RN Care Manager

2 weeks ago

Billings, Montana, United States Billings Clinic Full time
About the Role

We are seeking a skilled and compassionate Care Manager to join our Inpatient team at Billings Clinic. As a Care Manager, you will play a vital role in providing comprehensive care management, care coordination, and care continuing care services to our patients.

Key Responsibilities
  • Conduct initial and ongoing assessments and chart reviews to identify potential and actual barriers and care needs.
  • Proactively screen and assess the acuity and transitional needs of each assigned patient.
  • Engage and collaborate with patients, support systems, and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.
  • Interventions and Care Coordination
  • Participate in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals, and community and state agencies.
  • Identify high-risk patients through risk stratification tools and ongoing assessments, including ED utilization and hospitalizations, to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.
  • Reinforce goals of care and treatment plans with patients and support systems to enhance patient and support system engagement.
  • Coordinate care conferences to support effective communication as needed.
  • Help navigate the patient throughout the continuum of care.
  • Effectively collaborate and coordinate care with the Social Services Care Manager.
  • Maintain current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic, and regional customers.
  • Provide information about available resources to patients and their support systems.
  • Partner with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services, and/or DME as clinically appropriate.
  • Act as a clinical resource to the Social Services Care Manager.
  • Understand consultative disciplines and their role in patient care.
  • Maintain respectful and professional communication skills.
  • Insurance and Utilization Management
  • Maintain working knowledge of CMS requirements and readmission penalties.
  • Maintain working knowledge of insurance/payer benefits.
  • Evaluation
  • Monitor the need for revisions in the plan of care and make recommendations to the multidisciplinary/healthcare team when indicated.
  • Modify the plan of care/goals to reflect changes in patient or their support system status and needs.
  • Monitor, evaluate, and document patient progress related to plan of care.
  • Documentation
  • Document accurately and in a timely manner in the Electronic Medical Record per program guidelines.
  • Utilize standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.
  • Documentation
Requirements
  • 4 Year Bachelor of Science in Nursing (BSN) or Bachelor of Arts in Nursing (BAN) preferred
  • Five (5) years of professional nursing (one within the Billings Clinic) in a related cardiac care area such as critical care, ambulatory telemetry unit, or emergency services
  • Healthcare Provider and ACLS CPR certifications
  • National Institutes of Health Stroke Scale (NIHSS) certification required or to be obtained within first year of employment Within 1 year of hire
  • Current Registered Nurse license in the state of Montana
About Billings Clinic

Billings Clinic is Montana's largest health system serving Montana, Wyoming, and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses, and physicians.

Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital, and trauma center, based in Billings, Montana. Learn more about Billings Clinic and how we are recognized nationally for our exceptional quality.

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