RN CARE MGR III

Covenant Health•Knoxville, TN

About The Position

The RN Care Manager III integrates evidence-based clinical practice into patient care, 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, supports quality improvement, and seeks research that identifies best practices. The RN Care Manager III provides comprehensive care coordination and plans, implements, monitors, and evaluates 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. The role includes assessing patient needs, collaborating with physicians and the multidisciplinary team, coordinating resources and transitions of care, monitoring clinical and fiscal outcomes, supporting quality and cost-containment initiatives, educating patients and staff, and participating in leadership activities. The position is part-time, 48 hours per pay period, on the day shift.

Requirements

Bachelor’s degree in Nursing or a related field.
Four years of experience as a Registered Nurse.
At least three years of experience in the assigned area of 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 records, physicians, patients, families, and other sources to develop a comprehensive care plan.
Coordinate documentation review with Clinical Documentation Improvement specialists as needed to ensure the medical record supports care planning and expected length of stay.
Use the nursing process to evaluate progress toward daily objectives, document findings, and adapt the care management plan to changing patient needs.
Secure needed resources through a multidisciplinary approach 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 objectives, goals, and actions to address patients’ needs and collaborate with the health care team to plan and implement care.
Document communication and care-management goals in the patient’s medical record.
Visit patients and provide education about 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 promote sound clinical practices and develop staff or patient education activities.
Work with physicians and external providers, facilities, agencies, and third-party payers to identify resources and coordinate appropriate, cost-effective care.
Execute and document care-management activities and interventions related to 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 for the care-management discharge plan; broker coverage for community services when necessary.
Gather information to assess the effectiveness of care-management plans and activities.
Mobilize resources and coordinate the health care team to support transitions to the appropriate next level of care.
Identify, communicate, and address variances in the patient’s care process.
Stay current on 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.
Conduct bedside multidisciplinary rounds with caregivers and the health care team to support desired outcomes and goals.
Use statistical analysis to measure clinical and fiscal variances from guidelines, care designs, protocols, and core measures.
Develop reporting mechanisms to communicate outcomes to physicians and other health care team members.
Support cost-containment and performance-improvement efforts, maintain fiscal awareness, monitor outcome variances, identify their causes, and implement and evaluate corrective actions.
Research best practices and 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 coordinating with facilities, services, and departments involved in interdisciplinary discharge planning.
Serve as a patient advocate and provide care-management services within the registered nurse scope of practice and applicable legal and regulatory standards.
Follow policies, procedures, and safety standards; complete required annual education; work toward goals and objectives; and participate in quality-improvement initiatives as requested.
Research, plan, develop, and assist with patient education, including using return demonstrations to verify patient and family understanding.
Participate in staff development, orientation, and unit meetings through mentoring, consultation, presentations, and clinical direction.
Participate in hiring, supervision, education, orientation, evaluation, and discipline of staff.
Administer hospital policies applicable to the assigned patient population.