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RN CARE MGR II

Covenant Health•Knoxville, TN
•Onsite

About The Position

The RN Care Manager II 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 position promotes patient care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement, and seeks research identifying best practices. The role is accountable for comprehensive care coordination and for planning, implementing, monitoring, and evaluating care outcomes for a designated patient population. The RN Care Manager II is part of the nursing unit leadership team and reports directly to the facility Manager/Coordinator of Quality and Care Management. This is a PRN/OCC position with variable hours per pay period and varied shifts at Fort Sanders Regional Medical Center, a 444-bed hospital and part of Covenant Health. The role coordinates assessment, care planning, multidisciplinary communication, patient education, resource use, monitoring, discharge and transition planning, and quality and fiscal outcomes. It also supports staff development, patient advocacy, and unit leadership activities.

Requirements

  • Bachelor’s degree in Nursing or a related field, or certification as specified in the licensure requirement.
  • 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, or a bachelor’s degree in Nursing or a related field.

Responsibilities

  • Screen patients using case-finding criteria and gather information from medical records, physicians, patients, families, and other sources to develop a comprehensive plan addressing identified needs.
  • Coordinate timely documentation review with Clinical Documentation Improvement specialists as needed to support appropriate medical-record documentation and expected length-of-stay planning.
  • Use the nursing process to evaluate patient progress daily, discuss findings with patients and caregivers, and document whether daily objectives are being met.
  • Modify care management plans as patients’ clinical needs change and secure resources through multidisciplinary coordination to support timely, efficient, and cost-effective services.
  • Research, design, and implement practice guidelines and clinical care designs with physicians, nurses, and other health care team members.
  • Identify objectives, goals, and actions to meet patients’ identified needs.
  • Collaborate and communicate with physicians and the health care team to plan and implement patient care, documenting communication in the medical record.
  • Visit patients according to the plan of care and provide education about medications, treatment plans, discharge instructions, and care modalities.
  • Participate in daily multidisciplinary rounds and ensure the appropriate disciplines are available.
  • Collaborate with the Nurse Manager to support sound clinical practice and help develop staff or patient education activities.
  • Work with physicians to identify necessary resources and support their appropriate utilization.
  • Communicate with physician offices, home health agencies, rehabilitation and long-term care facilities, and third-party payers to establish goals for appropriate, cost-effective, and efficient care.
  • Document care management activities, interventions, patient goals, and transition plans in the medical record.
  • Serve as a liaison among patients and families, physicians, and the health care team.
  • Coordinate, organize, secure, integrate, modify, and document resources needed to accomplish 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.
  • Mobilize resources and coordinate the health care team to support successful transitions to the appropriate next level of care.
  • Identify and communicate care-process variances and initiate actions to mitigate them.
  • Stay current on quality requirements related to core measures, Conditions of Participation, Leapfrog, and other regulatory bodies for the assigned population.
  • Monitor patients for potential healthcare-acquired conditions and hospital-acquired infections and initiate preventive actions.
  • Ensure daily multidisciplinary bedside rounds with caregivers and the health care team to support desired outcomes and goals.
  • Evaluate and revise care management plans to meet patients’ needs.
  • Use statistical analysis techniques to measure clinical and fiscal variances from care guidelines, designs, protocols, and core measures.
  • Develop reporting mechanisms to communicate outcomes to physicians and other health care team members.
  • Support cost containment by recommending performance-improvement opportunities and maintain fiscal awareness by communicating outcomes to stakeholders.
  • Monitor outcome variances, identify their causes, implement improvement actions, and evaluate corrective actions.
  • Seek efficient, cost-effective ways to provide appropriate care and conduct research to identify best practices for achieving patient outcomes.
  • Participate in quality-improvement initiatives for the assigned population.
  • Address end-of-life issues with physicians, families, and other members of the health care team as they arise.
  • Maintain patient privacy when communicating 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.
  • Research, plan, develop, and assist with patient education; use return demonstration to verify 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.
  • Follow policies, procedures, and safety standards; complete annual education assignments; work toward goals and objectives; and participate in quality-improvement initiatives as requested.

Benefits

  • Comprehensive benefits package
  • Tuition reimbursement
  • Student loan assistance
  • Certification bonuses
  • Leadership development programs

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