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Registered Nurse Case Manager jobs at CovenantHealth

- 102 jobs
  • RN Care Mgr II

    Covenant Health 4.4company rating

    Registered nurse case manager job at CovenantHealth

    Registered Nurse Care Manager, Quality Management Full Time, 80 Hours per Pay Period, Day Shift Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than 29 specialty areas. Our 87,000-square-foot hospital features advanced technology, including state-of-the-art Magnetic Resonance Imaging (MRI), Computerized Tomography (CT), Ultrasound, Diagnostic X-Rays and Women's Imaging Services, as well as Nuclear Medicine technology unique to our surrounding counties. The physicians, staff and volunteers of Fort Loudoun Medical Center are dedicated to providing excellent care to every patient, every time. Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Manager II is responsible for promoting patient care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager II actively seeks opportunities in research designed to identify best practices. The RN Care Manager II has the responsibility, accountability and authority for providing comprehensive care coordination and knowledge to plan, implement, monitor and evaluate the outcomes of care for the designated patient population. The RN Care Manager II is seen as part of the Leadership team on the nursing unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level. Recruiter: Sandra Simmons || ***************** Responsibilities Assessment: Utilizes case finding criteria to screen patients and gather information from the medical record, physician documentation and communication, patient/family as well as other sources to develop a comprehensive plan for the patient that will meet identified needs. Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to ensure appropriate clinical documentation is available in the patient's medical record to guide the care team in determining the expected length of stay. Utilizes the nursing process to evaluate daily through discussion with patient and care givers and chart findings to ensure patient is meeting daily objectives. Modifies the case management plan to meet the changing needs of the patient's clinical condition. Secures needed resources via a multidisciplinary approach to care management strategy to assure timely, efficient and cost effective services. Collaboration and Planning: Researches, designs and implements practice guidelines and clinical care designs in collaboration with physicians, nursing and other members of the health care team for assigned population. Identifies specific objectives, goals, and actions to meet the patient's identified needs. Collaborates and communicates effectively with the physician and other members of the health care team to plan and implement the care of the patient in a timely manner. Documents results of communication in the patient's medical record. Visits patients in accordance with the plan of care providing education on medications, treatment plan, discharge instructions and modalities as necessary to promote health and continuity of care. Participates in daily multidisciplinary rounds and ensures appropriate disciplines are available Communication, Implementation, and Coordination of Care: Collaborates directly with the Nurse Manager to ensure the staff adheres to sound clinical practices assisting in the development of educational activities for staff or patients as needed. Works closely with the physician to identify the necessary resources and ensures the appropriate utilization of same. Communicates effectively with physician offices, home health agencies, rehabilitation facilities, long term care facilities, and third party payers to identify goals to assure that patients receive the most appropriate, cost effective and efficient means of care. The RN Care Manager provides documentation in the patient's medical record to communicate the goals and transition plan for the patient. Executes and documents the Care Management activities and interventions related to specific patient goals. Serves as liaison to provide communication with the patient/family, physician and the health care team. Coordinates, organizes, secures, integrates, modifies and documents resources needed to accomplish goals related to the Care Management discharge plan. When necessary, serves as the “brokering” agent to secure coverage for needed community services. Monitoring: Gathers sufficient information from all relevant sources and documentation regarding the care management plan and activities and or services to enable the Care Manager to determine the plan's effectiveness. Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to appropriate next level of care. Identifies, communicates and initiates actions to mitigate variances in the patient's process of care. Stays abreast of most recent changes in quality related to core measures, Conditions of Participation, Leapfrog and other regulatory bodies to assist in compliance for assigned population. Monitors patient population for potential Healthcare Acquired Conditions, Hospital Acquired Infections and proactively initiates actions to prevent same Discharge/Transition Planning: When necessary, serves as the “brokering” agent to secure coverage for needed community services. Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to next appropriate level of care. Ensures Multidisciplinary daily rounds at the patient's bedside with care giver and health care team to successfully achieve the desired outcomes and goals. Evaluates the Care Management plan and modifies or changes the plan as needed to meet the patient's needs. Outcomes/Clinical/Fiscal/Resource Management: Utilizes statistical analysis techniques to measure clinical and fiscal variances from established patient care guidelines, care designs, protocols and core measures. Develops reporting mechanisms to communicate outcomes to physicians and other members of the health care team. Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team. Maintains ongoing fiscal awareness by communicating outcomes to all stakeholders at specified times Monitors and addresses outcome variances concurrently. Identifies causes of outcome variances and implements actions to improve the variances; evaluates corrective actions for improvement. Proactively seeks the most efficient, cost-effective ways to provide appropriate care. Conducts research to identify “best” practices for achieving patient outcomes. Participates in quality improvement initiatives for assigned population. Addresses end of life issues as they arise with the physician, family and other members of the health care team. Maintains patient Privacy information with other facilities, services and departments involved in Interdisciplinary Discharge Planning Rounds. General Duties: Serves as patient advocate in performing care management duties. Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. Education: In collaboration with Nursing and other members of the health care team, researches, plans, develops and assists in patient education; requires return demonstration to ensure patient and family understanding of inpatient plan of care as well as post discharge needs Participates in staff development, orientation, and unit meetings through mentoring, consultation, educational presentations and clinical direction. Leadership: Actively participates in the hiring, supervision, education, orientation, evaluation and disciplining of staff. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Qualifications Minimum Education: Bachelor's degree in Nursing or related field OR certification as listed below. Minimum Experience: Four (4) years of experience as a Registered Nurse; a minimum of three (3) years of experience in area of assigned responsibility. RN with 1 year acute hospital case management experience preferred. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management, CCM, ACM or CPHQ OR Bachelors degree in Nursing or related field.
    $73k-90k yearly est. Auto-Apply 16d ago
  • RN Care Mgr II

