.
• Dental insurance.
• Vision insurance.
• Life and AD&D insurance.
• Short- and long-term disability insurance.
• Flexible spending accounts.
• Retirement plans.
• Tuition assistance.
• Voluntary benefits, including access to group insurance rates and discounts.
• Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service.
• Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level