RN Case Manager

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.Primary Function/General Purpose of PositionThe Care Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process, the care manager identifies (using quantitative and qualitative methods), assess, plan, implement and valuate the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing. The care manager is responsible for screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at the right time and at the right place.Essential Job FunctionsIdentifies 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, family, other caregivers, and other members of the healthcare team to maximize health care responses, quality, and cost-effective outcomes, monitors and revises as indicated or when patient condition changes. Completes all necessary care management documentation. Handovers are expected to be utilized at points of level of care change, staff change, weekends as well as care transitions.Maintains clear, concise and timely documentation in the patient record (in which CM is providing services to) to reflect physical and functional limitations, psychosocial characteristics, educational needs of patient and family or caregiver, financial, and transitional needs. Initiates referrals to disciplines as indicated. Documentation will reflect plan of care to address post-hospital care needs or 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.Follows standardized practices and processes related to Advance Care Planning, LOS/LOC management, readmission prevention, supports denial prevention related to medical necessity through addressing/removing barriers to progression of care, Interdisciplinary Discharge Rounding, patient satisfaction related to transitions of care, transitional management to the next level of care.Supports and promotes assertive, proactive care for inpatients and observation patients, assisting in removing barriers related to achieving timely testing and treatment, and ensures resources are utilized appropriately. If continued treatment can potentially be managed in the ambulatory setting, the care manager will collaborate with the physician and care team offering alternatives to acute care, and escalate to care management leader or physician champion at the facility level if warranted to resolve barriers.Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are converted to the appropriate classification as guided by the physician, ensuring CC 44 process is followed.Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives within care management. 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. Understands data relative to patient population and utilizes information to improve clinical and financial outcomes, and support facility goals. Strong collaborative partnerships with nursing and physicians, other care team members required.Supports and follows compliance rules and regulations such as CC 44, IMM, ABNS, HINs, Moon, Bundle letters, and Conditions of Participation for DC Planning and Utilization Management, and address opportunities or potential concerns with leadership. Identifies potential or current patient situations which require referral to other members of the health care team such as infection control, risk management, legal or quality management. Keeps facility and CM leadership abreast of potential issues.This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.Licensing/CertificationCurrent RN License in the state in which they are working or covered by compactPreferred: Case Management Certification (ACM, CCM, or ANCC) (preferred upon hire, required within 3 years of hire)EducationAssociate degree in Nursing (required for RNs must start BSN program within 2 years of hire and complete BSN within 5 years)Work Experience1 year of experience in clinical setting (required)1-2 years of experience in an acute care clinical setting (preferred)Ambulatory or post-acute, care coordination experience (preferred)Many of our opportunities reward your hard work with:Comprehensive, affordable medical, dental and vision plansPrescription drug coverageFlexible spending accountsLife insurance w/ADandDEmployer contributions to retirement savings plan when eligiblePaid time offEducational AssistanceAnd much moreBenefits offerings vary according to employment statusAll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com

Bon Secours Mercy Health Culture:

Located in the dynamic community of Miamisburg, OH, Bon Secours Mercy Health is a beacon in the healthcare industry, offering diverse job opportunities for those dedicated to making a difference in healthcare services. As a premier healthcare provider, we are dedicated to excellence and innovation across various healthcare sectors, positioning us as a top choice for professionals seeking healthcare jobs near Miamisburg, OH. Our mission is to deliver unparalleled healthcare services to our community, a commitment that is at the core of our culture and motivates our ongoing search for passionate individuals to join our team.

Bon Secours Mercy Health has become a key player in the Miamisburg, OH healthcare landscape, not only by providing exceptional care but also by generating extensive employment opportunities for healthcare professionals. Whether you are a seasoned RN Case Manager or a recent graduate ready to embark on your healthcare career, Bon Secours Mercy Health offers a supportive and dynamic environment where your talents are valued and your professional development is encouraged. With our broad operations in Miamisburg, OH, we are continually seeking skilled individuals to fill roles in various categories, ensuring a steady demand for healthcare professionals in our community.

Bon Secours Mercy Health is at the forefront of addressing the growing need for quality healthcare in Miamisburg, OH, offering numerous job openings for those searching for healthcare positions in their vicinity. Our dedication to adopting the latest healthcare technologies and methodologies means our team is ever-expanding, with a keen interest in hiring professionals such as (RN) Case Managers for Assisted Living, Associate Dentists, Clinical Pharmacists, Field Training Audiologists, Occupational Therapists, Social Workers, and Staff Physical Therapists, who are eager to positively impact our patients' lives. Joining Bon Secours Mercy Health places you among a group of dedicated professionals committed to delivering the best healthcare in Miamisburg, OH, and beyond.

For individuals in Miamisburg, OH seeking healthcare jobs near them, Bon Secours Mercy Health offers a unique chance to work in a cutting-edge facility that prioritizes both the professional growth of its staff and the health of its patients. We recognize the significance of local employment opportunities in building a strong community and proudly provide a variety of positions that accommodate the diverse expertise within the healthcare field. From clinical roles like (RN) Case Managers, Associate Dentists, and Clinical Pharmacists to specialized positions such as Field Training Audiologists, Occupational Therapists, Social Workers, and Staff Physical Therapists, Bon Secours Mercy Health is eager to attract and retain top talent in and around Miamisburg, OH.

In conclusion, Bon Secours Mercy Health is more than a leader in healthcare; we are a significant employer in the healthcare sector within Miamisburg, OH. Our dedication to excellence in healthcare services is paralleled by our commitment to creating job opportunities for those seeking healthcare positions close to home. By choosing to grow your career with Bon Secours Mercy Health, you're not just joining a team of exceptional healthcare professionals; you're also contributing to the well-being of the Miamisburg, OH community. We invite you to explore the exciting career opportunities at Bon Secours Mercy Health and take the first step toward a rewarding healthcare career, right here in Miamisburg, OH.

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