RN - Patient Resource Manager (FT) Case Management

4 weeks ago


Abingdon, United States Ballad Health Full time
*RN - Patient Resource Manager (FT) Case Management - Abingdon, VA*
Job ID: 004ETX
JOHNSTON MEMORIAL HOSPITAL
Nursing Support - Case Management
Full-time (scheduled 72 hrs or more per pay period) - Day

*Job Description*
*SCOPE OF POSITION*
Patient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all patients from the neonate, infant, pediatric, adolescent, adult and geriatric population (s). RN - Patient Resource Managers function as the non-physician team leader and as such assume overall responsibility for coordinating services, programs, and personnel necessary to maximize patient outcomes and quality care, ensuring efficient movement of the patient through the continuum of care, and minimizing unnecessary resource utilization in a selected group of patients. To perform this function, the RN - Patient Resource Manager must have exceptional clinical assessment and intervention skills to oversee the care provided their assigned patient population. The RN - Patient Resource Manager must review the patient’s status daily and identify issues requiring intervention. They must anticipate, plan and discuss patient needs with the patient and family, physician, members of the interdisciplinary team, and third-party payers.
As the non-physician team leader, the RN - Patient Resource Manager must ensure appropriateness and timeliness of medical interventions and ancillary services. They are to ensure a collaborative and team approach to patient care to minimize delays in care delivery and ensure positive outcomes. The RN - Patient Resource Manager oversees the collection of appropriate data that identifies opportunities for improvement in service delivery and assists in improving the efficiency and effectiveness of services when appropriate. This individual must work closely with physicians and intervene when barriers to care are encountered. In addition, this individual will oversee clinical documentation in assigned patient groups to ensure documentation is complete and accurately reflects patient’s status and medical interventions completed.
The RN - Patient Resource Manager is responsible for ensuring ongoing communication and collaboration with payer sources, achieving appropriate pre-certification and ongoing concurrent certification such that Ballad Health is paid appropriately for services provided. As such, the individual must have an in-depth knowledge and ability to apply various payer's rules and regulations, admission, discharge and continued stay reimbursement criteria and both Interqual and Milliman Guidelines. The RN - Patient Resource Manager must ensure that patients are admitted appropriately, and that continued care is appropriate for their clinical needs in the appropriate place in the continuum. While the RN - Patient Resource Manager must monitor resource management and cost effectiveness of care for their assigned patient population; patient safety and achieving positive clinical outcomes will always be the ultimate guiding force in the Patient Resource Manager’s position.
As part of this role, the RN - Patient Resource Manager must also oversee the discharge planning process – including plan development, implementation, education and acquisition of resources for a successful discharge. The RN - Patient Resource Manager oversees utilization of patient care protocols and clinical pathways and ensures appropriate patient and family education has occurred prior to discharge. This individual demonstrates competency in the care of Neonate, Infant, Child, Adolescent, Adult, Geriatric patients.
*REPORTING RELATIONSHIP*
See Table of Organization.
*EDUCATION AND EXPERIENCE*
Associate's or Bachelor's degree from an accredited Nursing program. Varied clinical experience. Experience in Quality, Case Management, Utilization Review, or similar field is preferred.
Valid and active RN licensure in appropriate state

*Requirements*
No additional requirements from any stated in the above description.

Job Type: Full-time

  • Abingdon, United States Case Management Full time

    RN - Patient Resource Manager (FT) Case Management - Abingdon, VA Job ID: 004ETX JOHNSTON MEMORIAL HOSPITAL Nursing Support - Case Management Full-time (scheduled 72 hrs or more per pay period) - DayJob Description SCOPE OF POSITIONPatient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all patients from...


  • Abingdon, United States Ballad Health Full time

    *RN - Patient Resource Manager (FT) Case Management - Abingdon, VA*Job ID: 004ETXJOHNSTON MEMORIAL HOSPITALNursing Support - Case ManagementFull-time (scheduled 72 hrs or more per pay period) - Day*Job Description**SCOPE OF POSITION*Patient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all patients...


