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Nursing Jobs in Reidsville, NC

RN Care Manager Post Acute Care

The VBCI Population Health RN Care Manager will prioritize value-based care principles, focusing on delivering high-quality, patient-centered services that enhance health outcomes for our diverse population. The RN Care Manager assesses, plans, implements, coordinates, monitors, and evaluates all options and services with the goal of optimizing the patient's health status. Monitors patient care progress toward goals; makes recommendations and/or utilizes appropriate resources to optimize effective, efficient care progression and care plan goal achievement. Ensures seamless transitions between various clinical and non-clinical settings across the care continuum. Supports the VBCI Population Health Programs; Complex Care Management & Transitions of Care for Cone Health System and THN ACO populations. Essential Job Function Case Management/Care Coordination: Collaborate with interdisciplinary teams to develop, implement, and manage individualized care plans for patients, ensuring comprehensive, holistic support. Act as a liaison between patients, families, and healthcare providers to ensure continuity of care across settings. Patient Engagement: Educate and empower patients and their families about health conditions, treatment options, and self-management strategies. Leveraging motivational interview techniques and teach back methods. Assessment and Monitoring: Conduct thorough health assessments, identify barriers to care, and monitor patient progress to optimize outcomes, prevent admissions readmissions, emergency department visits and/or exacerbations. The nurse should demonstrate the ability to proactively assess and anticipate patients' needs, recognizing early signs of potential complications or deterioration in their condition. This includes employing critical thinking skills to monitor changes in health status and effectively intervening to ensure optimal patient outcomes. Regularly review and adjust care plans based on patient progress and outcomes, utilizing data to inform decisions. Quality Measurement: Assist with addressing HEDIS measures related to preventive care, chronic disease management, and care coordination, ensuring compliance with quality metrics. Care Gap Closure: Identify and address care gaps for patients, facilitating necessary screenings, vaccinations, and follow-up appointments to improve overall health outcomes. Resource Management: Navigate and connect patients with community resources, support services, and specialty care as needed. Data Management: Utilize electronic health records (EHR) to track patient outcomes, document care activities, and ensure compliance with regulatory standards. Quality Improvement: Participate in quality improvement initiatives focused on care gap closure, HEDIS performance, and overall patient satisfaction, contributing to the development of best practices and improve patient outcomes. Advocacy: Serve as a patient advocate, ensuring that patient preferences and values are incorporated into care planning and decision-making processes. Reporting and Analysis: Leverage data and analytics to evaluate quality metrics, patient outcomes, and care coordination efforts for internal and external stakeholders. Clinical expertise: Develop clinical expertise in specialty areas and/or chronic conditions and be recognized as a care management resource for population management (ie COPD, Diabetes, HF, Sepsis, ESRD, Sickle Cell Anemia, HTN, etc). Identify and respond to potential health crises, providing timely interventions to prevent hospitalizations and/or emergency department visits. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Education Required: Graduate from Specialty Training Program - Nursing Preferred: Bachelor of Science in Nursing (BSN). Experience Required: Minimum of two years? experience as an outpatient RN Care Manager managing adult patients with complex medical needs and multiple chronic conditions -or- a minimum of 5 years? experience as a Registered Nurse in an acute care and/or home care setting managing adults. Preferred: Five plus years? experience in Care Management with a Certification in a specialty area. A demonstrated history of providing care management services to high-risk adult and geriatric populations in an outpatient setting. Licensure/Certification/Listing Required: Registered Nurse (RN) License: Must have an active RN license in the state where you will be practicing. Preferred: RN licensure & Certified Case Manager (CCM): Offered by the Commission for Case Manager Certification. For this position, AHA Health Care Provider BLS (CPR) is optional at all Cone Campuses except Behavioral Health Hospital where it is required.

Med-Surg

Full-time

2 weeks ago

RN Med/Surg Full Time Days w/30K Sign On

Cone Health Glen Raven, NC

The Registered Nurse (RN) delivers high-quality patient care and ensures positive patient outcomes through the compassionate and efficient application of nursing knowledge. Working under general supervision, this role promotes professional nursing practice by coordinating patient care through the nursing process and multidisciplinary collaboration. Essential Job Function Reviews patient needs and conditions to deliver nursing care in assigned unit to ensure that every patient receives the direct and proper care needed. Analyzes patient information, including medical history, diagnostic results, and current condition, to develop individualized nursing care plans. Prepares nursing processes, such as medication administration and treatments to provide comprehensive and effective patient care. Reconciles medical records to ensure accuracy and compliance with regulatory standards and organizational policies. Evaluates patient response to interventions and identifies any additional interventions needed to meet defined goals of care. Collaborates with interdisciplinary care team to ensure effective care planning. Performs other duties as assigned. Education Required: Associate's Degree in Nursing Preferred: Bachelor's Degree in Nursing Experience Required: 1 year as a Registered Nurse Preferred: 1 year in a clinical specialty as defined by ANCC or national nursing organizations Licensure/Certification/Listing Required: Registered Nurse license in North Carolina or a Compact state, BLS (CPR)-American Red Cross or AHA Healthcare Provider