Registered Nurse (RN) Care Manager - Southern Virginia Medical Center Join to apply for the Registered Nurse (RN) Care Manager role at Bon Secours. This PRN position provides care coordination to support safe, seamless, timely transitions across the continuum. The RN Care Manager identifies, assesses, plans, implements, and evaluates options and services to meet health and health-related needs, including social determinants that affect wellbeing. This role screens, identifies, and assesses individuals in need of active Case Management services and promotes the right resources at the right time and place.
Key details : This is a PRN position working as needed. Orientation is 3 days per week for 6-8 weeks.
Essential Job Functions Identifies and prioritizes patients in need of care management services using a holistic approach inclusive of 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 in the patient record to reflect the needs of the patients. Utilize handovers at points of level of care change, staff change, and during care transitions.
Documentation reflects plan of care for post-hospital care needs and resources, with patient, family, or caregiver involvement in planning. Ensures patient and caregiver goals and preferences are incorporated into transition of care planning and communicated to the multidisciplinary team.
Follows standardized practices related to Advance Care Planning, Length of Stay management, and readmission prevention.
Supports denial prevention related to medical necessity by addressing/removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
Supports proactive care, removing barriers to timely testing and treatment. Ensures resources are used appropriately and offers alternatives to acute care to the care team.
Collaborates with revenue cycle partners to remove barriers and ensure correct patient classification as guided by the physician.
Works with patient access to ensure regulatory letters are delivered in a timely manner.
Participates in department clinical outcome projects and process improvement initiatives within the care management department.
Collaborates with peers to achieve facility and department goals; communicates respectfully and clearly.
Shares responsibilities and promotes a team-based approach to accomplish work; maintains strong collaborative partnerships with care team members.
Adheres to compliance rules and regulations as mandated by CMS and Conditions of Participation for discharge planning and utilization management; communicates opportunities or concerns to leadership.
Stays informed about community resources to facilitate safe transitions and remains current on clinical advancements related to the primary patient population. This description is not exhaustive; employees may perform other duties as required by supervision.
Licensing/Certification BLS Basic Life Support – American Heart Association (required)
RN License in the state of practice or covered by compact
Accredited Case Manager Certification (ACM) or Certified Case Manager (CCM) or ANCC Nursing Case Management board certification (preferred)
Education Bachelor of Science in Nursing (preferred for BSMH, required for RSFH)
Work Experience 1 year of experience in a clinical setting (required); 3 years of experience in an acute care clinical setting (preferred)
About Us Ambulatory or post-acute care coordination experience (preferred). Bon Secours is a faith-based, patient-focused organization committed to compassion, collaboration, excellence and respect. We seek individuals who share our values of compassion, human dignity, integrity, service and stewardship.
Benefits may include comprehensive medical, dental and vision plans, prescription drug coverage, flexible spending accounts, life insurance with AD&D, retirement plan contributions, paid time off, educational assistance, and more. Benefits offerings vary by employment status.
All applicants will be considered without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, disability, or protected veteran status. Reasonable accommodations are available during the selection process.