Care Manager RN
4 days ago
As a Care Manager RN at Atrium Health, you will play a vital role in facilitating a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs. Your primary goal will be to equip and empower individuals and their families to easily access resources and adopt healthy lifestyles that will increase their ability to remain in the most appropriate care setting.
Key Responsibilities- Utilize the 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.
- Interact with patients, professionals, and the community to achieve continuity of care, coordination of services, and to document plans of care across multiple care settings.
- Conduct or participate in comprehensive all-system needs assessments 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 populations.
- Develop and maintain accurate case records of each referred customer/patient.
- Document fully and accurately, knowledgeable of and utilizing accurate computer databases and documentation systems.
- Maintain knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.
- 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 healthcare, including 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.
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