RN Care Mgr III

Covenant Health • Knoxville, TN

3d • 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 seeks research opportunities to identify best practices. The RN Care Manager III is accountable for comprehensive care coordination and for planning, implementing, monitoring, and evaluating outcomes of care 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.

The position is part-time, 48 hours per pay period, on the day shift at Fort Sanders Regional Medical Center. The hospital is a 444-bed facility and a Joint Commission Comprehensive Stroke Center, with specialized services including bariatric, robotic, minimally invasive spine, and advanced orthopedic care. It is part of Covenant Health, a nonprofit health system serving East Tennessee.

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

• Screen patients using case-finding criteria and gather information from medical records, physicians, patients, families, and other sources to develop a comprehensive care plan.
• Review clinical documentation with the Clinical Documentation Improvement specialist as needed and evaluate daily progress toward patient objectives; modify care plans as clinical needs change.
• Secure resources through a multidisciplinary care management approach to provide timely, efficient, and cost-effective services.
• Research, design, and implement practice guidelines and clinical care designs in collaboration with physicians, nursing, and other health care team members.
• Identify objectives, goals, and actions to address patient needs; collaborate with the care team to plan and implement care and document communications in the medical record.
• Visit patients according to the care plan and provide education about medications, treatment, discharge instructions, and other modalities.
• Participate in daily multidisciplinary rounds and ensure appropriate disciplines are available.
• Collaborate with the Nurse Manager on sound clinical practices and help develop educational activities for staff and patients.
• Coordinate with physicians, physician offices, home health agencies, rehabilitation and long-term care facilities, and third-party payers to arrange appropriate and cost-effective care.
• Document care management activities, patient goals, and transition plans; serve as a liaison among patients and families, physicians, and the health care team.
• Coordinate and secure resources, including community services, needed to carry out the discharge plan.
• Monitor care management plans and outcomes, identify and mitigate variances, and coordinate transitions to the appropriate next level of care.
• Stay current with quality requirements related to core measures, Conditions of Participation, Leapfrog, and other regulatory bodies; monitor for Healthcare Acquired Conditions and Hospital Acquired Infections and initiate preventive actions.
• Lead or ensure multidisciplinary bedside rounds and evaluate and revise care management plans to support patient transitions and outcomes.
• Use statistical analysis to measure clinical and fiscal variances, develop reporting mechanisms, communicate outcomes, and support cost-containment and performance-improvement efforts.
• Research best practices, participate in quality improvement initiatives, address end-of-life issues with the care team and family, and maintain patient privacy during discharge planning.
• Advocate for patients and provide care management within registered nurse scope of practice while following legal, regulatory, policy, procedure, and safety requirements.
• Complete required annual education and participate in quality improvement initiatives as requested.
• Research, plan, develop, and assist with patient education, including confirming patient and family understanding through return demonstration.
• 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; administer applicable hospital policies.

Benefits

• The job posting describes Covenant Health employee benefits including tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs.

What This Job Offers

• Job Type: Part-time
• Career Level: Senior