Registered Nurse (RN) - Care Manager - Mary Immaculate Hospital - PRN

Bon Secours Mercy Health • Newport News, VA

9d • Onsite

About The Position

The RN Care Manager coordinates patient care to support safe, seamless, and timely transitions across the continuum. Using a collaborative process and quantitative and qualitative methods, the role identifies and assesses patients’ health and health-related needs, plans and implements services, and evaluates available options, including social determinants that affect overall well-being. The RN Care Manager screens and identifies individuals who need active case management and promotes the right resources at the right time and place.

The position works with patients, caregivers, and the healthcare team to develop and monitor care plans, document care needs and transition plans, incorporate patient and caregiver goals and preferences, and support standardized practices for advance care planning, length-of-stay management, and readmission prevention. The role also helps address barriers to timely care and appropriate resource use.

Requirements

• BLS Basic Life Support certification from the American Heart Association.
• RN license in the state of employment or coverage by a compact license.
• At least 1 year of experience in a clinical setting.
• Bachelor of Science in Nursing is required for RSFH; it is preferred for BSMH.
• Skills and abilities include care management, discharge planning, patient advocacy, flexible care planning, care coordination, data analysis, reimbursement methodologies, staffing workflow and bed allocation, clinical knowledge, tracking, knowledge of local and state resources, and knowledge of government and non-government payor practices, regulations, standards, and reimbursement.
• Interpersonal skills include knowledge sharing, attention to detail, critical thinking, communication with family members, conflict resolution, proactive problem solving, active listening, relationship building, effective problem solving, teamwork, and facilitation.

Nice To Haves

• Bachelor of Science in Nursing for BSMH.
• Accredited Case Manager (ACM) certification from the American Case Management Association, Certified Case Manager (CCM) certification from the Commission for Case Manager Certification, or ANCC Nursing Case Management board certification.
• At least 3 years of experience in an acute care clinical setting.
• Ambulatory or post-acute care coordination experience.

Responsibilities

• Identify and prioritize patients needing care management using a holistic approach that considers biopsychosocial, functional, cultural, spiritual, and financial factors.
• Plan with patients, caregivers, and healthcare team members to maximize healthcare responses and achieve quality, cost-effective outcomes.
• Monitor and revise care plans when a patient’s condition changes.
• Complete required documentation and maintain clear, concise, and timely records reflecting patient needs.
• Use handovers at changes in level of care, staff changes, and care transitions.
• Document post-hospital care needs, resources, and evidence of patient, family, or caregiver involvement in planning.
• Incorporate patients’ and caregivers’ treatment goals and preferences into transition planning and communicate them to the multidisciplinary team.
• Follow standardized practices and processes for advance care planning, length-of-stay management, and readmission prevention.
• Support denial prevention related to medical necessity by addressing or removing barriers to care progression and participating in Interdisciplinary Discharge Rounds.
• Promote proactive care and help remove barriers to timely testing and treatment.
• Ensure appropriate use of resources and offer alternatives to acute care to the care team.

Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

What This Job Offers

• Career Level: Mid Level