Rn Case Manager (Nonexempt)
Company: Bon Secours
Location: Richmond
Posted on: January 26, 2023
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Job Description:
Thank you for considering a career at Bon Secours!Primary
Function/General Purpose of Position -Responsible for providing
coordination of care for patients to support safe, seamless, timely
transitions across the continuum. Utilizing a collaborative
process, the care manager will identify (using quantitative and
qualitative methods), 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
ones' overall wellbeing. The care manager is responsible for
screening/identification and assessment of individuals in need of
active Case Management services and promotes the right resources,
at the right time and at the right place.Essential Job
FunctionsEarly identification and prioritization of patients in
need of care management services, using a holistic approach
inclusive of biopsychosocial, functional, cultural, spiritual, and
financial factors. Plans with the patient, family, other
caregivers, and other members of the healthcare team to maximize
health care responses, quality, and cost-effective outcomes,
monitors and revises as indicated or/and when patient condition
changes. Completes all necessary care management documentation.
Handovers are expected to be utilized at points of level of care
change, staff change, weekends as well as care
transitions.Maintains clear, concise and timely documentation in
the patient record (in which CM is providing services to) to
reflect physical and functional limitations, psychosocial
characteristics, educational needs of patient and family/caregiver,
financial, and transitional needs. Initiates referrals to
disciplines as indicated. Documentation will reflect plan of care
to address post-hospital care needs/resources and evidence of
patient, family/caregiver involvement in planning. Ensuring
patient's and caregiver's 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, LOS/LOC management,
readmission prevention, supports denial prevention related to
medical necessity through addressing/removing barriers to
progression of care, Interdisciplinary Discharge Rounding, patient
satisfaction related to transitions of care, transitional
management to the next level of care.Supports and promotes
assertive, proactive care for inpatients and observation patients,
assisting in removing barriers related to achieving timely testing
and treatment, and ensures resources are utilized appropriately. If
continued treatment can potentially be managed in the ambulatory
setting, the care manager will collaborate with the physician and
care team offering alternatives to acute care, and escalate to care
management leader and/or physician champion at the facility level
if warranted to resolve barriers.Works in collaboration with
revenue cycle partners to help remove barriers to ensure patients
are converted to the appropriate classification as guided by the
physician, ensuring CC 44 process is followed.Participates in
nursing unit and department clinical outcome projects as well as
process improvement initiatives within care management. Works
collaboratively with peers to achieve facility and department goals
and daily work as evidenced by appropriate and timely communication
which is respectful and clear. Shares responsibilities, promoting
team-based approach to accomplish work. Understands data relative
to patient population and utilizes information to improve clinical
and financial outcomes, and support facility goals. Strong
collaborative partnerships with nursing and physicians, other care
team members required.The care manager shall support and follow
compliance rules and regulations such as CC 44, IMM, ABNS, HINs,
Moon, Bundle letters, and Conditions of Participation for DC
Planning and Utilization Management, and address opportunities or
potential concerns with leadership. Identifies potential or current
patient situations which require referral to other members of the
health care team such as infection control, risk management, legal
or quality management. Keeps facility and CM leadership abreast of
potential issues.This document is not an exhaustive list of all
responsibilities, skills, duties, requirements, or working
conditions associated with the job. Employees may be required to
perform other job-related duties as required by their supervisor,
subject to reasonable accommodation.Licensing/CertificationBLS
Basic Life Support - American Heart Association (required)Acute
Registered Nurse (RN) (BSN highly preferred).Social Work licensure
(preferred)Case Management Certification preferred (ACM, CCM, or
ANCC); required within 3 yearsEducationBachelor's in social work or
other healthcare-related field degree (required)Master's in social
work or other healthcare-related field (preferred)Associate degree
in nursing required for RNs: must start BSN program within 2 years
of hire and complete BSN within 5 years; BSN or higher
preferredWork ExperienceExperience in clinical setting
(required)1-2 years of experience in an acute care clinical setting
(preferred)Ambulatory or post-acute, care coordination experience
(preferred)TrainingEPIC Electronic Health Record (preferred)Bon
Secours is an equal opportunity employer.Many of our opportunities
reward* your hard work with:Comprehensive, affordable medical,
dental and vision plansPrescription drug coverageFlexible spending
accountsLife insurance w/AD&DEmployer contributions to
retirement savings plan when eligiblePaid time offEducational
AssistanceAnd much more*Benefits offerings vary according to
employment statusScheduled Weekly Hours:40Work Shift:Days/Evenings
(United States of America)Department:Case Mgmt - Memorial Regional
Medical Ctr RichmondAll 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. If you'd like to
view a copy of the affirmative action plan or policy statement for
Mercy Health - Youngstown, Ohio or Bon Secours - Franklin,
Virginia; Petersburg, Virginia; and Emporia, Virginia, which are
Affirmative Action and Equal Opportunity Employers, please email
recruitment@mercy.com. If you are an individual with a disability
and would like to request a reasonable accommodation as part of the
employment selection process, please contact The Talent Acquisition
Team at recruitment@mercy.com.
Keywords: Bon Secours, Richmond , Rn Case Manager (Nonexempt), Healthcare , Richmond, Virginia
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