RN Care Manager

AdventHealth; Burleson (TX); On-site; USD 47,000 - 87,000; Full time

Benefits offered by this job

Medical/Dental/Vision Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave - 4 weeks

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

Texas Health Huguley in Burleson, TX seeks a Registered Nurse with care management experience to lead discharge planning across inpatient, observation and ED settings.

You will coordinate multidisciplinary rounds, educate patients and families, assess readmission drivers, and document plans while collaborating with payors for post-acute authorizations.

Qualifications

• RN license required
• Associate degree in Nursing required
• Bachelor's degree preferred
• 2+ medical/hospital nursing experience required
• Care Management/Utilization Management experience preferred
• Knowledge of CMS Conditions of Participation for Discharge Planning required
• Ability to work with diverse populations
• Strong leadership and problem-solving abilities

Responsibilities

• Participates in multis-disciplinary rounds to review patient status and discharge plans.
• Educates patients and families on illness impacts and mobilizes community resources.
• Assesses readmission reasons and discharge readiness.
• Organizes and facilitates care conferences with the team.
• Documents discharge planning evaluations, barriers, and authorization needs.
• Assesses discharge needs across inpatient, observation, and ED settings.
• Reviews medical records and incorporates clinical and social factors into plans.
• Develops discharge plans with contingency steps and post-acute care arrangements.
• Ensures accurate post-acute communication and records continuity.

Skills

Leadership

Data analysis

Critical thinking

Multitasking

Customer service

Cultural competence

Organizational skills

EMR proficiency

Flexibility

Community resources knowledge

Discharge planning knowledge

CMS COP knowledge

Conflict resolution

Teamwork

Education

Associates of Nursing

Bachelors of Nursing (Preferred)

Job description

Our promise to you:

Joining Texas Health Huguley is about being part of something bigger. It is about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Huguley is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

11801 SOUTH FWY

City:

BURLESON

State:

Texas

Postal Code:

76028

Job Description:

• Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.
• Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services.
• Assesses readmitted patients for the patient's and family's perceived reasons for the readmission.
• Organizes and facilitates patient and family care conferences with the multidisciplinary team.
• Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work. Communicates with Payors patient's needs for authorization for post-acute care as needed.
• Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
• Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
• Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
• Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Leadership skills [Required]
• Process and Outcome data analysis skills [Required]
• Critical thinking and problem-solving skills [Required]
• Ability to manage multiple tasks and prioritize levels of importance [Required]
• Customer service skills [Required]
• Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change [Required]
• Effective organizational skills [Required]
• Computer proficiency with Outlook e-mail and electronic medical records [Required]
• Flexible in a complex and changing healthcare environment [Required]
• Knowledge of community resources and post-acute care programs across the continuum [Required]
• Knowledge of clinical and social factors that affect the patient's functional status at discharge [Required]
• Knowledge of CMS Conditions of Participation for Discharge Planning [Required]
• Conflict management and resolution skills [Required]
• Teamwork principles [Required]

Education:

• Associates of Nursing [Required]
• Bachelors of Nursing [Preferred]

Field of Study:

• N/A

Work Experience:

• 2+ medical/hospital nursing experience [Required]
• Prior Care Management/Utilization Management experience [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

• Registered Nurse (RN) [Required]
• Basic Life Support (BLS) [Preferred]
• Certified Case Manager (CCM) [Preferred]
• Accredited Case Manager (ACM) [Preferred]

Physical Requirements:

• Physical Requirements - https://tinyurl.com/2vvwrzem

Pay Range:

$33.99 - $63.22

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.