Registered Nurse (RN) Case Manager - Rappahannock General Hospital - PRN

Thank you for considering a career at Bon Secours!

Scheduled Weekly Hours:

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Registered Nurse (RN) Case Manager -Rappahannock General Hospital - PRN

Are you passionate about improving the patient's experience through high quality, convenient, and connected care delivery?  

Welcome to Rappahannock General Hospital, the way it should be. At Bon Secours , we understand the many complexities of life and healthcare, which is why our team strives to create a better, easier experience for our patients who are transitioning out of inpatient hospital care.

We are seeking highly motivated and skilled professionals who share a passion for excellence in case management.

WHY you should join our Team:

Teamwork: Rappahannock Case Managers believe in working together for the benefit of their patients.

Patient Centered Care: Each case manager strives to honor the patient centered care provided during the patient's hospital stay by focusing on successful transitions from the hospital.

Leadership: Supportive leadership at the executive level fosters an environment of growth and mentorship for new and upcoming leaders.

Primary Function/General Purpose of Position

The RN Case Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process, the RN Case Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing. The RN Case Manager is responsible for screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at the right time and at the right place.

Essential Job Functions

• Identifies and prioritizes patients in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors.  Plans with the patient, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes.   Monitors and revises the plan as indicated when patient condition changes.

• Completes all necessary documentation.  Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients.  Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions.

• Documentation will reflect plan of care to address post hospital care needs and resources and evidence of patient, family or caregiver involvement in planning.  Ensuring patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.

• Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention.

• Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.

• Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment.  Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.

• Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician.

• Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner.

• Participates in department clinical outcome projects as well as process improvement initiatives within the care management department.

• Works collaboratively with peers to achieve facility and department goals and daily work as evidenced by appropriate and timely communication which is respectful and clear.

• Shares responsibilities, promoting team based approach to accomplish work.

• Strong collaborative partnerships with other members of the care team.

• Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management.  Addresses opportunities or potential concerns with leadership.

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