    Covenant Health 4.4company rating

    Registered nurse case manager job at CovenantHealth

    Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than 29 specialty areas. Our 87,000-square-foot hospital features advanced technology, including state-of-the-art Magnetic Resonance Imaging (MRI), Computerized Tomography (CT), Ultrasound, Diagnostic X-Rays and Women's Imaging Services, as well as Nuclear Medicine technology unique to our surrounding counties. The physicians, staff and volunteers of Fort Loudoun Medical Center are dedicated to providing excellent care to every patient, every time. Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Manager II is responsible for promoting patient care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager II actively seeks opportunities in research designed to identify best practices. The RN Care Manager II has the responsibility, accountability and authority for providing comprehensive care coordination and knowledge to plan, implement, monitor and evaluate the outcomes of care for the designated patient population. The RN Care Manager II is seen as part of the Leadership team on the nursing unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level. Recruiter: Sandra Simmons || ***************** Responsibilities Assessment: * Utilizes case finding criteria to screen patients and gather information from the medical record, physician documentation and communication, patient/family as well as other sources to develop a comprehensive plan for the patient that will meet identified needs. * Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to ensure appropriate clinical documentation is available in the patient's medical record to guide the care team in determining the expected length of stay. * Utilizes the nursing process to evaluate daily through discussion with patient and care givers and chart findings to ensure patient is meeting daily objectives. * Modifies the case management plan to meet the changing needs of the patient's clinical condition. Secures needed resources via a multidisciplinary approach to care management strategy to assure timely, efficient and cost effective services. Collaboration and Planning: * Researches, designs and implements practice guidelines and clinical care designs in collaboration with physicians, nursing and other members of the health care team for assigned population. * Identifies specific objectives, goals, and actions to meet the patient's identified needs. * Collaborates and communicates effectively with the physician and other members of the health care team to plan and implement the care of the patient in a timely manner. Documents results of communication in the patient's medical record. * Visits patients in accordance with the plan of care providing education on medications, treatment plan, discharge instructions and modalities as necessary to promote health and continuity of care. * Participates in daily multidisciplinary rounds and ensures appropriate disciplines are available Communication, Implementation, and Coordination of Care: * Collaborates directly with the Nurse Manager to ensure the staff adheres to sound clinical practices assisting in the development of educational activities for staff or patients as needed. * Works closely with the physician to identify the necessary resources and ensures the appropriate utilization of same. * Communicates effectively with physician offices, home health agencies, rehabilitation facilities, long term care facilities, and third party payers to identify goals to assure that patients receive the most appropriate, cost effective and efficient means of care. The RN Care Manager provides documentation in the patient's medical record to communicate the goals and transition plan for the patient. * Executes and documents the Care Management activities and interventions related to specific patient goals. * Serves as liaison to provide communication with the patient/family, physician and the health care team. * Coordinates, organizes, secures, integrates, modifies and documents resources needed to accomplish goals related to the Care Management discharge plan. * When necessary, serves as the "brokering" agent to secure coverage for needed community services. Monitoring: * Gathers sufficient information from all relevant sources and documentation regarding the care management plan and activities and or services to enable the Care Manager to determine the plan's effectiveness. * Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to appropriate next level of care. * Identifies, communicates and initiates actions to mitigate variances in the patient's process of care. * Stays abreast of most recent changes in quality related to core measures, Conditions of Participation, Leapfrog and other regulatory bodies to assist in compliance for assigned population. * Monitors patient population for potential Healthcare Acquired Conditions, Hospital Acquired Infections and proactively initiates actions to prevent same Discharge/Transition Planning: * When necessary, serves as the "brokering" agent to secure coverage for needed community services. * Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to next appropriate level of care. * Ensures Multidisciplinary daily rounds at the patient's bedside with care giver and health care team to successfully achieve the desired outcomes and goals. * Evaluates the Care Management plan and modifies or changes the plan as needed to meet the patient's needs. Outcomes/Clinical/Fiscal/Resource Management: * Utilizes statistical analysis techniques to measure clinical and fiscal variances from established patient care guidelines, care designs, protocols and core measures. * Develops reporting mechanisms to communicate outcomes to physicians and other members of the health care team. * Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team. * Maintains ongoing fiscal awareness by communicating outcomes to all stakeholders at specified times * Monitors and addresses outcome variances concurrently. * Identifies causes of outcome variances and implements actions to improve the variances; evaluates corrective actions for improvement. * Proactively seeks the most efficient, cost-effective ways to provide appropriate care. * Conducts research to identify "best" practices for achieving patient outcomes. * Participates in quality improvement initiatives for assigned population. * Addresses end of life issues as they arise with the physician, family and other members of the health care team. * Maintains patient Privacy information with other facilities, services and departments involved in Interdisciplinary Discharge Planning Rounds. General Duties: * Serves as patient advocate in performing care management duties. * Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. Education: * In collaboration with Nursing and other members of the health care team, researches, plans, develops and assists in patient education; requires return demonstration to ensure patient and family understanding of inpatient plan of care as well as post discharge needs * Participates in staff development, orientation, and unit meetings through mentoring, consultation, educational presentations and clinical direction. Leadership: * Actively participates in the hiring, supervision, education, orientation, evaluation and disciplining of staff. * Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Qualifications Minimum Education: Bachelor's degree in Nursing or related field OR certification as listed below. Minimum Experience: Four (4) years of experience as a Registered Nurse; a minimum of three (3) years of experience in area of assigned responsibility. RN with 1 year acute hospital case management experience preferred. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management, CCM, ACM or CPHQ OR Bachelors degree in Nursing or related field.
    $73k-90k yearly est. Auto-Apply 60d+ ago
  • RN - Med-Surg

    Tennova Healthcare 4.3company rating

    Jefferson City, TN jobs

    Join the Medical Talent Team! Join our dynamic team and embark on a rewarding journey with us! We are Joint Commission certified and known for our commitment to excellence and ethical practices in the industry. Offering some of the most competitive pay packages available, we prioritize the well-being and flexibility of our travelers! As a Traveler with Medical Talent, you`ll have the opportunity to work in diverse settings, expand your skill set, and make a difference in the lives of patients across various locations. We are seeking dedicated individuals who are passionate about delivering high-quality care and are adaptable to new environments. Requirements for submission: 1. Active license in the state(s) of practice 2. Minimum of 1 year of recent experience in a clinical setting 3. BLS/CPR certification (additional certifications may be required based on specialty) 4. Strong communication and interpersonal skills 5. Ability to adapt to different healthcare settings and work collaboratively in a team environment 6. Flexibility to travel and work varying shifts, including weekends and holidays 7. Commitment to providing compassionate care and upholding ethical standards Being a Women-owned, Veteran-operated company, we take pride in supporting the individuals who work selflessly to help those in need. We will continue to make a difference by providing opportunities to advance careers and strengthen the healthcare workforce. As our team continues to grow, our mission will always stay the same: Strengthening the Future of Healthcare.
    $54k-117k yearly est. 60d+ ago
  • RN - Med Surg