  • Abingdon, United States Ballad Health Full time

    Featured*RN - Patient Resource Manager (FT) Case Management - Abingdon, VA*Job ID: 004ETXJOHNSTON MEMORIAL HOSPITALNursing Support - Case ManagementFull-time (scheduled 72 hrs or more per pay period) - Day*Job Description**SCOPE OF POSITION*Patient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all...


  • Abingdon, VA, United States Ballad Health Full time

    RN - Patient Resource Manager (FT) Case Management - Abingdon, VA* JOHNSTON MEMORIAL HOSPITAL Nursing Support - Case Management Full-time (scheduled 72 hrs or more per pay period) - Day *Patient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all patients from the neonate, infant, pediatric,...


  • Abingdon, VA, United States Ballad Health Full time

    *RN - Patient Resource Manager (FT) Case Management - Abingdon, VA* Job ID: 004ETX JOHNSTON MEMORIAL HOSPITAL Nursing Support - Case Management Full-time (scheduled 72 hrs or more per pay period) - Day *Job Description**SCOPE OF POSITION* Patient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all...


  • Abingdon, VA, United States Ballad Health Full time

    Featured*RN - Patient Resource Manager (FT) Case Management - Abingdon, VA*Job ID: 004ETXJOHNSTON MEMORIAL HOSPITALNursing Support - Case ManagementFull-time (scheduled 72 hrs or more per pay period) - Day*Job Description**SCOPE OF POSITION*Patient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all...


  • Abingdon, VA, United States Ballad Health Full time

    Featured*RN - Patient Resource Manager (FT) Case Management - Abingdon, VA*Job ID: 004ETXJOHNSTON MEMORIAL HOSPITALNursing Support - Case ManagementFull-time (scheduled 72 hrs or more per pay period) - Day*Job Description**SCOPE OF POSITION*Patient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all...


  • Abingdon, United States Ballad Health Full time

    *RN - Disease-Specific Program Manager (FT) Varied, Quality - Abingdon, VA*Job ID: 004FFKJOHNSTON MEMORIAL HOSPITALNursing - Quality ImprovementFull-time (scheduled 72 hrs or more per pay period)*Job Description**SCOPE OF POSITION*The RN - Disease-Specific Program Manager, in collaboration with the administrative leadership, will implement and maintain the...


  • Abingdon, United States Quality Improvement Full time

    RN - Disease-Specific Program Manager (FT) Varied, Quality - Abingdon, VA Job ID: 004FFK JOHNSTON MEMORIAL HOSPITAL Nursing - Quality Improvement Full-time (scheduled 72 hrs or more per pay period)Job Description SCOPE OF POSITIONThe RN - Disease-Specific Program Manager, in collaboration with the administrative leadership, will implement and maintain the...


  • Abingdon, United States Quality Improvement Full time

    RN - Disease-Specific Program Manager (FT) Varied, Quality - Abingdon, VA Job ID: 004FFK JOHNSTON MEMORIAL HOSPITAL Nursing - Quality Improvement Full-time (scheduled 72 hrs or more per pay period)Job Description SCOPE OF POSITIONThe RN - Disease-Specific Program Manager, in collaboration with the administrative leadership, will implement and maintain the...


  • Abingdon, VA, United States Ballad Health Full time

    *RN - Disease-Specific Program Manager (FT) Varied, Quality - Abingdon, VA*Job ID: 004FFKJOHNSTON MEMORIAL HOSPITALNursing - Quality ImprovementFull-time (scheduled 72 hrs or more per pay period)*Job Description**SCOPE OF POSITION*The RN - Disease-Specific Program Manager, in collaboration with the administrative leadership, will implement and maintain the...


