Inpatient Care Manager NEX

107 The Charlotte-Mecklenburg Hospital Authority; Charlotte (NC); On-site; USD 53,000 - 79,000; Part time

Job summary

The Charlotte-Mecklenburg Hospital Authority, operating as Atrium Health Pineville, is seeking a Part-time RN Case Manager in Charlotte, NC. You will conduct assessments, develop discharge plans, coordinate services, and work with the care team to ensure timely transitions.

Requires RN license (BSN preferred), about 3 years of nursing and case management experience; schedule Monday-Friday 8:00am-4:30pm with occasional weekend coverage; pay range $38.20-$57.30 per hour.

Qualifications

• Must have RN license; BSN preferred.
• Typically requires 3 years of related nursing experience.
• Clinical experience within the assigned population and case management background preferred.
• Knowledge of Medicare A and B guidelines and managed care program implications.

Responsibilities

• Conducts complete assessments, establishes plans, and initiates interventions.
• Collaborates with patient, family and team to meet care goals and discharge plans.
• Initiates internal and external referrals to ensure timely progression of care.
• Documents discharge planning and utilization management activities.
• Communicates with healthcare team and collaborates with social work to coordinate care.

Skills

Assessments & discharge planning

Discharge planning

Utilization management

CMS guidelines

Electronic Health Record

Critical thinking

Education

RN license

BSN preferred

Tools

Electronic Health Record (EHR)

MS Office

Job description

Department: 11200 Atrium Health Pineville - Case Management Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional Information: Monday-Friday coverage 8:00am-4:30pm with occasional weekend coverage Pay Range: $38.20 - $57.30

MAJOR RESPONSIBILITIES

Conducts complete assessments, establishes appropriate plans, and initiates interventions within desired timeframes. Collaborates and negotiates effectively with patient, family, and team while striving to achieve patient and organizational goals with regard to patient’s care needs, choice and satisfaction when discharge planning/transitioning care. Utilizes patient/family strengths in the problem-solving process, involving the patient/family and team in the decision-making process beginning on admission and continuing throughout patient’s hospital stay. Provides continuity of care and discharge planning services compliant with regulatory standards by providing coordinated relevant options and services based on assessed needs to ensure patient/family and healthcare team is informed and able to proceed with accountabilities in a timely manner. This includes participating in the communication process to facilitate a smooth transition for patient, family, and staff when patients are transferred. Provides case management services related to various levels of health care, finances, housing, family discord, or illness adjustment, based department scope. This may include managing family dynamics and crisis situations in a timely and professional manner, using community resources effectively, and educating patient/family regarding access to and use of services. Initiates internal and external referrals to assure timely progression of care and transitions. Documents discharge planning interventions and utilization review activity per department and medical center standards in a timely manner. Performs and documents accurate and timely concurrent and retrospective reviews based on approved established criteria as required by department standards. Communicates effectively with the healthcare team. Works in partnership with Social Work and unlicensed support personnel to effectively establish and implement a safe plan of care. Serves as an active member of the MDR and works closely with medical staff, hospital departments and ancillary services in identification and resolution of barriers to discharge, expediting care delivery to avoid delays in timely service provision, and implementing and reporting care coordination, discharge planning and utilization management (UM) activities. Collaborates with managers, physicians, medical directors, advisory groups, and treatment teams for issues related to physician practices and best practices for the patient’s plan of care. Refers cases to physician advisor as needed to ensure efficient progression of care, accurate status, and compliance with regulatory guidelines. Remains knowledgeable in issues of healthcare regulations, reimbursement issues, impact on length of stay and community resources. Completes UM activities as required based on local structure to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting UM activity, and managing avoidable delays. Delivers CMS regulatory notices within CMS established timeframes, as appropriate based on-site guidelines. Develops and maintains productive relationships with community-based agencies and networks by representing Advocate Health Care in a positive manner working collaboratively, internally, and externally, to meet patient/family needs. Works in collaboration with Advocate Ambulatory Care Management and Continuing Health to meet common goals and outcomes. Serves as an educator and expert resource to medical and hospital staff regarding admission status and acute care criteria, utilization management issues, care coordination and discharge planning needs, and relevant regulatory requirements. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Education

Graduate of a Board of Nursing approved nursing education program (RN) Preferred Bachelor of Science degree in Nursing (BSN).

License/Registration/Certification

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, (where applicable) current RN license or temporary license as a Registered Nurse

Years of Experience

Typically requires 3 years of related nursing experience. Clinical experience within the assigned population. Extensive knowledge of disease processes and clinical outcomes. Case Management experience or background preferred. Strong critical thinking and analytical skills preferred. Appropriate Professional certification preferred within 3 years of hire.

Knowledge, Skills and Abilities

Ability to prioritize and organize work. Effective communication skills. Utilization of critical thinking and timely decision making. Ability to navigate the Electronic Health Record. Basic utilization of MS Office products. Knowledge of Medicare A and B guidelines. Knowledge of Managed Care program requirements/implications. Ability to apply elements of Utilization Management programs.

Physical Requirements

Must be able to sit up to approximately 50 percent of the workday; stand and walk for the equivalent of several blocks at a time. Must lift up to 10 lbs. continuously, up to 20 lbs. frequently, and up to 50 lbs. occasionally. Manual dexterity required for operation computer and calculator. Visual acuity required for facilitating review of written documents/computer screens, medical records, and to record information accurately. Clear verbal communications and hearing acuity required for receiving instructions and converse on standard telephone. Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone. Exposed to normal office environment; including usual hazards related to operating electrical equipment. Operates all equipment necessary to perform the job.

Our Commitment to You

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

• Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• Benefits and more
• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.)

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care