RN, Care Manager

RN, Care Manager

JOB SUMMARY

Are you a flexible, self-motivated RN who thrives in a collaborative, fast-paced environment? At WhidbeyHealth, our Care Managers play a vital role in coordinating care and supporting patients from admission through discharge.

If you’re passionate about making a real impact and want to be part of a team that supports each other while delivering the right care at the right time—we’d love to meet you!

The RN - Care Manager is a health care professional with experience and background to assure compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning. The RN – Care Manager will lead an assessment to identify the patient's clinical needs to be accommodated and constructs a care plan to include DME, home health, Hospice, skilled nursing, anti-biotic regime, etc. The RN – Care Manager follows the hospital's Case Management / Utilization Plan that integrates the functions of utilization review, discharge planning, and resource management into a singular effort to ensure, based on patient assessment, care is provided in the most appropriate setting utilizing medically indicated resources to improve quality through coordination of care impacting length of stay, minimizing cost, and ensuring optimum outcomes.

The RN – Care Manager evaluates patient's care delivery process while in the hospital, as well as performs denial management either during admission or post discharge. The RN – Care Manager acts as a resource to the interdisciplinary team providing clinical expertise in the areas of utilization review, status determination, clinical resource utilization, the discharge planning and appeal / denial management. The RN – Care Manager serves as the organizational consultant to providers and staff to optimize patient throughput and assure that the organization and the patient's care are managed in the most efficient manner possible and a collaborative practice to improve quality through coordination of care impacting length of stay, minimizing cost, and ensuring optimum outcomes.

The RN – Care Manager communicates with the patient, family and the interdisciplinary health care team using the nursing process to assess, plan, implement, monitor, and evaluate options and services required to meet a patient’s physical, emotional, and social health needs in preparation for post hospital discharge.

• Much of the care coordination process is done via electronic communication. The RN – Care Manager is expected to check their WhidbeyHealth email at minimum 3 times a day and utilize TEAMS messaging.

PRINCIPLE FUNCTIONS includes the following, other duties may be assigned :

JOB KNOWLEDGE & QUALIFICATIONS

Education

Training and Experience

Certificates, Licenses, Registrations

Benefit Information and Wage Transparancy :

WhidbeyHealth Employees who work a 0.5 FTE or higher are categorized as, “benefit eligible”.

Click here for benefit information.

Wage Range : $40.00 - $72.00

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