RN Case Manager - Weekends

Responsibilities

• Weekends Only (United States of America) Facility: 1906 Belleview Ave SE - Roanoke Requisition Number: R163309 RN Case Manager - Weekends (Open) How You’ll Help Transform Healthcare: The RN Case Manager provides case management for assigned patient populations.
• Utilizes clinical expertise, communication and problem solving skills to achieve optimal clinical and resource outcomes.
• Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. performs patient needs assessments upon admission and at regular intervals; facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum.
• The RN Case Manager Provides care management for assigned patient populations, utilizing clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes.
• Performs patient needs assessments upon admission and at regular intervals to support care planning, discharge planning, and transitions across the continuum of care.
• Facilitates safe and effective transitions of care, including coordination of post-acute services such as home health, hospice, and durable medical equipment.
• Promotes interdisciplinary collaboration with physicians, nursing, social work, utilization review, and other care team members to ensure alignment of the plan of care and discharge plan.
• Ensures appropriate utilization of resources, length of stay management, and compliance with regulatory and payer requirements.
• Collaborates with Utilization Review to ensure accurate patient status and medical necessity using tools such as InterQual.
• Coordinates with patients and families to ensure understanding of discharge plans, including financial implications and available resources.
• Ensures documentation accurately reflects patient condition, comorbidities, treatment, and interventions in accordance with regulatory and organizational standards.
• Coordinates referrals and authorizations for medications, services, and post-acute care needs to prevent discharge delays.
• Facilitates communication and coordination for patient transfers, including acute-to-acute transitions and transitions involving correctional facilities.
• Identifies and addresses barriers to discharge and implements appropriate interventions.
• Participates in interdisciplinary team meetings and contributes to care progression and discharge planning discussions.
• Maintains effective communication with all disciplines to support timely and appropriate patient care transitions.
• Engages in performance improvement initiatives and utilizes predictive analytics tools to support patient outcomes and reduce readmissions.
• Collects and analyzes patient care and utilization data to support quality and fiscal outcomes.
• Advocates for patients and families throughout the episode of care.

Requirements

• Education: Associate Degree in Nursing or diploma from an accredited nursing program required.
• 3 years of recent experience in a clinical health care setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management.
• Current Registered Nurse licensure in Virginia required.
• AHA BLS- HCP required within 6 months of hire.
• Effective interpersonal, oral, and written communication skills required.
• Demonstrated integrity, innovation, diplomacy, assertiveness, flexibility, and perseverance required.
• Ability to work collaboratively as an integral member of a multidisciplinary team required.
• Strong customer service orientation and the ability to resolve complaints and problems effectively required.
• Effective negotiation and relationship-building skills required.
• Computer literacy required.

Pay

• $76,689.60 - $115,044.80 Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience.
• The compensation range does not include benefits or pension plan.

Benefits

• https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies Benefits, Pay and Well-being at Carilion Clinic Carilion understands the importance of prioritizing your well-being to help you develop and thrive.
• That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.
• When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself.
• Below are benefits available to you when you join Carilion: Comprehensive Medical, Dental, & Vision Benefits Employer Funded Pension Plan, vested after five years (Voluntary 403B) Paid Time Off (accrued from day one) Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health Discounts on childcare
• Continued education and training

Employment Status

Full time

This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.

Recruiter

DANA JOHNSON Recruiter Email: [email protected] For more information, contact the HR Service Center at 1-800-599-2537. Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.