  • Abingdon, United States Ballad Health Full time

    *RN - Wound Care (FT) 8a-5p - Abingdon, VA* Job ID: 004FHN JOHNSTON MEMORIAL HOSPITAL Nursing - Wound Care Full-time (scheduled 72 hrs or more per pay period) - Day*Job Description* *SCOPE OF POSITION* The RN - Wound Care is responsible and accountable for the provision of nursing care for assigned patients within the established standards of evidence-based...


  • Abingdon, United States Ballad Health Full time

    *RN - Wound Care (FT) 8a-5p - Abingdon, VA*Job ID: 004FHNJOHNSTON MEMORIAL HOSPITALNursing - Wound CareFull-time (scheduled 72 hrs or more per pay period) - Day*Job Description**SCOPE OF POSITION*The RN - Wound Care is responsible and accountable for the provision of nursing care for assigned patients within the established standards of evidence-based...


  • Abingdon, United States Ballad Health Full time

    *RN - Wound Care (FT) 8a-5p - Abingdon, VA*Job ID: 004FHNJOHNSTON MEMORIAL HOSPITALNursing - Wound CareFull-time (scheduled 72 hrs or more per pay period) - Day*Job Description**SCOPE OF POSITION*The RN - Wound Care is responsible and accountable for the provision of nursing care for assigned patients within the established standards of evidence-based...


  • Abingdon, United States Ballad Health Full time

    *RN (FT) Varied, Emergency Department - Abingdon, VA*Job ID: 004AHZJOHNSTON MEMORIAL HOSPITALNursing - Emergency DepartmentFull-time (scheduled 72 hrs or more per pay period)*Job Description*Become a part of the Ballad Health story.Together, we are transforming our region. We’re making communities healthier. We’re expanding access to critical services in...


  • Abingdon, United States Ballad Health Full time

    RN (FT) Varied, Emergency Department - Abingdon, VAJob ID: 004FQJJOHNSTON MEMORIAL HOSPITALNursing - Emergency DepartmentFull-time (scheduled 72 hrs or more per pay period)Job DescriptionBecome a part of the Ballad Health story.Together, we are transforming our region. We’re making communities healthier. We’re expanding access to critical services in...


  • Abingdon, United States Ballad Health Full time

    *RN (FT) Varied, Emergency Department - Abingdon, VA*Job ID: 004FQJJOHNSTON MEMORIAL HOSPITALNursing - Emergency DepartmentFull-time (scheduled 72 hrs or more per pay period)*Job Description*Become a part of the Ballad Health story.Together, we are transforming our region. We’re making communities healthier. We’re expanding access to critical services in...


  • Abingdon, United States Ballad Health Full time

    RN (FT) Cardiac Cath Lab - Abingdon, VAJob ID: 004G4AJOHNSTON MEMORIAL HOSPITALNursing - Cardiac Cath LabFull-time (scheduled 72 hrs or more per pay period) - DayJob DescriptionBecome a part of the Ballad Health story.Together, we are transforming our region. We’re making communities healthier. We’re expanding access to critical services in rural areas....


  • Abingdon, United States BHMA FLOAT POOL Full time

    Patient Service Representative (FT) Float Pool - VA Job ID: 00434M BLUE RIDGE MEDICAL MANAGEMENT Office/Clerical - BHMA FLOAT POOL Full-time (scheduled 72 hrs or more per pay period) - DayJob Description SCOPE OF POSITIONThe Patient Service Representative (PSR) greets all patients and visitors in a courteous and friendly manner and registers the patient...


  • Abingdon, United States Ballad Health Full time

    *Job Title:*RN - Team Coordinator (FT) 7P-7A, 3000 Med/Surg. - Abingdon, VA*Job Code:*MSHA000BPJ*Location:*JOHNSTON MEMORIAL HOSPITAL, Abingdon, VA*Position Type:*Full-time (scheduled 72 hrs or more per pay period)*Job Definition**Job Description**SCOPE OF POSITION*The RN – Team Coordinator, under the supervision of the clinical nursing leader or...