RN CARE MGR III

Covenant Health•Knoxville, TN

12d•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 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 is a full-time position at Parkwest Medical Center, working 80 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 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 comprehensive care plans.
Review clinical documentation with Clinical Documentation Improvement specialists as needed to support appropriate documentation and expected-length-of-stay planning.
Use the nursing process to evaluate progress toward daily objectives, discuss progress with patients and caregivers, and document findings.
Adapt care management plans as patient needs and clinical conditions change, securing resources through a multidisciplinary approach.
Research, design, and implement practice guidelines and clinical care designs in collaboration with physicians, nursing staff, 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 care, documenting communications in the medical record.
Visit patients according to the care plan 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 support sound clinical practices and help develop educational activities for staff and patients.
Work with physicians to identify necessary resources and support their appropriate use.
Communicate with physician offices, home health agencies, rehabilitation and long-term care facilities, and third-party payers to establish goals and appropriate, cost-effective care.
Document care management activities, interventions, goals, and transition plans in patients’ medical records.
Serve as a liaison among patients and families, physicians, and the health care team.
Coordinate, organize, secure, integrate, modify, and document resources needed to achieve discharge-plan goals; broker coverage for community services when necessary.
Gather information from relevant sources to assess the effectiveness of care management plans and services.
Coordinate health care team resources to support transitions to appropriate levels of care and identify and mitigate variances in care processes.
Stay current with quality requirements involving core measures, Conditions of Participation, Leapfrog, and other regulatory bodies.
Monitor the patient population for potential Healthcare Acquired Conditions and Hospital Acquired Infections and initiate preventive actions.
Coordinate bedside multidisciplinary rounds with caregivers and the health care team to achieve desired transition outcomes and goals.
Evaluate and modify care management plans to meet patient needs.
Use statistical analysis techniques to measure clinical and fiscal variances from care 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, and communicate outcomes to stakeholders.
Identify causes of outcome variances, implement corrective actions, and evaluate their effectiveness.
Seek efficient, cost-effective ways to provide appropriate care and research best practices for achieving patient outcomes.
Participate in quality improvement initiatives and address end-of-life issues with physicians, families, and the health care team.
Maintain patient privacy information shared 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.
Follow policies, procedures, and safety standards; complete annual education assignments; work toward goals and objectives; and participate in quality improvement initiatives as requested.
Research, plan, develop, and assist with patient education, using return demonstrations to confirm patient and family understanding of inpatient care 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.
Administer hospital policies applicable to the assigned patient population.