Reigstered Nurse (RN) Care Manager PRN- Inpatient Rehab Unit

2510 Cobb Hospital, Inc.•Mableton, GA

44d•Onsite

About The Position

This Registered Nurse PRN PT role is located at our Cobb Hospital. Requires: 3 shifts every 4 weeks, 1 Major and 1 minor holiday. 1 WEEKEND DAY REQUIRED - if applicable. Minimum 3 years Three to Five years Clinical Practice/Experience Preferred. Learn more about Wellstar Cobb Hospital, including our teams, culture and campus environment: https://www.wellstar.org/locations/hospital/cobb-medical-center Hours: Days Job Summary: The Care Coordinator is responsible for coordination of care across the continuum during the patient's acute, chronic and long-term stages of illness for a defined patient population. This includes utilization management, transitional care planning, psychosocial and functional status assessment, patient advocacy, education for the patient/family, and monitoring quality indicators to demonstrate outcomes resulting from the service provided. Collaborates with all team members to provide a comprehensive assessment of the patient's plan of care, goal/outcome attainment and continued care needs. It is expected that all RN Clinical Nurses are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. As a member of the patient services team, it is expected that the individual upholds the voice of the patient, System policies and procedures while supporting service excellence goals and providing and unwavering focus on exceeding the expectations of our patients and consumers.

Requirements

BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor
RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact or LCSW - Lic Clinical Social Worker GA or LMSW - Lic Master Social Worker GA or MSW - Master Social Worker
Knowledge of Case Management process.
Excellent organizational and professional communication skills.
Knowledgeable in utilizing screening criteria in review of clinical data with respect to patients/clients needs for health care.
Ability to effect change performs critical analysis, promote client/family autonomy and plan and organize effectively for the continuum of care.

Nice To Haves

Bachelors Nursing

Responsibilities

Implements Discharge planning and provides resource information in a timely and efficient manner.
Identifies and documents barriers for timely disposition
Collaborates with other members of the health care team in planning care appropriate for age
Provides education/counseling to patient/family in understanding, accepting and following medical recommendations of his/her conditions
Provides assistance with Advance Directives for customers throughout WellStar Health System.
Understands eligibility processes and criteria for both private and public local, state and federal resources
Responds to referrals from hospital staff, physician offices, community and family to provide resource information, counseling and education to the community
Provides financial needs assessment for patients in need of assistance for follow-up care throughout the continuum
Provides follow-up for patients needing post-discharge assistance
Allows for any cultural or religious beliefs in providing service and continuity of care
Always partners with the patient and significant others (as appropriate) using such appropriate method for setting and purpose (e.g., interdisciplinary rounds, keeping the patient and significant others updated and making the patients goals the focus of the plan of care.)
Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e. decrease in re-admission rates, avoidable days, adverse events, etc.)
Initiates assessment for necessity and appropriateness of health services by the application of established screening criteria (e.g. Interqual)
Timely identification and referral for alternative level of care
Responsible for timely and accurate certification of hospital admission
Provides required information to payors
Monitors and evaluates patient/clients ongoing plan of care and facilitates modification utilizing established screening criteria to determine level of care with documentation in the computerized Utilization Management module
Monitors and evaluates the appropriateness of managed care denials and collaborates with attending physician and managed care representative and Medical Director or VP Medical Affairs
Monitors for compliance of Medicare/Medicaid regulations (e.g. order for patient type for billing, appropriate billing)
Negotiates and refers for services outside of patients health care plan
Evaluates and negotiates patients needs based on quality, cost and necessity
Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary process and actively supports/participates in shared governance at all levels in the system
Assesses insurance and coverage issues such as managed care, PPO, HMO, and the identification of preferred providers
Identifies issues relating to patient type and/or appropriateness of admission and collaborates with physician/physician advisor for resolution
Initial psychosocial /functional assessment completed and documented in medical record
Complete chart notes accurately and timely per Departmental protocol
Ensure all records are up-to-date and legible.
Complete all Electronic Medical Record software screens
Ensure timely and accurate documentation of clinical reviews and insurance updates as required by payor
Accounts for and indicates all services delivered in Electronic Medical Record
Participates in data collection, poses relevant clinical questions to advanced evidence-based practice. Consults appropriate experts and uses appropriate resources and evidence to address practice questions
Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education
Serves as a preceptor and/or or mentor for other professional and/or students, to ensure that there is a current and future qualified workforce
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.