Registered Nurse (RN) Case Manager - Rappahannock General Hospital - PRN

Bon Secours Mercy Health • Kilmarnock, VA

2d

About The Position

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 0.01 Work Shift: Days (United States of America) Registered Nurse (RN) Case Manager -Rappahannock General Hospital - PRN Are you passionate about improving the patient's experience through high quality, convenient, and connected care delivery? Welcome to Rappahannock General Hospital, the way it should be. At Bon Secours , we understand the many complexities of life and healthcare, which is why our team strives to create a better, easier experience for our patients who are transitioning out of inpatient hospital care. We are seeking highly motivated and skilled professionals who share a passion for excellence in case management. WHY you should join our Team: Teamwork: Rappahannock Case Managers believe in working together for the benefit of their patients. Patient Centered Care: Each case manager strives to honor the patient centered care provided during the patient's hospital stay by focusing on successful transitions from the hospital. Leadership: Supportive leadership at the executive level fosters an environment of growth and mentorship for new and upcoming leaders. Primary Function/General Purpose of Position The RN Case Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process, the RN Case Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing. The RN Case Manager is responsible for screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at the right time and at the right place.

Requirements

• BLS Basic Life Support – American Heart Association (required)
• RN License in the state in which they are working or covered by compact (required)
• 1 year of experience in clinical setting (required)
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
• Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
• Physical Requirements Manual dexterity (eye/hand coordination)
• Maneuver weight of patients
• Perform shift work
• Hear alarms/telephone/audio recordings
• Finger Dexterity
• Acuity – near
• Use of Latex products
• Skills Care management
• Discharge planning
• Patient Advocacy
• Flexible Care Planning
• Care Coordination
• Analyzing data or information
• Reimbursement methodologies
• Staffing workflow and bed allocation
• Clinical knowledge
• Tracking
• Working knowledge of local and state resources
• Knowledge of government and non-government payor practices, regulations, standards and reimbursement
• Knowledge Sharing
• Attention to detail
• Critical thinking
• Communication with family members
• Conflict resolution
• Proactive
• Problem Solving
• Active listening
• Relationship building
• Effective problem solving
• Teamwork
• Facilitation

Nice To Haves

• Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred)
• Bachelor of Science in Nursing (preferred for BSMH, required for RSFH)
• 3 years of experience in an acute care clinical setting (preferred)
• Ambulatory or post-acute, care coordination experience (preferred)

Responsibilities

• Identifies and prioritizes patients in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors.
• Plans with the patient, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes.
• Monitors and revises the plan as indicated when patient condition changes.
• Completes all necessary documentation.
• Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients.
• Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. Documentation will reflect plan of care to address post hospital care needs and resources and evidence of patient, family or caregiver involvement in planning. Ensuring patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
• Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention.
• Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
• Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment.
• Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.
• Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician.
• Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner.
• Participates in department clinical outcome projects as well as process improvement initiatives within the care management department.
• Works collaboratively with peers to achieve facility and department goals and daily work as evidenced by appropriate and timely communication which is respectful and clear. Shares responsibilities, promoting team based approach to accomplish work. Strong collaborative partnerships with other members of the care team.
• Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership.
• Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population.

Benefits

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

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees