RN
Baptist Memorial Health Care

BMH Rankin: RN-Case Manager

Baptist Memorial Health Care Brandon, MS, US

Overview

Job Summary

Case Managers will apply systems, science, incentives, and information to improve healthcare practice and assist patients and their support systems to become engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively. The case manager's objective is to achieve an optimal level of wellness for patients and improve coordination of care while providing cost effective, non-duplicative services. Performs all other duties as assigned.

Responsibilities

  • Assess and document the clinical, psychosocial and financial needs of patients including availability of care support, risk for readmission and safe environment upon discharge/transition and payor benefits. Findings are collected by interviewing patients, caregivers and members of the interdisciplinary team. Aspects of this assessment obtained from the patient record or previous case manager assessment are validated, updated and influence the plan of care. Assess and document the patient's care management and potential discharge needs. 20 %
  • Apply InterQual to determine/validate Level of Service and Intensity of Care. Utilize InterQual criteria within the first 24 hours of arrival to complete an initial review. Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. Coordinate with bed control to attain proper placement. Perform concurrent reviews of medical records to ensure continued appropriateness and make recommendations based on the needs of the patient. Escalate and facilitate resolution of unjustifiable aspects of care that vary from InterQual guidelines. 20 %
  • With the physician, identify the plan of care, estimated length of stay and transition/discharge plan. Meet with patients and families to engage them in the plan and obtain agreement. Incorporate all processes and procedures into the plan to ensure safe discharge/transition. Coordinate with physician and nurse to make plan adjustments as patient condition indicates. Use best practices and available pathways to anticipate the course of care through discharge/transition. Incorporate ancillary services as needed. Work in collaboration with social work for complex postacute placement and community service resources. 20 %
  • In coordination with nursing, ancillary departments, social work, and the physician, monitor and ensure the treatment plan and steps to prepare for transition or discharge are completed as planned, gaps in care are avoided as well as duplicative or unnecessary services. 10 %
  • Ensure that patients are discharged/transitioned timely and appropriately and that variances from the plan or target discharge/transition date are documented. 10 %
  • Escalate concerns and barriers to appropriate treatment or transition as outlined by the department. 10 %
  • Maintain a working knowledge of facilities and resources available to patients and caregivers. 10 %

Specifications

Experience

Minimum Required

  • 3 years Healthcare/Medical-Acute Care Required.

Preferred/Desired

  • Healthcare/Medical-Case Manager Preferred, or Healthcare/Medical - Utilization Review Preferred.

Education

Minimum Required

  • Graduate of School of Nursing-Accredited Required.

Preferred/Desired

  • Bachelor's Degree Nursing Preferred, or Bachelor's Degree Allied Health Preferred.

Training

Minimum Required

Preferred/Desired

Special Skills

Minimum Required

  • Must be able to work with acutely & chronically ill patients of all ages and their caregivers. Must have excellent interpersonal communication, multi-tasking, prioritizing & organizational skills. Demonstrated ability to work effectively with teams in a collaborative manner and escalate issues appropriately. Ability to work weekends and flexible hours per the department staffing plan.

Preferred/Desired

Licensure

Minimum Required

  • License/Certification/Registries (valid for the State of MS): Registered Nurse (RN) by the State Board of Nursing Required.

Preferred/Desired

  • Certification by the Case Management Society of America Preferred, or Equivalent Certification Preferred.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Outpatient Outpatient Full-time
Fresenius Medical Care

Outpatient Registered Nurse - RN

Fresenius Medical Care Canton, MS
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Home Health Home Health Full-time
AccentCare, Inc.

Registered Nurse/ RN, Home Health

AccentCare, Inc. Clinton, MS
$71,000 - $79,000 / year
Overview Position Type: Full-Time Coverage Area: Hinds County, MS Pay: $71,000-$79,000 This position is paid on a per-point basis. The compensation reflected in this posting is an estimate of annual compensation. Schedule: M-F 8am-4:30pm On Call: 1 wk night per wk & once every 4-5 weekends (Fri, Sat, Sun) What You Need to Know This RN Case Manager is responsible for managing patients' care plans from admission through discharge and for ensuring the delivery of quality patient care. The position combines direct and indirect patient care activities and directs staff nurses, LPNs, and CHHAs in delivering the individual patient’s plan of care, as well as identifying interdisciplinary needs and coordinating allied health clinicians. RN Case Manager Qualifications Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation A minimum of one year of experience as an RN Current CPR Certification required RN Case Manager Responsibilities: Assessment of the status of nursing needs of assigned patients and overall management of the patient’s care plan Complete initial patient assessment upon admission, including appropriate patient history Selects appropriate nursing diagnosis Assesses all medicines to identify possible ineffective drug therapy or adverse reactions, significant side effects, drug allergies, and contraindicated medications Establishes realistic, measurable, observable goals consistent with the patient’s diagnosis Informs the physician of the results of the assessment and recommended clinical interventions Implements appropriate nursing interventions consistent with the patient's diagnosis and established goals and within the scope of the Nurse Practice Act Re-evaluates patients' nursing and other clinical needs as required Documents and submits the assessment, progress, and discharge notes and other required paperwork in a timely fashion as required by the agency Informs the physician and other personnel of changes in the patient's condition and needs Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial, and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays 401(k) Flexible spending and health savings accounts Wellness offers, including an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
RN Home Health Home Health Full-time
AccentCare, Inc.