    Tennova 4.3company rating

    Jefferson City, TN jobs

    in Jefferson City Tennessee. This is a 7p-7:30a, 19:00:00-07:30:00, 12. in the EXT-Other (911). The ideal candidate will possess a current state license as a RN and have at least 2 years of recent experience as a Med Surg RN.
    $54k-117k yearly est. 60d+ ago
  • RN - Med Surg

    Tennova 4.3company rating

    Jefferson City, TN jobs

    Why Choose Blu MedStaff? At Blu MedStaff, we truly value our nurses and are dedicated to supporting you every step of the way. Here's why you should join our team: Comprehensive Health: Enjoy access to extensive benefits, including medical, vision, dental, life insurance, and more, ensuring your well-being is our top priority. Complimentary Onboarding: We cover the costs of your onboarding process, including physicals and TITERS. With a dedicated Onboard Specialist, you can focus on patient care while we handle the details, helping you get started faster. 24/7 On-Call Support: Our experienced team is available around the clock, providing clinical support whenever you need it. You can rest easy knowing help is just a call away. Personalized Recruiter Matching: When you apply, you'll be matched with a specialized recruiter who understands your preferred location and specialty, making the process tailored to your needs. Additional Perks: Benefit from travel reimbursement, housing allowances, meals and incidentals, referral bonuses, and completion bonuses to enhance your overall experience. Quality Assurance: With the Joint Commission's Gold Seal of Approval for Health Care Staffing Services Certification, you can trust that you're part of a reputable organization committed to excellence. Join Blu MedStaff and take your nursing career to new heights, surrounded by a supportive community that truly cares about your success!
    $54k-117k yearly est. 54d ago
  • RN - Med-Surg

    Tennova Healthcare Turkey Creek Medical Center 4.3company rating

    Knoxville, TN jobs

    Join the Medical Talent Team! Join our dynamic team and embark on a rewarding journey with us! We are Joint Commission certified and known for our commitment to excellence and ethical practices in the industry. Offering some of the most competitive pay packages available, we prioritize the well-being and flexibility of our travelers! As a Traveler with Medical Talent, you`ll have the opportunity to work in diverse settings, expand your skill set, and make a difference in the lives of patients across various locations. We are seeking dedicated individuals who are passionate about delivering high-quality care and are adaptable to new environments. Requirements for submission: 1. Active license in the state(s) of practice 2. Minimum of 1 year of recent experience in a clinical setting 3. BLS/CPR certification (additional certifications may be required based on specialty) 4. Strong communication and interpersonal skills 5. Ability to adapt to different healthcare settings and work collaboratively in a team environment 6. Flexibility to travel and work varying shifts, including weekends and holidays 7. Commitment to providing compassionate care and upholding ethical standards Being a Women-owned, Veteran-operated company, we take pride in supporting the individuals who work selflessly to help those in need. We will continue to make a difference by providing opportunities to advance careers and strengthen the healthcare workforce. As our team continues to grow, our mission will always stay the same: Strengthening the Future of Healthcare.
    $54k-117k yearly est. 60d+ ago
  • RN - MedSurg

    Tennova 4.3company rating

    Jefferson City, TN jobs

    Openwork Health Is Hiring! Let's Chase Big Dreams-Together. We're not your average travel nurse agency. At Openwork Health, we're all about helping you reach your goals-on your terms. Whether you're dreaming of new destinations, building your skills, or just looking for a team that truly gets you, you're in the right place. Here's what you can expect when you work with us: Real Support, From Real People: Our Recruiters are with you from the first call to your final shift. Think of them as your personal cheer squad-helping you every step of the way with honesty, care, and attention you won't find anywhere else. Pay That's Worth Your Time: We offer competitive pay packages, weekly direct deposit, and a dedicated payroll specialist who's always just a message away. Because we know peace of mind matters. Credentialing? Handled. Our Credentialing Specialists are the best in the biz. They'll walk you through every onboarding requirement and keep you on track with your licenses and certifications-no stress, no guesswork. Benefits That Fit Your Life: We offer major medical and supplemental insurance with a flexible cafeteria plan. Pick what works for you and your family. No pressure, no extras you don't need. Who We're Looking For: We're looking for experienced RNs who are ready to take their skills on the road. If you've got: 2+ years of experience in your specialty An active RN license BLS certification from the American Heart Association And a love for nursing (plus a little sense of adventure!) ...we want to talk to you. Facility requirements may vary. No worries-your Recruiter will walk you through everything you need to know.
    $57k-83k yearly est. 60d+ ago
  • RN - Cardiac Cath Lab

    Tennova Healthcare North Knoxville Medical Center 4.3company rating

    Powells Crossroads, TN jobs

    Join the Medical Talent Team! Join our dynamic team and embark on a rewarding journey with us! We are Joint Commission certified and known for our commitment to excellence and ethical practices in the industry. Offering some of the most competitive pay packages available, we prioritize the well-being and flexibility of our travelers! As a Traveler with Medical Talent, you`ll have the opportunity to work in diverse settings, expand your skill set, and make a difference in the lives of patients across various locations. We are seeking dedicated individuals who are passionate about delivering high-quality care and are adaptable to new environments. Requirements for submission: 1. Active license in the state(s) of practice 2. Minimum of 1 year of recent experience in a clinical setting 3. BLS/CPR certification (additional certifications may be required based on specialty) 4. Strong communication and interpersonal skills 5. Ability to adapt to different healthcare settings and work collaboratively in a team environment 6. Flexibility to travel and work varying shifts, including weekends and holidays 7. Commitment to providing compassionate care and upholding ethical standards Being a Women-owned, Veteran-operated company, we take pride in supporting the individuals who work selflessly to help those in need. We will continue to make a difference by providing opportunities to advance careers and strengthen the healthcare workforce. As our team continues to grow, our mission will always stay the same: Strengthening the Future of Healthcare.
    $58k-83k yearly est. 60d+ ago
  • RN - Registered Nurse - Home Health

    Tennova 4.3company rating

    La Follette, TN jobs

    Treva Workforce is an award-winning travel agency based in Michigan, with contracts across all 50 states. We specialize in Travel Nursing, Allied Health, and Locum placements. Requirements for submission: Current resume Nursing license (specific to each state) Current BLS, ACLS, and/or specialty certifications Two current clinical references Compensation and Benefits: Competitive pay rates Health benefits Incentive programs PTO for those eligible under The Earned Sick Time Act in Michigan (codified as MCL 408.961 to 408.968) 401k retirement plan Referral and loyalty rewards At Treva Workforce, we take care of you!
    $59k-78k yearly est. 25d ago
  • RN CARE MGR II

