Care Manager Registered Nurse Part time NEX

Advocate Health; Monroe (NC); Presencial; USD 70 000 - 90 000; Tempo integral

Resumo da oferta

Advocate Health is seeking a Registered Nurse with leadership skills to guide the care team using the RN process and focus on optimal outcomes and resource utilization. The role involves coordinating care across settings, documenting plans of care, and conducting comprehensive needs assessments for identified patients.

Two years of health care experience are required, with BSN mandatory and Master’s preferred. Strong communication and clinical management abilities are essential in this position.

Qualificações

• BSN required.
• Masters preferred.
• Two years' experience in health care.
• Clinical competency in disease and case management.

Responsabilidades

• Utilizes RN process to focus team on optimal outcomes and resource use.
• Coordinates care across settings and documents plans of care.
• Conducts needs assessment and disease management for identified patients.
• Maintains accurate case records and uses documentation systems.
• Understands reimbursement criteria (Medicaid/Medicare/Managed Care).
• Demonstrates leadership in nursing practice and professional standards.

Conhecimentos

Nursing leadership

Interdisciplinary collaboration

Case management

Discharge planning

Communication skills

Formação académica

BSN

Master's degree preferred

Ferramentas

Documentation systems

Medicaid/Medicare knowledge

Descrição da oferta de emprego

Essential Functions

• Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies.

• Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings.

• Conducts or participates in comprehensive “all-system” needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population.

• Develops and maintains accurate case records of each referred customer/patient.

• Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems.

• Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.

• Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.

Physical Requirements

Work requires walking, standing, lifting, reaching, bending, and stooping. Must lift a minimum of thirty-five pounds' shoulder high. Ability to travel/drive between various locations is required for this position. Requires frequent verbal and written communication in English. Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate. Must be able to respond quickly to changes in assignments. Occasional intermittent noise and exposure to conditions such as dust, fumes, and chemicals.

Education, Experience and Certifications

BSN required. Masters preferred. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Two years' experience required in health care. Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company. Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol. Clinical competence in disease management and case management principles. Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team. Requires demonstrated knowledge and proficiency in appropriate tools.BLS required per policy guidelines.