Overview Register to apply for the Registered Nurse (RN) - Care Manager role at Bon Secours .
With a legacy that spans over 150 years, Bon Secours is a network dedicated to providing excellent care through exceptional people. As a faith-based and patient-focused organization, Bon Secours seeks people committed to values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.
Job Summary The RN Care Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role uses a collaborative process to identify, assess, plan, implement and evaluate the options and services required to meet an individual’s health and health-related needs, including social determinants that affect overall wellbeing. The RN Care Manager screens, identifies, and assesses individuals in need of active Case Management services and promotes the right resources at the right time and place.
Essential Functions Identifies and prioritizes patients in need of care management services using a holistic approach that includes biopsychosocial, functional, cultural, spiritual, and financial factors. Plans with the patient, caregivers and healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes.
Completes all necessary documentation. Maintains clear, concise, and timely documentation in the patient record. Handovers are expected at points of level of care change, staff change, and care transitions.
Documentation reflects the plan of care to address post-hospital care needs and resources, with evidence of patient, family or caregiver involvement in planning. Ensures patient and caregiver treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
Follows standardized practices and processes related to Advance Care Planning, Length of Stay management and readmission prevention.
Supports denial prevention related to medical necessity by addressing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
Promotes proactive care for patients, assisting in removing barriers to timely testing and treatment. Ensures resources are utilized appropriately and offers alternatives to acute care to the care team.
Education BLS Basic Life Support – American Heart Association (required)
RN License in the state of practice or compact state (required)
Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from CCMC or ANCC Nursing Case Management board certification (preferred)
Experience 1 year of experience in a clinical setting (required)
3 years of experience in an acute care clinical setting (preferred)
Ambulatory or post-acute care coordination experience (preferred)
Skills And Abilities Care management
Discharge planning
Patient advocacy
Flexible
Care planning
Care coordination
Analyzing data or information
Reimbursement methodologies
Staffing workflow and bed allocation
Clinical knowledge
Tracking
Knowledge of local and state resources
Knowledge of payor practices, regulations and reimbursement
Communication with family members
Conflict resolution
Proactive problem solving
Active listening
Relationship building
Teamwork
Facilitation
Benefits Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance with AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational assistance
And more
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. For copies of affirmative action or equal opportunity policies, please contact the Talent Acquisition Team at recruitment@mercy.com.
Seniority level : Entry level
Employment type : Full-time
Job function : Health Care Provider
Industries : Hospitals and Health Care