Registered Nurse Care Manager Hospital at Home
About The Position
This is a part-time Registered Nurse Care Manager position within the GCMG Adult Hospital at Home - Cancer Navigator department. The role involves utilizing the RN process to guide the healthcare team towards optimal outcomes, efficient resource utilization, and clinical expertise. The nurse will interact with patients, professionals, and the community to ensure continuity of care and coordinate services across multiple settings. A key responsibility is conducting comprehensive needs assessments for patients, identifying appropriate care services, and managing disease management for health maintenance. The position requires meticulous documentation in case records and computer systems, with a strong understanding of reimbursement criteria for Medicaid, Medicare, and Managed Care. The nurse is expected to demonstrate leadership in professional nursing practice, evaluating their own performance against standards and regulations.
Requirements
- BSN required.
- Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works.
- Two years' experience required in health care.
- Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company.
- Clinical competence in disease management and case management principles.
- Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team.
- Requires demonstrated knowledge and proficiency in appropriate tools.
- BLS required per policy guidelines.
Nice To Haves
- Masters preferred.
- Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol.
Responsibilities
- Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies.
- Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings.
- Conducts or participates in comprehensive “all-system” needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population.
- Develops and maintains accurate case records of each referred customer/patient.
- Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems.
- Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.
- Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
