RN CARE MGR II

Registered Nurse Care Manager II – Covenant Health

Full‑time, 80 hours per pay period, day shift with rotating weekend and minor holidays.

Hours:

M‑F (rotate weekends, minor holidays).

Covenant Health is a community‑owned integrated healthcare delivery system, the largest employer in Knox‑county, Tennessee. Parkwest – the West Knoxville flagship facility – is a top‑performing heart hospital recognized by U.S. News & World Report as one of the “Top 10” hospitals in Tennessee for 2020‑21.

Knoxville is known for its proximity to the Great Smoky Mountains, vibrant arts culture, seasonal festivals, excellent dining and outdoor recreation, making it an attractive place to live and work.

The RN Care Manager II is responsible for embedding evidence‑based clinical practice into patient care, coordinating staff and patient education, and serving as a clinical resource to the health‑care team. This role promotes care coordination and quality through the development of practice guidelines, clinical pathways, and participates in research to identify best‑practice interventions. The RN Care Manager reports directly to the Manager/Coordinator of Quality and Care Management.

• Utilizes case‑finding criteria to screen patients; gathers information from medical records, physician documentation, patient/family, and other sources to develop comprehensive plans that meet identified needs.
• Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist to ensure accurate clinical documentation guiding expected length of stay.
• Evaluates patients daily using the nursing process, discusses goals with patient and caregivers, and adjusts the care management plan accordingly.
• Secures needed resources through multidisciplinary collaboration to ensure timely, cost‑effective services.
• Researches, designs, and implements practice guidelines and clinical care designs with physicians, nursing, and other health‑care team members.
• Identifies specific objectives and actions to meet patient needs and collaborates with the physician and team for timely care planning.
• Provides education to patients and families on medications, treatment plans, discharge instructions, and modalities to promote continuity of care.
• Participates in daily multidisciplinary rounds, ensuring all disciplines are present and documentation is complete.
• Collaborates with the Nurse Manager to ensure adherence to best clinical practices and develops educational activities for staff or patients.
• Communicates with physician offices, home‑health agencies, rehabilitation facilities, long‑term‑care facilities, and third‑party payers to coordinate care transitions.
• Executes and documents care‑management activities and interventions related to specific patient goals.
• Coordinates, organizes, and secures resources needed to accomplish goals related to the discharge plan.
• Monitors patient populations for potential healthcare‑acquired conditions and implements preventive actions.
• Maintains elimination of adverse events and encourages ongoing quality improvement initiatives.
• Serves as the “brokering” agent for community services when necessary.

• Uses statistical analysis to measure clinical and fiscal variances from established guidelines and protocols.
• Develops reporting mechanisms to communicate outcomes to physicians and other stakeholders.
• Supports cost‑containment efforts through performance‑improvement recommendations.
• Monitors and addresses outcome variances; identifies causes and implements corrective actions.
• Conducts research to identify best practice methods for achieving patient outcomes.
• Participates in quality‑improvement initiatives for the assigned population.
• Addresses end‑of‑life issues in collaboration with physicians and the care team.
• Maintains privacy of patient information during interdisciplinary discharge planning rounds.

• Acts as a patient advocate in all care‑management responsibilities.
• Provides care‑management services within the scope of RN practice, meeting all legal and regulatory standards.
• Follows policies, procedures, and…