    Covenant Health 4.4company rating

    Registered nurse case manager job at CovenantHealth

    Registered Nurse Care Manager, Quality Management Full Time, 80 Hours per Pay Period, Day Shift Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than 29 specialty areas. Our 87,000-square-foot hospital features advanced technology, including state-of-the-art Magnetic Resonance Imaging (MRI), Computerized Tomography (CT), Ultrasound, Diagnostic X-Rays and Women's Imaging Services, as well as Nuclear Medicine technology unique to our surrounding counties. The physicians, staff and volunteers of Fort Loudoun Medical Center are dedicated to providing excellent care to every patient, every time. Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Manager II is responsible for promoting patient care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager II actively seeks opportunities in research designed to identify best practices. The RN Care Manager II has the responsibility, accountability and authority for providing comprehensive care coordination and knowledge to plan, implement, monitor and evaluate the outcomes of care for the designated patient population. The RN Care Manager II is seen as part of the Leadership team on the nursing unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level. Recruiter: Sandra Simmons || ***************** Responsibilities Assessment: * Utilizes case finding criteria to screen patients and gather information from the medical record, physician documentation and communication, patient/family as well as other sources to develop a comprehensive plan for the patient that will meet identified needs. * Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to ensure appropriate clinical documentation is available in the patient's medical record to guide the care team in determining the expected length of stay. * Utilizes the nursing process to evaluate daily through discussion with patient and care givers and chart findings to ensure patient is meeting daily objectives. * Modifies the case management plan to meet the changing needs of the patient's clinical condition. Secures needed resources via a multidisciplinary approach to care management strategy to assure timely, efficient and cost effective services. Collaboration and Planning: * Researches, designs and implements practice guidelines and clinical care designs in collaboration with physicians, nursing and other members of the health care team for assigned population. * Identifies specific objectives, goals, and actions to meet the patient's identified needs. * Collaborates and communicates effectively with the physician and other members of the health care team to plan and implement the care of the patient in a timely manner. Documents results of communication in the patient's medical record. * Visits patients in accordance with the plan of care providing education on medications, treatment plan, discharge instructions and modalities as necessary to promote health and continuity of care. * Participates in daily multidisciplinary rounds and ensures appropriate disciplines are available Communication, Implementation, and Coordination of Care: * Collaborates directly with the Nurse Manager to ensure the staff adheres to sound clinical practices assisting in the development of educational activities for staff or patients as needed. * Works closely with the physician to identify the necessary resources and ensures the appropriate utilization of same. * Communicates effectively with physician offices, home health agencies, rehabilitation facilities, long term care facilities, and third party payers to identify goals to assure that patients receive the most appropriate, cost effective and efficient means of care. The RN Care Manager provides documentation in the patient's medical record to communicate the goals and transition plan for the patient. * Executes and documents the Care Management activities and interventions related to specific patient goals. * Serves as liaison to provide communication with the patient/family, physician and the health care team. * Coordinates, organizes, secures, integrates, modifies and documents resources needed to accomplish goals related to the Care Management discharge plan. * When necessary, serves as the "brokering" agent to secure coverage for needed community services. Monitoring: * Gathers sufficient information from all relevant sources and documentation regarding the care management plan and activities and or services to enable the Care Manager to determine the plan's effectiveness. * Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to appropriate next level of care. * Identifies, communicates and initiates actions to mitigate variances in the patient's process of care. * Stays abreast of most recent changes in quality related to core measures, Conditions of Participation, Leapfrog and other regulatory bodies to assist in compliance for assigned population. * Monitors patient population for potential Healthcare Acquired Conditions, Hospital Acquired Infections and proactively initiates actions to prevent same Discharge/Transition Planning: * When necessary, serves as the "brokering" agent to secure coverage for needed community services. * Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to next appropriate level of care. * Ensures Multidisciplinary daily rounds at the patient's bedside with care giver and health care team to successfully achieve the desired outcomes and goals. * Evaluates the Care Management plan and modifies or changes the plan as needed to meet the patient's needs. Outcomes/Clinical/Fiscal/Resource Management: * Utilizes statistical analysis techniques to measure clinical and fiscal variances from established patient care guidelines, care designs, protocols and core measures. * Develops reporting mechanisms to communicate outcomes to physicians and other members of the health care team. * Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team. * Maintains ongoing fiscal awareness by communicating outcomes to all stakeholders at specified times * Monitors and addresses outcome variances concurrently. * Identifies causes of outcome variances and implements actions to improve the variances; evaluates corrective actions for improvement. * Proactively seeks the most efficient, cost-effective ways to provide appropriate care. * Conducts research to identify "best" practices for achieving patient outcomes. * Participates in quality improvement initiatives for assigned population. * Addresses end of life issues as they arise with the physician, family and other members of the health care team. * Maintains patient Privacy information with other facilities, services and departments involved in Interdisciplinary Discharge Planning Rounds. General Duties: * Serves as patient advocate in performing care management duties. * Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. Education: * In collaboration with Nursing and other members of the health care team, researches, plans, develops and assists in patient education; requires return demonstration to ensure patient and family understanding of inpatient plan of care as well as post discharge needs * Participates in staff development, orientation, and unit meetings through mentoring, consultation, educational presentations and clinical direction. Leadership: * Actively participates in the hiring, supervision, education, orientation, evaluation and disciplining of staff. * Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Qualifications Minimum Education: Bachelor's degree in Nursing or related field OR certification as listed below. Minimum Experience: Four (4) years of experience as a Registered Nurse; a minimum of three (3) years of experience in area of assigned responsibility. RN with 1 year acute hospital case management experience preferred. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management, CCM, ACM or CPHQ OR Bachelors degree in Nursing or related field.
    $73k-90k yearly est. Auto-Apply 16d ago
  • RN - MedSurg

