Registered Nurse - Care Manager

Advocate Health; Concord (NC); On-site; USD 70,000 - 95,000; Full time

Job summary

Advocate Health seeks an experienced registered nurse to lead care coordination across care settings, focusing on optimal outcomes and resource utilization. You will document plans of care, engage with patients and teams, and support systematic improvement.

Requires BSN, active RN license in the work state, and at least two years of healthcare experience with certification within three years. Strong communication and independent teamwork are essential.

Qualifications

• BSN required and RN license in the state of work.
• Two years of healthcare experience.
• Certification required within 3 years of hire.
• Strong interpersonal, negotiation, and time management skills.

Responsibilities

• Uses RN processes to focus on optimal outcomes, resource use, clinical expertise, and improvement strategies.
• Coordinates care across settings and documents care plans.
• Performs comprehensive needs assessments and case management for identified patients.
• Maintains accurate case records and uses appropriate databases and documentation systems.
• Understands reimbursement criteria including Medicaid, Medicare, and Managed Care.
• Demonstrates leadership in professional nursing practice and adheres to standards and regulations.

Skills

Care coordination

Documentation

Clinical assessment

Patient education

Education

BSN

Masters

Tools

BLS certification

Job description

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.