Rn Manager Jobs

About The Position

Requirements

• Current Alabama RN licensure.
• At least 2 years of RN experience.
• Knowledge of managed care, governmental payers, and third-party reimbursement.
• Skill using Microsoft Office applications and information systems, including MIDAS.
• Demonstrated critical-thinking skills and ability to prioritize workload.
• Ability to exercise clinical judgment and make autonomous decisions.
• Strong interpersonal skills for professional and lay interactions.
• Strong organizational skills.
• Working knowledge of performance-improvement activities.
• Working knowledge of data-management and reporting practices.
• Strong communication skills.
• Ability to form positive, collaborative relationships with physicians, colleagues, hospital staff, patients, families, and external contacts.
• Ability to provide guidance and direction to subordinates, including setting performance standards and monitoring performance.
• Ability to encourage mutual trust, respect, and cooperation among team members.
• Ability to communicate with people outside the organization and represent the organization to the public, government, and other external sources.
• Ability to work independently or within a team structure.
• Ability to read, legibly write, speak, and comprehend English.
• Ability to operate a telephone and computer.
• Ability to tolerate prolonged periods of sitting, standing, and/or walking; reach reasonable distances to handle equipment; and demonstrate good manual and finger dexterity.
• Ability to perform the duties with or without reasonable accommodation.
• Normal hearing and vision, or correction to within the normal range.
• Physical presence onsite is essential.
• Ability to perform light work, exerting up to 20 pounds occasionally, up to 10 pounds frequently, and negligible force constantly to move objects.

Nice To Haves

• BSN and/or a related bachelor’s degree in a healthcare field.
• Relevant experience in utilization management and/or case management.

Responsibilities

• Complete face-to-face assessments of new patients in the caseload within 72 hours or the next business day to determine inpatient rehabilitation appropriateness, level of care, and care-planning needs.
• Consult attending physicians about potential care-transition barriers identified during assessment.
• Coordinate the transition process with the multidisciplinary team and the patient or family, and help execute plans and interventions that facilitate the stay and manage length of stay.
• Proactively facilitate patient care conferences and complex case conferences to reduce avoidable readmissions and delayed discharges.
• Provide Medicare patients with an Important Message notice and choice, as appropriate.
• Identify and report process-improvement opportunities.
• Monitor and facilitate the appropriateness of tests, procedures, consultations, treatment plans, and resource utilization.
• Collaborate with social workers for patients with complex clinical, financial, or psychosocial needs.
• Review physician orders and patient progression daily, intervening with care coordination as needed.
• Collaborate with other departments to eliminate barriers to care as necessary.
• Participate in interdisciplinary team conferences and meetings, promote comprehensive coordinated care plans, and monitor progress against goals.
• Provide clear and timely information about the patient’s plan of care to the next provider.
• Build trusting relationships with attending physicians, patients and families, and other healthcare team members.
• Maintain contact with patients, families, physicians, and team members to support cost-effective care and use of appropriate in-network providers.
• Establish caring relationships with patients and caregivers, promote patient engagement, and guide them through the transition phase.
• Develop comprehensive care-transition plans in accordance with clinical guidelines and standards of care; organize, secure, integrate, and modify resources needed to meet plan goals.
• Document the plan of care and updates or changes in the electronic medical record.
• Arrange home care, durable medical equipment, infusion, and other post-acute services in partnership with the social worker and appropriate services.
• Maintain working relationships with community providers.
• Assist with medication issues for patients as needed.
• Assist in obtaining legal guardianship and competency determinations, handle adoption-related situations and cases involving abuse concerns, and ensure required legal documents are completed.
• Collaborate with the Director of Rehab as needed.
• Provide counseling and support as needed.
• Identify cases that may benefit from palliative care and request palliative consultations as needed.
• Serve as a resource to patients, physicians, administration, and other disciplines regarding care management functions and expertise.
• Participate in defining, maintaining, and interpreting care management standards of practice.
• Assess and educate patients and families about community agencies and resources.
• Educate and reinforce early identification of changes in patient condition and care-transition plans.
• Take responsibility for professional growth and share knowledge with coworkers and other healthcare providers.
• Perform assigned work safely, follow departmental safety standards, and report unsafe activities, conditions, hazards, or safety violations promptly.
• Maintain performance, patient and employee satisfaction, and financial standards established in performance evaluations.
• Meet compliance requirements in the Employee Handbook and adhere to DCH Behavioral Standards and all DCH Health System policies and procedures.
• Perform essential job functions in a way that ensures safety, identify and reduce unsafe practices, and take appropriate action to reduce risks and hazards.
• Use electronic mail, time and attendance software, learning management software, and the intranet.
• Perform other duties as assigned.