RN Care Manager
2 weeks ago
We are seeking a skilled RN Care Manager to join our 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.
- 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.
- Provide interventions and care coordination to support patients in achieving their goals and maintaining optimal health related to their medical condition(s).
- Identify high-risk patients through risk stratification tools and ongoing assessments, and 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.
- 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 working knowledge of CMS requirements and readmission penalties.
- 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.
- 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 and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state, and federal guidelines.
- 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.
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. Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information, or disability.
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