Care Manager RN

Flowers Hospital Caring for you as Family

Status: Full Time Permanent Placement

Shift: 8a430p

About us:Flowers Hospital is a 235bed healthcare facility offering inpatient outpatient medical surgical diagnostic and emergency care for the Wiregrass community. We believe in the power of people to create great care. Our mission statement of Caring for you as Family is something we take to heart when caring for our community. Flowers Hospital was opened in 1950 by Dr. Paul Flowers serving as our lead example in caring for others. Today we are 1350 healthcare professionals strong. We are a major referral center for the TriState area of south Alabama southwest Georgia and northwest Florida. We work hard every day to be a place of healing caring and connection for patients and families in the community we call home.

Job Summary

The Case Manager is responsible for assisting in the development of discharge planning and care coordination of post acute services for the hospitalized patient. Post acute services include DME equipment home health hospice skilled rehab IV antibiotics dialysis nursing home and home oxygen. Discharge planning includes daily review of the medical record communication between nursing physician and therapy services. The case manager must be able to be assertive and self motivated as well as have the ability to communicate effectively with patients and family members. Must be able to communicate clearly with physicians to ensure appropriate discharge goals are met.

The Care Manager RN is responsible for coordinating and overseeing discharge planning transitions of care and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams reviewing medical records for appropriateness and medical necessity and maintaining compliance with federal state and accreditation standards.

EMR System: Cerner

Employee Benefits:

• Health Benefits with BCBS of Alabama Medical Dental Vision
• 401K
• Paid Time off ( increases with years of service)
• EIB (Sick Time)
• 100% RN License Renewal Reimbursement
• Company paid life insurance
• Competitive Salary
• Flexible Scheduling
• Tuition reimbursement $5000 per year
• Loan Repayment Program up to $20000
• Comprehensive Orientation Program
• Opportunity for Career Growth

Essential Functions

• Conducts daily reviews of medical records to assess the appropriateness of admission continued hospital stay and utilization of diagnostic services.
• Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care including identifying avoidable days and resolving care transition issues.
• Develops and implements discharge plans coordinating posthospital placement and social services to meet patient needs.
• Refers cases to physicians or managers when patients do not meet established criteria ensuring timely and appropriate interventions.
• Serves as a liaison with community agencies maintaining relationships and facilitating seamless transitions for discharged patients.
• Facilitates interdisciplinary meetings to address patient care needs resolve challenges and support collaborative care planning.
• Maintains accurate and timely documentation of case management activities including records of referrals patient interactions and compliance with reporting requirements.
• Identifies and appropriately refers cases to Child/Adult Protective Services ensuring compliance with legal and ethical standards.
• Provides professional assistance to patients families and physicians regarding discharge planning and posthospital care options.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• Associate Degree in Nursing required
• Bachelors Degree in Nursing preferred
• 24 years of clinical nursing experience in a hospital home health or nursing home setting required
• 24 years of care management experience preferred

Knowledge Skills and Abilities

• Strong understanding of case management principles discharge planning and transitions of care.
• Knowledge of federal state and Joint Commission standards related to case management.
• Excellent communication and interpersonal skills to collaborate effectively with patients families and interdisciplinary teams.
• Ability to assess complex situations identify solutions and implement care plans efficiently.
• Proficiency in electronic medical records (EMR) and documentation systems.
• Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

• RN Registered Nurse State Licensure and/or Compact State Licensure required
• BCLS Basic Life Support required

State Specific Requirements

• Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.
• New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.

INDUR

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