Registered Nurse - (RN) - Case Manager - FT - Days

Job Category

Nursing - Registered Nurse

Work Shift/Schedule

8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the
health of our communities.

About the Role

Job Summary

Responsible for providing comprehensive assessment, planning, implementation and
overall evaluation of individual patient needs; Works collaborate with the
Physicians, patient/family, nursing, utilization review and other members of the
healthcare team to assure patient management  that efficiently and effectively
aligns with patient needs using resources to meet quality, clinical and cost
effective outcomes. Coordinates a team approach designed to facilitate the
achievement of expected patient outcomes with appropriate transitions to the
next level of care; Responsible for length of stay management, regulatory
compliance, and attending/participating with interdisciplinary team rounds on
assigned unit; Collaborates with community providers to facilitate and
coordinate the plan of care for post-hospitalization needs of the patient. This
position will come in contact with patients in the neonate, infant, child,
adolescent, adult, and geriatric age groups; Employees will perform clinical
duties in accordance with population specific guidelines and adhere to National
Patient Safety Guidelines. Provides cross coverage for all RNCM as required
across all settings in the care continuum, including weekend rotation (as
needed). 

Minimum Job Qualifications

* Licensure or other certifications: Licensed to practice as an RN in Georgia.

* Educational Requirements: Associate degree. Graduate of an accredited school
of nursing.

* Minimum Experience: Three (3) to five (5) years of experience in direct
patient care and/or case management. Financial and discharge planning
experience.

* Other:

Preferred Job Qualifications

* Preferred Licensure or other certifications: CCM (Case Management
Certification) or ACM (American Case Management Certification) preferred.

* Preferred Educational Requirements: Bachelors Degree

* Preferred Experience:

* Other:

Job Specific and Unique Knowledge, Skills and Abilities

* Demonstrates aptitude in critical care, cardiac, medical, and/or surgical
nursing

* Working knowledge of State and Federal regulations required

* Must demonstrate excellent observation skills, analytical thinking, problem
solving abilities, and be self directed

* Excellent oral and written communication skills

* Demonstrates interpersonal skills including professionalism, a team player,
pleasing personality and positive approach to the position

* Demonstrates the ability to think outside of the box and consistently create
new, and effective solutions to today's problems and opportunities

Essential Tasks and Responsibilities

* Monitor all patients on assigned units to ensure appropriate use of resources
and interventions while managing patient's length of stay based on working
DRG/admitting diagnosis. 

* Communicates with Physician, patient/family, and other disciplines the
expected length of stay, along with patient progress towards discharge.

* Provides coordination and facilitation oversight of patient care to assure
required interventions occur in proper sequence and processes occur in a
timely manner without delays. Identifies and acts upon potential delays in
services; escalates unresolved delays to management for appropriate
intervention. 

* Assess, coordinate and facilitate patient's discharge plan to assure
post-acute needs are arranged and secured prior to discharge; Communicate
discharge plan with Physician, patient/family, and other members of the
healthcare team as appropriate; Reassess discharge plan routinely throughout
patient's stay to ensure timely, safe discharge and appropriate transition to
the next level of care. Provides patient/family with information regarding
their plan of care, discharge and any financial responsibility of inpatient
or post-hospitalization services.

* Maintain knowledge of reimbursement methodologies and general coverage
guidelines for all levels of inpatient and outpatient care. Communicate with
Physician, patient/family or other team members as needed to ensure services
will be covered.

* Coordinate and communicate with Utilization Review Nurse on a daily,
consistent basis to ensure patients are in the right status and level of
care. Facilitate changes by communicating with Physician, mid-level or
nursing staff as needed.

* Serve as liaison to patients family, Physicians, nursing staff and all other
disciplines to achieve optimal outcomes in the development of patient's
discharge plan. Serve as a leader on assigned unit in the areas of discharge
planning, social service issues, community resources/referrals and financial
information related to patient care and outcomes. Empowered to think outside
of the box to consistently create new, and effective solutions to complex
problems or opportunities. 

* Actively supports a customer service oriented environment to continually
enhance customer service; Communicates directly with Physicians, nursing
staff, patient/family and other disciplines to ensure collaborative practice.
Provide appropriate hand-off communication as patients transition from one
unit to another to ensure and achieve optimal outcomes.

* Maintains positive attitude, and communicates appropriately with
patients/families, Physician, management and other staff; responds positively
to change and offers suggestions to effectively incorporate change as needed
in daily workflow.

* Maintain detailed knowledge of community resources, governmental regulations,
third party payers (PPO/HMO's) to facilitate appropriate outcomes.

* Adheres to all regulatory and DNV requirements; Knowledgeable of third
party/governmental payer regulatory requirements and adheres to appropriate
processes. Completes paperwork as required.

* Consistently demonstrates a 'sense of urgency' in his/her work, while mindful
of the pillars and financial stewardship opportunities.

* Works all scheduled shifts, including weekend rotation, and remote coverage.

Physical Demands

* Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time

* Weight Carried: Up to 20 lbs, Occasionally 0-30% of time

* Vision: Moderate, Occasionally 0-30% of time

* Kneeling/Stooping/Bending: Occasionally 0-30%

* Standing/Walking: Occasionally 0-30%

* Pushing/Pulling: Occasionally 0-30%

* Intensity of Work: Frequently 31-65%

* Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as
a person, an employee, and in helping you reach your goals. 

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not
tolerate discrimination in employment on the basis of race, color, age, sex,
sexual orientation, gender identity or expression, religion, disability,
ethnicity, national origin, marital status, protected veteran status, genetic
information, or any other legally protected classification or status.