RN CARE MGR II

Covenant Health•Lenoir City, TN

55d•Onsite

About The Position

The RN Care Manager II integrates evidence-based clinical practice into the patient care setting, coordinates education for staff and patients, and serves as a clinical resource and consultant to the health care team. The role promotes patient care coordination and quality through collaborative development of practice guidelines and clinical pathways that support quality improvement, and seeks research opportunities to identify best practices. The RN Care Manager II is accountable for comprehensive care coordination and for planning, implementing, monitoring, and evaluating care outcomes for a designated patient population. The position is part of the nursing unit leadership team and reports directly to the facility Manager/Coordinator of Quality and Care Management. This full-time role is at Fort Loudoun Medical Center in Lenoir City, Tennessee, and is listed as 80 hours per pay period on the day shift. The RN Care Manager II assesses patients’ needs, coordinates multidisciplinary care, supports evidence-based practice and quality initiatives, facilitates patient and staff education, and coordinates discharge and transitions to appropriate levels of care. The position also monitors clinical and fiscal outcomes, supports cost containment, and advocates for patients while providing services within the scope and standards of registered nursing practice.

Requirements

Bachelor’s degree in Nursing or a related field, or certification as specified in the licensure requirement.
Four years of experience as a Registered Nurse.
At least three years of experience in the area of assigned responsibility.
Current Tennessee RN license.
Current certification in Case Management (CCM), ACM, or CPHQ, or a bachelor’s degree in Nursing or a related field.

Responsibilities

Screen patients using case-finding criteria and gather information from medical records, physician documentation and communication, patients and families, and other sources to develop comprehensive care plans.
Review documentation with Clinical Documentation Improvement specialists as needed to support appropriate clinical documentation and expected length-of-stay planning.
Use the nursing process to evaluate patient progress daily, discuss findings with patients and caregivers, and document whether daily objectives are being met.
Modify case management plans as patients’ clinical needs change and secure resources through a multidisciplinary approach.
Research, design, and implement practice guidelines and clinical care designs with physicians, nursing, and other health care team members.
Identify objectives, goals, and actions to address patients’ identified needs.
Collaborate and communicate with physicians and the health care team to plan and implement timely patient care, documenting communication in the medical record.
Visit patients according to the plan of care and provide education on medications, treatment plans, discharge instructions, and care modalities as needed.
Participate in daily multidisciplinary rounds and ensure appropriate disciplines are available.
Work with the Nurse Manager to support sound clinical practice and develop educational activities for staff and patients as needed.
Work with physicians to identify necessary resources and ensure appropriate utilization.
Coordinate with physician offices, home health agencies, rehabilitation facilities, long-term care facilities, and third-party payers to establish goals and appropriate, cost-effective care; document goals and transition plans in the medical record.
Execute and document Care Management activities and interventions related to specific patient goals.
Serve as a liaison among patients and families, physicians, and the health care team.
Coordinate, organize, secure, integrate, modify, and document resources needed to accomplish discharge-plan goals; broker coverage for community services when necessary.
Gather information from relevant sources and documentation to assess the effectiveness of care management plans, activities, and services.
Mobilize resources and coordinate the health care team to support patient transitions to the appropriate next level of care.
Identify and communicate care-process variances and initiate actions to mitigate them.
Stay current on quality requirements related to core measures, Conditions of Participation, Leapfrog, and other regulatory bodies to support compliance for the assigned population.
Monitor patients for potential Healthcare Acquired Conditions and Hospital Acquired Infections and initiate preventive actions.
Ensure daily multidisciplinary bedside rounds with caregivers and the health care team to support desired outcomes and goals.
Evaluate and modify care management plans as needed to meet patient needs.
Use statistical analysis techniques to measure clinical and fiscal variances from established guidelines, care designs, protocols, and core measures.
Develop reporting mechanisms to communicate outcomes to physicians and other health care team members.
Support cost containment by recommending performance improvement opportunities and maintaining fiscal awareness through timely communication of outcomes to stakeholders.
Monitor outcome variances concurrently, identify their causes, implement improvement actions, and evaluate corrective actions.
Seek efficient and cost-effective ways to provide appropriate care and research best practices for achieving patient outcomes.
Participate in quality improvement initiatives for the assigned population.
Address end-of-life issues with physicians, families, and other health care team members as they arise.
Maintain patient privacy when communicating with facilities, services, and departments involved in interdisciplinary discharge planning rounds.
Advocate for patients and provide care management services within the registered nurse scope of practice and applicable legal and regulatory standards.
Research, plan, develop, and assist with patient education; use return demonstration to confirm patient and family understanding of inpatient care plans and post-discharge needs.
Participate in staff development, orientation, and unit meetings through mentoring, consultation, educational presentations, and clinical direction.
Participate in hiring, supervision, education, orientation, evaluation, and discipline of staff.
Follow policies, procedures, and safety standards; complete annual required education; work toward goals and objectives; and participate in requested quality improvement initiatives.