    Tennova Healthcare 4.3company rating

    Knoxville, TN jobs

    The Registered Nurse (RN) in the Med-Surg unit is responsible for providing direct patient care in a fast-paced environment, assisting with the recovery of patients who require medical and surgical interventions. The RN will work collaboratively with the healthcare team to deliver high-quality, compassionate care to patients across a variety of diagnoses and procedures, ensuring patient safety, comfort, and well-being during their hospital stay. Key Responsibilities: Patient Assessment: Conduct comprehensive assessments of patients' physical, emotional, and psychological needs. Develop, implement, and evaluate individualized care plans based on patient assessment and physician orders. Patient Care: Administer medications, treatments, and interventions as prescribed, ensuring patient safety and adherence to medical protocols. Monitor patient vital signs, lab results, and clinical progress, making necessary adjustments to care plans. Assist with activities of daily living (ADLs), including mobility, hygiene, and nutrition. Provide pre- and post-operative care and educate patients on procedures, medication, and recovery plans. Collaboration: Work closely with physicians, nurse practitioners, and other healthcare providers to coordinate care and ensure positive patient outcomes. Communicate effectively with patients, families, and the healthcare team regarding the plan of care and any changes in condition. Patient Education: Educate patients and their families about their conditions, treatment options, and discharge plans. Provide instructions on medication management, lifestyle changes, and follow-up care. Documentation: Accurately document patient assessments, interventions, progress, and outcomes in the medical record. Ensure compliance with hospital policies, standards, and regulatory requirements. Safety & Infection Control: Adhere to infection control and safety protocols to prevent hospital-acquired infections and ensure a safe environment. Respond quickly to changes in patient conditions, such as emergencies or complications. Supervision & Mentorship (if applicable): Assist in mentoring new staff or nursing students and provide guidance as needed. Serve as a resource for junior nursing staff in clinical decision-making.
    $57k-83k yearly est. 60d+ ago
  • RN - 17526912

    Tennova 4.3company rating

    Newport, TN jobs

    Exciting Opportunity for a Dedicated Registered Nurse (RN) - Medical Surgical Start ASAP! Shift: Days - 7A to 7P Call may be required No 48-hour shifts Block scheduling possible - please request in submission No floating required Patient Ratio: 1:6 Number of beds: 24 Scrub Color: Royal Blue BLS, ACLS, PALS certifications required Current TN License Minimum of 2 years of experience Travel experience preferred Availability to work Christmas Eve or Christmas Night Home address & SSN must be included in submissions Must be greater than 50 miles from the facility Why Catalytic Solutions (CatSol): At CatSol, we connect dedicated therapists with rewarding assignments across the country. Enjoy competitive pay, seamless onboarding, and a supportive recruiter who's with you every step of the way. Join us - where your expertise makes a difference every day.
    $57k-83k yearly est. 3d ago
  • RN - 17526913

    Tennova 4.3company rating

    Newport, TN jobs

    **Join Our Dynamic Team as a Registered Nurse (RN) in Labor & Delivery!** - **On-Call:** May be required - **Availability:** - NO 48-hour shifts - Block scheduling possible (please request in submittal) - No floating - Max RTO: 1 week (RTO blackout on 12/31) - **Requirements:** - BLS, ACLS, NRP, STABLE certifications - Tennessee RN License - Minimum 2 years of experience - Travel experience preferred - Must work either Christmas Eve or Christmas Night - **Patient Care Ratio:** - Laboring Patients: 1:1 - Postpartum: 1:3 (Moms/Babies) - **Facility Details:** - Total Beds: 5 - Scrub Color: Turquoise - EMR System: Cerner - **Important Submission Requirements:** - Include home address and SSN - Must be >50 miles from facility - RTO must be included and made up at the end of the contract - Travelers without necessary info or requirements will be rejected **Why Catalytic Solutions (CatSol):** At CatSol, we connect dedicated therapists with rewarding assignments across the country. Enjoy competitive pay, seamless onboarding, and a supportive recruiter who's with you every step of the way. Join us - where your expertise makes a difference every day.
    $57k-83k yearly est. 3d ago
  • RN - Ltac

    Tennova 4.3company rating

    La Follette, TN jobs

    Why Choose Blu MedStaff? At Blu MedStaff, we truly value our nurses and are dedicated to supporting you every step of the way. Here's why you should join our team: Comprehensive Health: Enjoy access to extensive benefits, including medical, vision, dental, life insurance, and more, ensuring your well-being is our top priority. Complimentary Onboarding: We cover the costs of your onboarding process, including physicals and TITERS. With a dedicated Onboard Specialist, you can focus on patient care while we handle the details, helping you get started faster. 24/7 On-Call Support: Our experienced team is available around the clock, providing clinical support whenever you need it. You can rest easy knowing help is just a call away. Personalized Recruiter Matching: When you apply, you'll be matched with a specialized recruiter who understands your preferred location and specialty, making the process tailored to your needs. Additional Perks: Benefit from travel reimbursement, housing allowances, meals and incidentals, referral bonuses, and completion bonuses to enhance your overall experience. Quality Assurance: With the Joint Commission's Gold Seal of Approval for Health Care Staffing Services Certification, you can trust that you're part of a reputable organization committed to excellence. Join Blu MedStaff and take your nursing career to new heights, surrounded by a supportive community that truly cares about your success!
    $57k-83k yearly est. 25d ago
  • RN - 17527142

    Tennova 4.3company rating

    La Follette, TN jobs

    **Join Our Team as a Night Shift Registered Nurse (RN)!** ** Skilled Nursing RN - **Shift:** Nights 7 PM - 7 AM - **Duration:** 8 Weeks - **Schedule:** Block Scheduling available upon request - **Floating:** Possible to Long Term Care - **Availability:** Must be available to work Christmas Eve, Christmas Day, New Year's Eve, and New Year's Day **Requirements:** - Basic Life Support (BLS) Certification - Valid Tennessee Nursing License - A minimum of 1 year experience in Long Term Care - Experience with Short Term Rehab and Long Term Care residents - Responsibilities: Rounds, medication administration, and supervision of CNAs - Wound care may be required - Skills needed: Medication pass and patient care **Facility Details:** - Number of Beds: 17 on Skilled Nursing and 55 on Long Term Care - Patient Ratio: 1:17 - Dress Code: Scrubs in Royal Blue - EMR System: Point Click Care **Note:** Travelers submitted without the necessary information or documentation will be rejected. Please ensure to include your home address and Social Security Number with submissions. Travelers must be located more than 50 miles from the facility. **Why Catalytic Solutions (CatSol):** At CatSol, we connect dedicated therapists with rewarding assignments across the country. Enjoy competitive pay, seamless onboarding, and a supportive recruiter who's with you every step of the way. Join us - where your expertise makes a difference every day.
    $57k-83k yearly est. 3d ago
  • RN - Geriatrics

