RN Care Mgr III

Covenant Health•Knoxville, TN

10d•Onsite

About The Position

The RN Care Manager III 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 actively seeks research opportunities to identify best practices. The RN Care Manager III has responsibility, accountability, and authority for comprehensive care coordination and for planning, implementing, monitoring, and evaluating outcomes of care for a designated patient population. This position is part of the nursing unit leadership team and reports directly to the facility Manager/Coordinator of Quality and Care Management. The position is full-time, 80 hours per pay period, on the day shift at Parkwest Medical Center. Parkwest Medical Center is Covenant Health’s flagship facility in West Knoxville and provides advanced cardiac, breast health, emergency, and critical care services. It is part of Covenant Health, the region’s largest employer.

Requirements

Bachelor’s degree in Nursing or a related field.
At least 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.

Responsibilities

Use case-finding criteria and information from medical records, physicians, patients, families, and other sources to assess needs and develop comprehensive patient care plans.
Coordinate documentation review with Clinical Documentation Improvement specialists to ensure appropriate clinical documentation supports care planning and expected length of stay.
Evaluate patient progress daily using the nursing process, discuss progress with patients and caregivers, document findings, and adjust care management plans as clinical needs change.
Secure resources through multidisciplinary care management to support timely, efficient, and cost-effective services.
Research, design, and implement practice guidelines and clinical care designs with physicians, nursing, and other health care team members.
Identify goals, objectives, and actions to address patient needs; collaborate and communicate with physicians and the health care team to plan and implement care, documenting communication in the medical record.
Visit patients according to the care plan and provide education on medications, treatment plans, discharge instructions, and care modalities.
Participate in daily multidisciplinary rounds and ensure appropriate disciplines are available.
Collaborate with the Nurse Manager to support sound clinical practice and develop staff or patient educational activities as needed.
Coordinate with physicians, physician offices, home health agencies, rehabilitation and long-term care facilities, and third-party payers to identify goals and appropriate, cost-effective care.
Document patient goals, care management interventions, and transition plans; serve as a liaison among patients, families, physicians, and the health care team.
Coordinate, organize, secure, integrate, modify, and document resources required for the discharge plan, including arranging coverage for needed community services when necessary.
Gather information to evaluate care management plans and activities; mobilize the health care team and resources to support transitions to the appropriate next level of care.
Identify care-process variances, communicate them, and initiate actions to mitigate them.
Keep current with quality requirements related to core measures, Conditions of Participation, Leapfrog, and other regulatory bodies; monitor for potential healthcare-acquired conditions and hospital-acquired infections and initiate preventive actions.
Coordinate transition planning, including multidisciplinary bedside rounds with caregivers and the health care team, and evaluate and modify care management plans as needed.
Use statistical analysis to measure clinical and fiscal variances from care guidelines, protocols, and core measures; develop reporting mechanisms for communicating outcomes.
Support cost containment and performance improvement; monitor outcome variances, identify causes, implement corrective actions, and evaluate improvement.
Research best practices, participate in quality improvement initiatives, and address end-of-life issues with physicians, families, and the health care team as they arise.
Protect patient privacy when coordinating with facilities, services, and departments involved in interdisciplinary discharge planning.
Advocate for patients and provide care management services within registered nurse scope of practice and applicable legal and regulatory standards.
Follow policies, procedures, and safety standards; complete annual education assignments; work toward goals and participate in requested quality improvement initiatives.
Research, plan, develop, and assist with patient education, including return demonstrations to assess patient and family understanding of inpatient care and post-discharge needs.
Participate in staff development, orientation, and unit meetings through mentoring, consultation, presentations, and clinical direction.
Participate in hiring, supervision, education, orientation, evaluation, and disciplining of staff.
Administer hospital policies applicable to the assigned patient population.