Registered Nurse / RN, Home Health

AccentCare, Inc. Clinton, MS
$71,000 - $79,000 / year
Overview Position Type: Full-Time Coverage Area: Hinds County, MS Pay: $71,000-$79,000 This position is paid on a per-point basis. The compensation reflected in this posting is an estimate of annual compensation. Schedule: M-F 8am-4:30pm On Call:1day per wk & once every 4-5 weekends (Fri, Sat, Sun) What You Need to Know This RN Case Manager is responsible for managing patients' care plans from admission through discharge and for ensuring the delivery of quality patient care. The position combines direct and indirect patient care activities and directs staff nurses, LPNs, and CHHAs in delivering the individual patient’s plan of care, as well as identifying interdisciplinary needs and coordinating allied health clinicians. RN Case Manager Qualifications Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation A minimum of one year of experience as an RN Current CPR Certification required RN Case Manager Responsibilities: Assessment of the status of nursing needs of assigned patients and overall management of the patient’s care plan Complete initial patient assessment upon admission, including appropriate patient history Selects appropriate nursing diagnosis Assesses all medicines to identify possible ineffective drug therapy or adverse reactions, significant side effects, drug allergies, and contraindicated medications Establishes realistic, measurable, observable goals consistent with the patient’s diagnosis Informs the physician of the results of the assessment and recommended clinical interventions Implements appropriate nursing interventions consistent with the patient's diagnosis and established goals and within the scope of the Nurse Practice Act Re-evaluates patients' nursing and other clinical needs as required Documents and submits the assessment, progress, and discharge notes and other required paperwork in a timely fashion as required by the agency Informs the physician and other personnel of changes in the patient's condition and needs Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial, and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays 401(k) Flexible spending and health savings accounts Wellness offers, including an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
RN Home Health Manager/Supervisor Home Health Full-time
AccentCare, Inc.

Registered Nurse / Territory Clinical Manager Home Health

AccentCare, Inc. Clinton, MS
$78,000 - $84,000 / year
Overview Clinical Manager Location: Clinton Position: Clinical Manager Position Type: Full-Time Remote/Virtual Position : No Find Your Passion and Purpose as a Clinical Manager Salary: $78,000-$84,000 DOE Schedule: Monday-Friday 8am-5pm On Site Offer Based on Years of Experience What You Need to Know The Clinical Manager is responsible to provide oversight of all patient care services and personnel. This includes the coordination and management of patient care, and the supervision and coaching of clinical personnel to ensure that care and services are delivered appropriately. Additional responsibilities include CHAP/survey readiness, QAPI, patient satisfaction surveys, complaint reviews. Be the Best Clinical Manager You Can Be If you meet these qualifications, we would love to meet you: Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation. 3-5 years experience as a RN. Experience managing RN services in the home, community, or clinic is preferred Licensed to practice as a registered nurse in the state of agency operation. Must possess and maintain valid CPR certification while employed in a clinical role. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations. Responsibilities: As a Clinical Manager, you will: Supervises day-to-day clinical and office operations. Is available to staff and patients during hours of operation. Ensures services are in compliance with professional standards, agency policy and procedure, and state and federal regulatory requirements. Serves as back-up support for positions as needed: PCM, CSS. Leader in absence of the Territory - Administrator. Coordinates referrals. Coordinates patient care with an interdisciplinary team approach. Assures the development, implementation, and updating of the individualized plan of care. Evaluates the quality of clinical care, ensuring that patient needs are continually assessed. Collaborates with clinicians and physicians regarding patient transfers or discharges. Reviews Discharge assessment data, Edit/Lock Discharge OASIS, and discipline only discharge. QAPI owner and participation in QA and performance improvement activities. Reviews/investigates incidents, analyzes for trends; implements corrective action plans as needed. Accreditation/Survey Readiness, QA audits/detailed corrective action plan audits. Manages HHCAHPS distribution in SHP. Emergency Preparedness Planning- Activation of EPP, Post Activation Reporting & Ongoing Event Monitoring and Reporting. Our benefits include: Medical, dental and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
RN Home Health Home Health Full-time
AccentCare, Inc.

Registered Nurse / RN, Home Health

AccentCare, Inc. Gluckstadt, MS
$71,000 - $79,000 / year
Overview Position Type: Full-Time Coverage Area: Madison County & North Jackson, MS Pay: $71,000-$79,000 This position is paid on a per-point basis. The compensation reflected in this posting is an estimate of annual compensation. Schedule: M-F 8:00am-4:30pm On Call: 1 weeknight per week & 1weekend per month What You Need to Know This RN Case Manager is responsible for managing patients' care plans from admission through discharge and for ensuring the delivery of quality patient care. The position combines direct and indirect patient care activities and directs staff nurses, LPNs, and CHHAs in delivering the individual patient’s plan of care, as well as identifying interdisciplinary needs and coordinating allied health clinicians. RN Case Manager Qualifications Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation A minimum of one year of experience as an RN Current CPR Certification required RN Case Manager Responsibilities: Assessment of the status of nursing needs of assigned patients and overall management of the patient’s care plan Complete initial patient assessment upon admission, including appropriate patient history Selects appropriate nursing diagnosis Assesses all medicines to identify possible ineffective drug therapy or adverse reactions, significant side effects, drug allergies, and contraindicated medications Establishes realistic, measurable, observable goals consistent with the patient’s diagnosis Informs the physician of the results of the assessment and recommended clinical interventions Implements appropriate nursing interventions consistent with the patient's diagnosis and established goals and within the scope of the Nurse Practice Act Re-evaluates patients' nursing and other clinical needs as required Documents and submits the assessment, progress, and discharge notes and other required paperwork in a timely fashion as required by the agency Informs the physician and other personnel of changes in the patient's condition and needs Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial, and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays 401(k) Flexible spending and health savings accounts Wellness offers, including an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.