    Tennova 4.3company rating

    La Follette, TN jobs

    Job Title:RN,CHS Travel:Registered Nurse (RN) / Skilled Nursing - NIGHTS, City: La Follette, State: Tennessee, Estimated Start Date:12/29/2025, Shift:3 x 12 Hour Night Shift, 19:00:00-07:00:00, 12.00-3, Length of Contract (Days) : 56, Estimated Gross Pay: 0.00 Convergence Medical Staffing is known for transparent communication, quick response, and personable service that helps travelers meet their professional and personal goals - contract after contract. The Convergence Medical Staffing Mobile App enables our travelers to search for jobs as well as upload and manage needed information quickly and simply, thus allowing for speedy submittal to facilities. Travelers find our online credentialing straightforward and easy to navigate. We offer Major Medical Insurance on day one of an assignment and supplemental dental, vision, short and long-term disability, and life insurance. Travelers are paid accurately through weekly direct deposit. We also offer a lucrative Referral Bonus Program and other bonus opportunities. For more details on this position or to inquire about additional jobs email **************** or call ************. You can download the Convergence Medical Staffing Mobile App for free.
    $57k-83k yearly est. 25d ago
  • RN - Ltc

    Tennova Healthcare-Lafollett Medical Center 4.3company rating

    La Follette, TN jobs

    Join the Best in Travel Nursing! Skyline Med Staff was honored as the #1 Best Travel Nursing Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Our recruiters are consistently praised on Google for their responsiveness, dedication, accessibility, and industry knowledge. Ready to experience the difference? Apply for a job today and see why travel nurses choose Skyline! As a traveler with Skyline Med Staff, you'll have a dedicated recruiter supporting you every step of the way and available whenever you need them. We are a Woman Owned Agency providing clinicians with Health Insurance through Blue Cross Blue Shield, along with Dental and Vision coverage, plus $500 referral bonuses! We're seeking committed Nursing professionals who excel in delivering quality patient care and can adapt to diverse work environments. Required for Submission: 1. Minimum of 1 year recent work experience in the specialty of the job applying for 2. A current BLS/CPR certification through American Heart Association 3. Active License in the state of the job location We look forward to connecting and working with you to find your next job opportunity!
    $57k-83k yearly est. 24d ago
  • RN Care Mgr I

    Covenant Health 4.4company rating

    Registered nurse case manager job at CovenantHealth

    Registered Nurse Care Manager, Social Services PRN/OCC, Variable Hours and Shifts Fort Sanders Regional Medical Center is a 444-bed hospital recognized for pairing clinical expertise with advanced medical technology to deliver exceptional care. As a Joint Commission Comprehensive Stroke Center, we provide leading-edge treatment for stroke recovery. Our facility also offers specialized services in bariatric surgery, robotic surgery, minimally invasive spine procedures, and advanced orthopedic care. Fort Sanders Regional is part of Covenant Health, East Tennessee's largest nonprofit health system and a Becker's “Top 150 Places to Work in Healthcare.” Covenant Health includes nine hospitals and nearly 150 service locations, offering employees a comprehensive benefits package with tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs. Position Summary: The RN Care Manager III is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Manager III is responsible for promoting patient care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager III actively seeks opportunities in research designed to identify best practices. The RN Care Manager III has the responsibility, accountability and authority for providing comprehensive care coordination and knowledge to plan, implement, monitor and evaluate the outcomes of care for the designated patient population. The RN Care Manager III is seen as part of the Leadership team on the nursing unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level Recruiter: Lacey Spoon || ***************** Responsibilities Assessment: The RN care manager utilizes case finding criteria to screen patients and gather information from the medical record, physician documentation and communication, patient/family as well as other sources to develop a comprehensive plan for the patient that will meet identified needs. The RN care manager utilizes the nursing process to evaluate daily through discussion with patient and care givers and chart findings to ensure patient is meeting daily objectives The care manager modifies the case management plan to meet the changing needs of the patient's clinical condition. Secures needed resources via a multidisciplinary approach to care management strategy to assure timely, efficient and cost effective services. Collaboration and Planning: Designs and implements practice guidelines and clinical care designs in collaboration with physicians, nursing and other members of the health care team for assigned population. Identifies specific objectives, goals, and actions to meet the patient's identified needs. Collaborates and communicates effectively with the physician and other members of the health care team to plan and implement the care of the patient in a timely manner. Documents results of communication in the patient's medical record. Participates in daily multidisciplinary rounds and ensures appropriate disciplines are available Communication, Implementation, and Coordination of Care: Works closely with the physician to identify the necessary resources and ensures the appropriate utilization of same. Communicates effectively with physician offices, home health agencies, rehabilitation facilities, long term care facilities, and third party payers to identify goals to assure that patients receive the most appropriate, cost effective and efficient means of care. The RN Care Manager provides documentation in the patient's medical record to communicate the goals and transition plan for the patient. Executes and documents the Care Management activities and interventions related to specific patient goals. Serves as liaison to provide communication with the patient/family, physician and the health care team. Coordinates, organizes, secures, integrates, modifies and documents resources needed to accomplish goals related to the Care Management discharge plan. When necessary, serves as the “brokering” agent to secure coverage for needed community services. Monitoring: Gathers sufficient information from all relevant sources and documentation regarding the care management plan and activities and or services to enable the Care Manager to determine the plan's effectiveness. Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to appropriate next level of care. Identifies, communicates and initiates actions to mitigate variances in the patient's process of care. Stays abreast of most recent changes in quality related to core measures, Conditions of Participation, Leapfrog and other regulatory bodies to assist in compliance for assigned population Monitors patient population for potential Healthcare Acquired Conditions, Hospital Acquired Infections and proactively initiates actions to prevent same Discharge/Transition Planning: When necessary, serves as the “brokering” agent to secure coverage for needed community services. Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to next appropriate level of care. Ensures Multidisciplinary daily rounds at the patient's bedside with care giver and health care team to successfully achieve the desired outcomes and goals. Evaluates the Care Management plan and modifies or changes the plan as needed to meet the patient's needs. Outcomes/Clinical/Fiscal/Resource Management: Utilizes statistical analysis techniques to measure clinical and fiscal variances from established patient care guidelines, care designs, protocols and core measures. Develop reporting mechanisms to communicate outcomes to physicians and other members of the health care team. Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team. Maintains ongoing fiscal awareness by communicating outcomes to all stakeholders at specified times Monitors and addresses outcome variances concurrently. Identifies causes of outcome variances and implements actions to improve the variances; evaluates corrective actions for improvement. Proactively seeks the most efficient, cost-effective ways to provide appropriate care. Conducts research to identify “best” practices for achieving patient outcomes. Participates in quality improvement initiatives for assigned population. Addresses end of life issues as they arise with the physician, family and other members of the health care team. Maintains patient Privacy information with other facilities, services and departments involved in Interdisciplinary Discharge Planning Rounds. General Duties: Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. Education: In collaboration with Nursing and other members of the health care team, plans, develops and assists in patient education; requires return demonstration to ensure patient and family understanding of inpatient plan of care as well as post discharge needs Participates in staff development, orientation, and unit meetings through mentoring, consultation, educational presentations and clinical direction. Leadership: Assists with the hiring, supervision, education, orientation, evaluation and disciplining of staff. Maintains awareness of all hospital policies applicable to the care of the assigned patient population. Qualifications Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Minimum Experience: Three (3) years of acute care nursing experience; a minimum of two (2) years of experience in area of assigned responsibility. Licensure Requirements: Current Tennessee RN License.
    $73k-90k yearly est. Auto-Apply 60d+ ago
  • RN Care MGR II

