Registered Nurse (RN) - Care Manager - St. Elizabeth Youngstown Hospital

Bon Secours Mercy Health • Youngstown, OH

20h • Onsite

About The Position

The RN Care Manager coordinates patient care to support safe, seamless, and timely transitions across the continuum. Using a collaborative process, the role identifies, assesses, plans, implements, and evaluates options and services needed to meet patients’ health and related needs, including social determinants affecting overall well-being. The RN Care Manager screens for and assesses individuals who need active case management and helps ensure the right resources are available at the right time and place.

The position works with patients, caregivers, and the healthcare team to plan care, monitor and revise plans as conditions change, document patient needs and care transitions, and support treatment goals and preferences. It also contributes to length-of-stay management, readmission prevention, denial prevention, timely testing and treatment, and appropriate use of resources and alternatives to acute care.

Requirements

• Bachelor of Science in Nursing is preferred for BSMH and required for RSFH.
• Basic Life Support (BLS) certification from the American Heart Association is required.
• RN license in the state of employment or a compact-covered license is required.
• At least 1 year of experience in a clinical setting is required.
• Skills in care management, discharge planning, patient advocacy, flexible care planning, and care coordination.
• Ability to analyze data or information and knowledge of reimbursement methodologies, staffing workflow, and bed allocation.
• Clinical knowledge and ability to track information.
• Working knowledge of local and state resources.
• Knowledge of government and non-government payer practices, regulations, standards, and reimbursement.
• Interpersonal skills including knowledge sharing, attention to detail, critical thinking, communication with family members, conflict resolution, proactive problem solving, active listening, relationship building, teamwork, and facilitation.

Nice To Haves

• Accredited Case Manager (ACM) certification from the American Case Management Association, Certified Case Manager (CCM) certification from the Commission for Case Manager Certification, or ANCC Nursing Case Management board certification.
• At least 3 years of experience in an acute care clinical setting.
• Ambulatory or post-acute care coordination experience.

Responsibilities

• Identify and prioritize patients who need care management services using a holistic approach that considers biopsychosocial, functional, cultural, spiritual, and financial factors.
• Plan with patients, caregivers, and healthcare team members to maximize healthcare responses and achieve quality, cost-effective outcomes.
• Monitor and revise care plans when a patient’s condition changes.
• Complete necessary documentation and maintain clear, concise, and timely records reflecting patient needs.
• Use handovers when the level of care or staff changes and during care transitions.
• Document plans addressing post-hospital care needs and resources, including evidence of patient, family, or caregiver involvement.
• Incorporate patients’ and caregivers’ treatment goals and preferences into transition planning and communicate them to the multidisciplinary team.
• Follow standardized practices for advance care planning, length-of-stay management, and readmission prevention.
• Support denial prevention related to medical necessity by addressing or removing barriers to progression of care and participating in interdisciplinary discharge rounds.
• Promote proactive care and help remove barriers to timely testing and treatment.
• Ensure appropriate use of resources and offer alternatives to acute care to the care team.

Benefits

• Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level