Rn Manager Jobs

About The Position

Requirements

• Bachelor of Social Work for the MSW Care Manager role.
• Master’s degree in social work or a healthcare-related field is preferred for the MSW Care Manager role.
• Bachelor of Science in Nursing is required for RSFH and preferred for BSMH for the RN Care Manager role.
• BLS Basic Life Support certification from the American Heart Association is required.
• Social worker license in the state of practice is required for the MSW Care Manager role; licensure is preferred in Virginia.
• RN license in the state of work or coverage by a compact license is required for the RN Care Manager role.
• At least 1 year of experience in a clinical setting is required.
• Ability to prioritize simultaneous demands and tolerate frequent interruptions.
• Skills in care management, discharge planning, patient advocacy, care planning and coordination, critical thinking, communication, conflict resolution, active listening, relationship building, problem solving, teamwork, and collaboration.
• MSW Care Manager skills include social work, ethics and end-of-life ethics, clinical supervision, and Microsoft Office.
• RN Care Manager skills include analyzing data, reimbursement methodologies, staffing workflow and bed allocation, clinical knowledge, tracking, local and state resources, and government and non-government payer practices, regulations, standards, and reimbursement.
• Ability to provide care appropriate to patients’ ages and developmental needs across the lifespan.
• Ability to perform shift work and meet the listed physical requirements, including manual and finger dexterity, near visual acuity, hearing alarms and telephone or audio recordings, and maneuvering the weight of patients (MSW role).
• Ability to hear alarms and telephone or audio recordings and meet the listed physical requirements (RN role).

Nice To Haves

• Accredited Case Manager (ACM) certification or Certified Case Manager (CCM) certification for the MSW Care Manager role.
• At least 3 years of experience in an acute-care clinical setting.
• Ambulatory or post-acute care coordination experience.
• For the RN Care Manager role, ACM or CCM certification, or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification.
• Master’s degree in social work or a healthcare-related field for the MSW Care Manager role.
• Bachelor of Science in Nursing for the BSMH RN Care Manager role.

Responsibilities

• Identify and prioritize patients who need social services or care management, using a holistic assessment of relevant patient needs.
• Develop, implement, monitor, and revise care plans with patients, caregivers, and healthcare-team members to support quality, cost-effective care and safe transitions.
• Complete clear, concise, timely patient-record documentation, including transition plans, post-hospital needs, resources, and patient or caregiver involvement and preferences.
• Use handovers at changes in level of care, staff changes, and care transitions (RN role).
• Follow standardized processes for advance care planning, length-of-stay management, and readmission prevention.
• Support denial prevention and medical necessity by addressing barriers to progression of care and participating in interdisciplinary discharge rounds.
• Promote proactive care and timely testing and treatment, remove barriers, and help the care team identify appropriate alternatives to acute care.
• Collaborate with revenue-cycle partners to help ensure appropriate patient classification as guided by the physician.
• Work with patient access to ensure regulatory letters are delivered to patients promptly.
• Participate in clinical outcome projects and care-management process-improvement initiatives.
• Communicate respectfully and clearly, share responsibilities, and collaborate with peers and other care-team members to meet facility and department goals.
• Follow CMS and Conditions of Participation requirements related to discharge planning and utilization management, and raise opportunities or concerns with leadership.
• Stay current on community resources that support safe transitions and on clinical advancements related to the patient population.
• Provide clinical supervision to peers, social workers, and students as appropriate (MSW role).
• Use universal precautions and personal protective equipment, and follow infection-control policies.
• Travel by car to off-site locations as required.

Benefits

• Competitive pay, incentives, and referral bonuses.
• 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.
• Tuition assistance.
• Professional development and continuing education support.