    Covenant Health 4.4company rating

    Registered nurse case manager job at CovenantHealth

    RN Care Manager, Continuum of Care PRN/OCC, Variable Hours & Shifts Proudly serving our community, Roane Medical Center is committed to your healthy future! Our state-of-the-art facility is equipped with modern technologies and expert staff to provide you the best possible patient care. From our quality medical, surgical, emergency and critical care services to our diagnostic imaging and rehabilitation support, you will find the right blends of technical expertise, medical professionalism, and patient quality and satisfaction at Roane Medical Center. Come be a part of our team at Roane Medical Center! We have all private rooms in our unit. At Roane you will find a culture and team environment that is unmatched! Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Manager II is responsible for promoting patient care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager II actively seeks opportunities in research designed to identify best practices. The RN Care Manager II has the responsibility, accountability and authority for providing comprehensive care coordination and knowledge to plan, implement, monitor and evaluate the outcomes of care for the designated patient population. The RN Care Manager II is seen as part of the Leadership team on the nursing unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level. Recruiter: Sandra Simmons || ***************** Responsibilities Utilizes case finding criteria to screen patients and gather information from the medical record, physician documentation and communication, patient/family as well as other sources to develop a comprehensive plan for the patient that will meet identified needs. Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to ensure appropriate clinical documentation is available in the patient's medical record to guide the care team in determining the expected length of stay. Utilizes the nursing process to evaluate daily through discussion with patient and care givers and chart findings to ensure patient is meeting daily objectives. Modifies the case management plan to meet the changing needs of the patient's clinical condition. Secures needed resources via a multidisciplinary approach to care management strategy to assure timely, efficient and cost effective services. Researches, designs and implements practice guidelines and clinical care designs in collaboration with physicians, nursing and other members of the health care team for assigned population. Identifies specific objectives, goals, and actions to meet the patient's identified needs. Collaborates and communicates effectively with the physician and other members of the health care team to plan and implement the care of the patient in a timely manner. Documents results of communication in the patient's medical record. Visits patients in accordance with the plan of care providing education on medications, treatment plan, discharge instructions and modalities as necessary to promote health and continuity of care. Participates in daily multidisciplinary rounds and ensures appropriate disciplines are available Collaborates directly with the Nurse Manager to ensure the staff adheres to sound clinical practices assisting in the development of educational activities for staff or patients as needed. Works closely with the physician to identify the necessary resources and ensures the appropriate utilization of same. Communicates effectively with physician offices, home health agencies, rehabilitation facilities, long term care facilities, and third party payers to identify goals to assure that patients receive the most appropriate, cost effective and efficient means of care. The RN Care Manager provides documentation in the patient's medical record to communicate the goals and transition plan for the patient. Executes and documents the Care Management activities and interventions related to specific patient goals. Serves as liaison to provide communication with the patient/family, physician and the health care team. Coordinates, organizes, secures, integrates, modifies and documents resources needed to accomplish goals related to the Care Management discharge plan When necessary, serves as the “brokering” agent to secure coverage for needed community services Gathers sufficient information from all relevant sources and documentation regarding the care management plan and activities and or services to enable the Care Manager to determine the plan's effectiveness. Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to appropriate next level of care. Identifies, communicates and initiates actions to mitigate variances in the patient's process of care Stays abreast of most recent changes in quality related to core measures, Conditions of Participation, Leapfrog and other regulatory bodies to assist in compliance for assigned population Monitors patient population for potential Healthcare Acquired Conditions, Hospital Acquired Infections and proactively initiates actions to prevent same When necessary, serves as the “brokering” agent to secure coverage for needed community services Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to next appropriate level of care. Ensures Multidisciplinary daily rounds at the patient's bedside with care giver and health care team to successfully achieve the desired outcomes and goals. Evaluates the Care Management plan and modifies or changes the plan as needed to meet the patient's needs. Utilizes statistical analysis techniques to measure clinical and fiscal variances from established patient care guidelines, care designs, protocols and core measures Develops reporting mechanisms to communicate outcomes to physicians and other members of the health care team Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team Maintains ongoing fiscal awareness by communicating outcomes to all stakeholders at specified times Monitors and addresses outcome variances concurrently Identifies causes of outcome variances and implements actions to improve the variances; evaluates corrective actions for improvement. Proactively seeks the most efficient, cost-effective ways to provide appropriate care. Conducts research to identify “best” practices for achieving patient outcomes Participates in quality improvement initiatives for assigned population Addresses end of life issues as they arise with the physician, family and other members of the health care team Maintains patient Privacy information with other facilities, services and departments involved in Interdisciplinary Discharge Planning Rounds Provides care management services maintaining the patient's right to privacy and confidentiality adhering to Covenant Health's HIPPA policy Serves as patient advocate in performing care management duties Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory In collaboration with Nursing and other members of the health care team, researches, plans, develops and assists in patient education; requires return demonstration to ensure patient and family understanding of inpatient plan of care as well as post discharge needs Participates in staff development, orientation, and unit meetings through mentoring, consultation, educational presentations and clinical direction Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested Actively participates in the hiring, supervision, education, orientation, evaluation and disciplining of staff. Administers all hospital policies applicable to the care of the assigned patient population Actively participates in Performance Improvement (PI) initiatives to support evidenced based care Qualifications Minimum Education: Bachelor's degree in Nursing or related field OR certification as listed below. Minimum Experience: Four (4) years of acute care nursing experience; a minimum of three (3) years of experience in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management, CCM, ACM or CPHQ OR Bachelors degree in Nursing or related field.
    $73k-90k yearly est. Auto-Apply 60d+ ago
  • RN Care Mgr III

