Registered Nurse - Care Manager

Advocate Health and Hospitals Corporation•Concord, NC

About The Position

The Registered Nurse - Care Manager uses the RN process to focus the healthcare team on optimal outcomes, resource utilization, clinical expertise, and improvement strategies. The role coordinates care and services with patients, professionals, and the community, supporting continuity of care and documenting plans across multiple care settings. The Care Manager assesses the needs of identified patients, matches those needs to appropriate care-related services, and supports disease management, health maintenance, and appropriate clinical goals and outcomes. The position maintains accurate case records and documentation, uses relevant databases and documentation systems, and applies knowledge of reimbursement criteria and documentation requirements for Medicaid, Medicare, and managed care. The nurse also demonstrates leadership in professional nursing practice and evaluates their practice against relevant standards, guidelines, statutes, rules, and regulations. This is a part-time, benefits-eligible role requiring 24 hours per week. The schedule is Saturday and Sunday, 7 a.m.–7 p.m., including holiday weekends. The pay range is $38.20–$57.30.

Requirements

BSN required.
Current RN license or temporary license as a Registered Nurse Petitioner in the state where the nurse works and resides; applicable National License Compact requirements apply when the nurse declares an NLC state as their primary state of residency.
Two years of healthcare experience required.
Experience in case management or discharge planning in at least one of these settings: acute care, home care, long-term care, physician office, or managed care company.
Appropriate professional certification required within three years of hire, per departmental protocol.
Clinical competence in disease management and case management principles.
Excellent interpersonal communication and negotiation skills.
Problem-solving skills, strong organizational and time-management skills, and ability to work independently and as a member of the care team.
Demonstrated knowledge and proficiency in appropriate tools.
BLS required per policy guidelines.
Ability to walk, stand, lift, reach, bend, and stoop; lift at least 35 pounds to shoulder height; and travel or drive between locations.
Frequent verbal and written communication in English; intact sight and hearing, finger dexterity, critical thinking, concentration, and ability to respond quickly to changes in assignments.

Nice To Haves

Master’s degree preferred.

Responsibilities

Use the RN process to focus healthcare team activities on optimal outcomes, resource utilization, clinical expertise, and improvement strategies.
Coordinate care and services with patients, professionals, and the community to support continuity of care across multiple settings.
Conduct or participate in comprehensive needs assessments for identified patients.
Match identified patient needs to appropriate care-related services, disease management, health maintenance, and clinical goals and outcomes.
Develop and maintain accurate case records for each referred customer or patient.
Document fully and accurately and use appropriate computer databases and documentation systems.
Apply knowledge of reimbursement criteria and documentation requirements, including those for Medicaid, Medicare, and managed care.
Demonstrate leadership in nursing practice and evaluate personal practice in relation to professional standards, guidelines, statutes, rules, and regulations.

Benefits

Paid time off programs.
Medical, dental, vision, life, and short- and long-term disability benefits.
Flexible spending accounts for eligible healthcare and dependent-care expenses.
Adoption assistance and paid parental leave.
Defined contribution retirement plans with employer match and other financial wellness programs.
Educational Assistance Program.
Premium pay, such as shift and on-call pay, based on teammate circumstances.
Incentive pay for select positions.
Potential annual increases based on performance.
Career development programs.