Bon Secours Mercy Health
Registered Nurse (RN) Care Manager - Memorial Regional Medical Center
Bon Secours Mercy Health, Mechanicsville, Virginia, United States, 23116
Registered Nurse (RN) Care Manager – Memorial Regional Medical Center
Join to apply for the
Registered Nurse (RN) Care Manager – Memorial Regional Medical Center
role at
Bon Secours Mercy Health .
Job Summary At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
The RN Care Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process: the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual’s health and health related needs, including social determinants that affect overall well‑being. The RN 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 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 members of the 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 to reflect the needs of the patients.
Documentation will reflect plan of care to address post‑hospital care needs and resources and evidence of patient, family or caregiver involvement in planning.
Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention.
Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offers alternatives to acute care to the care team.
Education None
Licensure / Certification
BLS Basic Life Support – American Heart Association (required)
RN License in the state in which they are working or covered by compact (required)
Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred)
Experience
1 year of experience in clinical setting (required)
3 years of experience in an acute care clinical setting (preferred)
Ambulatory or post‑acute, care coordination experience (preferred)
Training None
Skills and Abilities Hard / Technical / Clinical Skills
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
Working knowledge of local and state resources
Knowledge of government and non‑government payor practices, regulations, standards and reimbursement
Soft / Interpersonal Skills
Knowledge sharing
Attention to detail
Critical thinking
Communication with family members
Conflict resolution
Proactive
Problem solving
Active listening
Relationship building
Effective problem solving
Teamwork
Facilitation
What We Offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short‑and long‑term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
Equal Opportunity Statement 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. 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.
Job Details
Seniority level: Entry level
Employment type: Full‑time
Job function: Health Care Provider
Industries: Hospitals and Health Care
#J-18808-Ljbffr
Registered Nurse (RN) Care Manager – Memorial Regional Medical Center
role at
Bon Secours Mercy Health .
Job Summary At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
The RN Care Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process: the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual’s health and health related needs, including social determinants that affect overall well‑being. The RN 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 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 members of the 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 to reflect the needs of the patients.
Documentation will reflect plan of care to address post‑hospital care needs and resources and evidence of patient, family or caregiver involvement in planning.
Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention.
Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offers alternatives to acute care to the care team.
Education None
Licensure / Certification
BLS Basic Life Support – American Heart Association (required)
RN License in the state in which they are working or covered by compact (required)
Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred)
Experience
1 year of experience in clinical setting (required)
3 years of experience in an acute care clinical setting (preferred)
Ambulatory or post‑acute, care coordination experience (preferred)
Training None
Skills and Abilities Hard / Technical / Clinical Skills
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
Working knowledge of local and state resources
Knowledge of government and non‑government payor practices, regulations, standards and reimbursement
Soft / Interpersonal Skills
Knowledge sharing
Attention to detail
Critical thinking
Communication with family members
Conflict resolution
Proactive
Problem solving
Active listening
Relationship building
Effective problem solving
Teamwork
Facilitation
What We Offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short‑and long‑term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
Equal Opportunity Statement 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. 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.
Job Details
Seniority level: Entry level
Employment type: Full‑time
Job function: Health Care Provider
Industries: Hospitals and Health Care
#J-18808-Ljbffr