Care Manager (RN) Hospital at Home

Atrium Health; Charlotte (NC); On-site; USD 70,000 - 90,000; Full time

Job summary

Atrium Health is seeking a Care Manager to partner with patients to manage health needs across settings. You will assess needs, plan, coordinate, and evaluate services to empower individuals and families to access resources and adopt healthy lifestyles, aiming to keep patients in the most appropriate care setting.

You will work with a multidisciplinary team including providers, pharmacists, social workers, behavioral health specialists, and nurses to ensure timely, appropriate patient management

Qualifications

• BSN required and RN license in state.
• Two years' healthcare experience with care management or discharge planning.
• Clinical certification required within 3 years of hire.

Responsibilities

• Utilizes RN process as a framework to focus the healthcare team on optimal outcomes and resource utilization.
• Interacts with patients, professionals, and the community to ensure continuity of care and plans of care across settings.
• Conducts or participates in comprehensive needs assessments and matches services to identified needs.
• Develops and maintains accurate case records for each referred patient.
• Documents fully using computer databases and documentation systems.
• Maintains knowledge of Medicaid, Medicare, and Managed Care reimbursement criteria.
• Demonstrates leadership in professional nursing practice and adherence to standards.

Skills

RN process knowledge

Patient communication

Care coordination

Documentation

Education

BSN

Masters (preferred)

Tools

EMR systems

Job description

Job Summary

Facilitates a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs. The Care Manager assesses needs, plans, coordinates, and evaluates services of patients with the goal of equipping and empowering individuals and their families to easily access resources and adopt healthy lifestyles that will increase their ability to remain in the most appropriate care setting. Care Managers focus on five primary areas: 1) population management, 2) patient self-management support, 3) transitions in care, 4) resource connection, and 5) appropriate resource utilization. Works collaboratively and maintains active communication with the multidisciplinary care team including providers, pharmacists, social workers, behavioral health specialists, and nurses to achieve timely, appropriate patient management.

Job Summary

Facilitates a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs. The Care Manager assesses needs, plans, coordinates, and evaluates services of patients with the goal of equipping and empowering individuals and their families to easily access resources and adopt healthy lifestyles that will increase their ability to remain in the most appropriate care setting. Care Managers focus on five primary areas: 1) population management, 2) patient self-management support, 3) transitions in care, 4) resource connection, and 5) appropriate resource utilization. Works collaboratively and maintains active communication with the multidisciplinary care team including providers, pharmacists, social workers, behavioral health specialists, and nurses to achieve timely, appropriate patient management.

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 .