Registered Nurse - (RN) - Case Manager - FT - Days

Northeast Georgia Health System; Gainesville (GA); On-site; USD 60,000 - 80,000; Full time

Job summary

Northeast Georgia Health System is seeking a Registered Nurse in Gainesville, Georgia. The successful candidate will provide comprehensive assessments and care for patients across all age groups, coordinating with medical teams for optimal outcomes. A minimum of three years in direct patient care and licensure as an RN in Georgia is required. The role involves managing patient length of stay and facilitating discharge planning while adhering to safety guidelines. Benefits include a collaborative work environment and opportunities for professional growth.

Qualifications

• Licensed to practice as an RN in Georgia.
• Three to five years of experience in direct patient care or case management.

Responsibilities

• Monitor patients to ensure appropriate resource use.
• Communicate discharge plans to patients and families.
• Coordinate patient's overall care and discharge planning.

Skills

Critical care nursing

Analytical thinking

Problem solving

Communication skills

Interpersonal skills

Education

Associate degree in nursing

Bachelor's degree in nursing (preferred)

Job description

Job Category: Nursing - Registered Nurse

Work Shift/Schedule: 8 Hr Morning - Afternoon

Job Summary

Responsible for providing comprehensive assessment, planning, implementation and overall evaluation of individual patient needs; collaborate with physicians, patient/family and nursing, utilization review and other members of the healthcare team to assure patient management that efficiently and effectively aligns with patient needs using resources to meet quality, clinical and cost effective outcomes. Coordinate a team approach designed to facilitate the achievement of expected patient outcomes with appropriate transitions to the next level of care; responsible for length of stay management, regulatory compliance, and attending/participating with interdisciplinary team rounds on assigned unit. Collaborate with community providers to facilitate and coordinate the plan of care for post‑hospitalization needs of the patient. This position will come in contact with patients in the neonate, infant, child, adolescent, adult, and geriatric age groups; perform clinical duties in accordance with population specific guidelines and adhere to National Patient Safety Guidelines. Provide cross coverage for all RNCM as required across all settings in the care continuum, including weekend rotation (as needed).

Minimum Job Qualifications

• Licensure or other certifications: Licensed to practice as an RN in Georgia.
• Educational Requirements: Associate degree. Graduate of an accredited school of nursing.
• Minimum Experience: Three (3) to five (5) years of experience in direct patient care and/or case management. Financial and discharge planning experience.

Preferred Job Qualifications

• Preferred Licensure or other certifications: CCM (Case Management Certification) or ACM (American Case Management Certification) preferred.
• Preferred Educational Requirements: Bachelors Degree

Job Specific And Unique Knowledge, Skills And Abilities

• Demonstrates aptitude in critical care, cardiac, medical, and/or surgical nursing
• Working knowledge of State and Federal regulations required
• Must demonstrate excellent observation skills, analytical thinking, problem solving abilities, and be self‑directed
• Excellent oral and written communication skills
• Demonstrates interpersonal skills including professionalism, a team player, pleasing personality and positive approach to the position
• Demonstrates the ability to think outside of the box and consistently create new, and effective solutions to today's problems and opportunities

Essential Tasks And Responsibilities

• Monitor all patients on assigned units to ensure appropriate use of resources and interventions while managing patient's length of stay based on working DRG/admitting diagnosis.
• Communicate with physician, patient/family, and other disciplines the expected length of stay, along with patient progress towards discharge.
• Provide coordination and facilitation oversight of patient care to assure required interventions occur in proper sequence and processes occur in a timely manner without delays. Identify and act upon potential delays in services; escalar unresolved delays to management for appropriate intervention.
• Assess, coordinate and facilitate patient's discharge plan to assure post‑acute needs are arranged and secured prior to discharge; communicate discharge plan with physician, patient/family, and other members of the healthcare team as appropriate; reassess discharge plan routinely throughout patient's stay to ensure timely, safe discharge and appropriate transition to the next level of care. Provide patient/family with information regarding their plan of care, discharge and any financial responsibility of inpatient or post‑hospitalization services.
• Maintain knowledge of reimbursement methodologies and general coverage guidelines for all levels of inpatient and outpatient care. Communicate with physician, patient/family or other team members as needed to ensure services will be covered.
• Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients are in the right status and level of care. Facilitate changes by communicating with physician, mid‑level or nursing staff as needed.
• Serve as liaison to patients family, physicians, nursing staff and all other disciplines to achieve optimal outcomes in the development of patient's discharge plan. Serve as a leader on assigned unit in the areas of discharge planning, social service issues, community resources/referrals and financial information related to patient care and outcomes. Empowered to think outside of the box to consistently create new, and effective solutions to complex problems or opportunities.
• Actively support a customer service oriented environment to continually enhance customer service; communicate directly with physicians, nursing staff, patient/family and other disciplines to ensure collaborative practice. Provide appropriate hand‑off communication as patients transition from one unit to another to ensure and achieve optimal outcomes.
• Maintain positive attitude, and communicate appropriately with patients/families, physician, management and other staff; respond positively to change and offer suggestions to effectively incorporate change as needed in daily workflow.
• Maintain detailed knowledge of community resources, governmental regulations, third‑party payers (PPO/HMO) to facilitate appropriate outcomes.
• Adhere to all regulatory and DNV requirements; knowledgeable of third‑party/governmental payer regulatory requirements and adhere to appropriate processes. Complete paperwork as required.
• Consistently demonstrate a 'sense of urgency' in work, while mindful of the pillars and financial stewardship opportunities.
• Work all scheduled shifts, including weekend rotation, and remote coverage.

Physical Demands

• Weight Lifted: Up to 20 lbs, Occasionally 0‑30% of time
• Weight Carried: Up to 20 lbs, Occasionally 0‑30% of time
• Vision: Moderate, Occasionally 0‑30% of time
• Kneeling/Stooping/Bending: Occasionally 0‑30%
• Standing/Walking: Occasionally 0‑30%
• Pushing/Pulling: Occasionally 0‑30%
• Intensity of Work: Frequently 31‑65%
• Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.