RN - Care Manager
RN - Care Manager
Posted on :
11-04-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
11-04-2025
Job Description
We are Grace
Grace Federal Solutions greatest success is the employees of Grace. At Grace we recognize the significant role each Grace employee plays in helping to grow and transform the company. Grace follows 5 principles: client service purpose mutual respect collaboration and accountability. To build the best healthcare services company that includes support services consulting services project management information technology data modernization and talent acquisition;we need the nations most interesting and talented people. Do you have what it takes to be a Grace employee If so we want to talk to you.
Job Summary:
The purpose of this position is to provide ongoing support and expertise through comprehensive assessment planning implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integrating and functions of case management utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail adaptable to frequent change and compliant with regulatory and departmental guidelines and policies.
Essential Duties:
Identify Cases & Prioritize DayReview work list to prioritize patients and identify new admissions.
Conduct and document assessment and a plan of care in Epic per departmental guidelines.
Participate in Daily Care Management Touchpoint per established protocols.
Consult to SW per established criteria.
If indicated communicate with Care Management Assistant (CMA) to share priorities.
CAPP Meeting Attend and actively participate in CAPP meetings for assigned units to provide and receive information on patients progression.
Alert care team to concerns that could impact anticipated discharge of the patient and any care that will assist with discharge readiness.
Modify discharge plan based on information shared at the meeting.
Assist with identification of the expected discharge date (EDD).
Complete followup from CAPP as appropriate.
As necessary meet with the Utilization Manager (UM) and SW after the meeting to discuss updates and action items.
Complex Care Meeting Attend weekly Complex Care Meeting (CCM).
Present on patients during CCM and collaborate to problem solve issues with complex patients and identify trends.
Formulate potential solutions with Utilization Manager and Social Worker and continuously monitor cases/follow up on all action items.
Proactively identify high risk cases that need to be escalated to the list that are not scheduled for discussion that week.
Complete CCM followup after the meeting as assigned.
Active Consults Discuss with appropriate members of the multidisciplinary team when there are barriers to discharge and psychosocial concerns impacting progression of care or readmission risk.
Coordinate family meetings as necessary to support the progression of care.
Provide education on community resources support/educational groups and any other appropriate resources to patient family and care team.
Educate and/or coordinate referrals to community resources and postacute providers as necessary.
Care Progression and Transition Planning Communicate medical milestones for transition with the patient/family.
Identify patients with barriers to discharge based on experience Communication and Patient Planning (CAPP) Meetings and/or Complex Care Meeting (CCM).
Monitor all observation patients throughout the day to ensure appropriate progression of care.
Identify patients readiness to discharge based on discussions with the patient/family/care team on an ongoing basis.
Assess the discharge plan to determine needs postdischarge and communicate to patient/family/care team on an ongoing basis.
Identify required authorization for postdischarge services and refer to the appropriate postdischarge service provider.
Participate in medication resource management for nonresourced patients as needed.
Verify patients understanding/agreement of discharge plan.
Refer administrative tasks (e.g. faxing form processing) to Care Management Assistant.
Consult Social Worker and/or Utilization Manager per established departmental protocol.
Two 2 years of health care experience as a Registered Nurse.
Strong assessment and critical thinking skills.
Preferred Skills & Experience:
N/A
Nursing Diploma.
OR
ADN or ASN from an accredited school of Nursing.
Preferred Education:
BSN or MSN from an accredited school of Nursing.
Required Certifications & Licensure:
Licensed to practice as a Registered Nurse in the state of North Carolina.
Preferred Certifications & Licensure:
N/A
Required Experience:
Senior IC
Employment Type
Full-Time
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