Registered Nurse; RN - Care Manager - St. Elizabeth Youngstown Hospital

Registered Nurse (RN) - Care Manager - St. Elizabeth Youngstown Hospital

Join to apply for the Registered Nurse (RN) - Care Manager - St. Elizabeth Youngstown Hospital role at Bon Secours Mercy Health.

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

The RN Care Manager is responsible for coordinating care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process: the RN Care Manager identifies, 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 one’s overall wellbeing. The RN Care Manager is responsible for screening, identifying, and assessing individuals in need of active case management services and promotes the right resources, at the right time and place.

• 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.

• BLS Basic Life Support – American Heart Association (required)
• RN License in the state in which they are working or covered by compact (required)
• Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred)

Bachelor of Science in Nursing (preferred for BSMH, required for RSFH)

1 year of experience in clinical setting (required); 3…