    Covenant Health 4.4company rating

    Registered nurse case manager job at CovenantHealth

    RN Care Manager, Continuum of Care PRN/OCC, Variable Hours, Day Shift Why Roane Medical Center? Proudly serving our community, Roane Medical Center is committed to your healthy future! Our state-of-the-art facility is equipped with modern technologies and expert staff to provide you the best possible patient care. From our quality medical, surgical, emergency and critical care services to our diagnostic imaging and rehabilitation support, you will find the right blends of technical expertise, medical professionalism, and patient quality and satisfaction at Roane Medical Center. Come be a part of our team at Roane Medical Center! We have all private rooms in our unit. At Roane you will find a culture and team environment that is unmatched! Position Summary: The RN Care Manager III is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Manager III is responsible for promoting patient care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager III actively seeks opportunities in research designed to identify best practices. The RN Care Manager III has the responsibility, accountability and authority for providing comprehensive care coordination and knowledge to plan, implement, monitor and evaluate the outcomes of care for the designated patient population. The RN Care Manager III is seen as part of the Leadership team on the nursing unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level Recruiter: Sandra Simmons || ***************** Responsibilities Utilizes case finding criteria to screen patients and gather information from the medical record, physician documentation and communication, patient/family as well as other sources to develop a comprehensive plan for the patient that will meet identified needs. Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist As necessary to ensure appropriate clinical documentation is available in the patient's medical record to guide the care team in determining the expected length of stay. Utilizes the nursing process to evaluate daily through discussion with patient and care givers and chart findings to ensure patient is meeting daily objectives. Modifies the case management plan to meet the changing needs of the patient's clinical condition. Secures needed resources via a multidisciplinary approach to care management strategy to assure timely, efficient and cost effective services. Researches, designs and implements practice guidelines and clinical care designs in collaboration with physicians, nursing and other members of the health care team for assigned population. Identifies specific objectives, goals, and actions to meet the patient's identified needs. Collaborates and communicates effectively with the physician and other members of the health care team to plan and implement the care of the patient in a timely manner. Documents results of communication in the patient's medical record. Evaluates the Care Management plan and modifies or changes the plan as needed to meet the patient's needs. Visits patients in accordance with the plan of care providing education on medications, treatment plan, discharge instructions and modalities as necessary to promote health and continuity of care. Participates in daily multidisciplinary rounds and ensures appropriate disciplines are available Collaborates directly with the Nurse Manager to ensure the staff adheres to sound clinical practices assisting in the development of educational activities for staff or patients as needed. Works closely with the physician to identify the necessary resources and ensures the appropriate utilization of same. Communicates effectively with physician offices, home health agencies, rehabilitation facilities, long term care facilities, and third party payers to identify goals to assure that patients receive the most appropriate, cost effective and efficient means of care. The RN Care Manager provides documentation in the patient's medical record to communicate the goals and transition plan for the patient. Executes and documents the Care Management activities and interventions related to specific patient goals. Serves as liaison to provide communication with the patient/family, physician and the health care team. Coordinates, organizes, secures, integrates, modifies and documents resources needed to accomplish goals related to the Care Management discharge plan. . When necessary, serves as the “brokering” agent to secure coverage for needed community services. Gathers sufficient information from all relevant sources and documentation regarding the care management plan and activities and or services to enable the Care Manager to determine the plan's effectiveness. Mobilizes resources and coordinates the effort of the health care team to achieve a positive patient transition to appropriate next level of care. Identifies, communicates and initiates actions to mitigate variances in the patient's process of care. Stays abreast of most recent changes in quality related to core measures, Conditions of Participation, Leapfrog and other regulatory bodies to assist in compliance for assigned population. Monitors patient population for potential Healthcare Acquired Conditions, Hospital Acquired Infections and proactively initiates actions to prevent same Evaluates the Care Management plan and modifies or changes the plan as needed to meet the patient's needs. Utilizes statistical analysis techniques to measure clinical and fiscal variances from established patient care guidelines, care designs, protocols and core measures. Develop reporting mechanisms to communicate outcomes to physicians and other members of the health care team. Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team. Maintains ongoing fiscal awareness by communicating outcomes to all stakeholders at specified times Monitors and addresses outcome variances concurrently. Identifies causes of outcome variances and implements actions to improve the variances; evaluates corrective actions for improvement. Proactively seeks the most efficient, cost-effective ways to provide appropriate care. Conducts research to identify “best” practices for achieving patient outcomes. Participates in quality improvement initiatives for assigned population. Addresses end of life issues as they arise with the physician, family and other members of the health care team. Maintains patient Privacy information with other facilities, services and departments involved in Interdisciplinary Discharge Planning Rounds. Provides care management services maintaining the patient's right to privacy and confidentiality adhering to Covenant Health's HIPPA policy. Conducts self with the highest ethical standards. Serves as patient advocate in performing care management duties. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. In collaboration with Nursing and other members of the health care team, researches, plans, develops and assists in patient education; requires return demonstration to ensure patient and family understanding of inpatient plan of care as well as post discharge needs Participates in staff development, orientation, and unit meetings through mentoring, consultation, educational presentations and clinical direction. Actively participates in the hiring, supervision, education, orientation, evaluation and disciplining of staff. . Administers all hospital policies applicable to the care of the assigned patient population Actively participates in Performance Improvement (PI) initiatives to support evidenced based care Actively participates in professional development activities associated with maintaining certification Qualifications Minimum Education: Bachelors degree required in Nursing or related field Minimum Experience: Four (4) years of acute care nursing experience; a minimum of three (3) years of experience in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management, CCM, ACM or CPHQ required.
    $73k-90k yearly est. Auto-Apply 60d+ ago

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