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Nurse Case Manager jobs at Sentara Healthcare

- 67 jobs
  • Case Manager-DSNP

    Sentara Health 4.9company rating

    Nurse case manager job at Sentara Healthcare

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plansis hiring an Integrated Nurse Case Manager/RNfor DSNP in Virginia Beach, VA! The position requires both in-person face-to-face assessments and remote telephonic assessments for Dual Special Needs Plan (DSNP) in their homes or facilities in Virginia Beach, VA! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Applicants must reside in Virginia Beach, VA! Primary responsibilities include: Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures May assist in problem solving with provider, claims or service issues. Education: Bachelors Degree in Nursing preferred Certification/Licensure Registered Nurse (RN) License (Compact or Virginia) REQUIRED Preferred qualifications: 3 years experience in Nursing REQUIRED Case Management experience preferred Discharge planning experience preferred Managed Care or Health Plan experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to ********************** and use the following as your Keyword Search: JR-90044 #Indeed Talroo - Nursing Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Virginia Beach, VA, Managed Care, MCO, Health Plan, DSNP, Dual Special Needs Plan Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $34k-58k yearly est. 7d ago
  • Registered Nurse - Hospice

    Sentara Health 4.9company rating

    Nurse case manager job at Sentara Healthcare

    City/State South Boston, VA Work Shift First (Days) Sentara Health is seeking to hire a qualified individual to join our team as a Registered Nurse. Position Status: Full Time - Day Shift Sentara Hospice Services - Halifax, VA Salary Range: $69,908.80 - $116,500.80 This is a salaried position. We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Overview The Direct Care Registered Nurse - Home Health and Hospice develops, implements, and evaluates plans of care for specific patient populations. Manages a patient case load through coordination and collaboration with multidisciplinary team members to facilitate integrated and comprehensive care. Possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Basic Life Support (BLS) within 90 days of hire. A valid RN license in state(s) of practice is required. Education Associate's Degree (Required) Certification/Licensure RN (Required) - Active in Virginia BLS (Required within 90 days) Experience 1 year of nursing experience (Required) Previous Home Care/Hospice experience (Preferred) Develops, implements, and evaluates plans of care for specific patient populations Manages a patient case load through coordination and collaboration with multidisciplinary team members to facilitate integrated and comprehensive care Possesses clinical knowledge and skills to meet standards as required by specific clinical areas Keywords: registered nurse, hospice, RN, indeed, talroo-nursing Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $69.9k-116.5k yearly 12d ago
  • Inpatient Case Manager, RN (Flexi/PRN)

    Sentara Health 4.9company rating

    Nurse case manager job at Sentara Healthcare

    City/State Williamsburg, VA Work Shift First (Days) Sentara Williamsburg Regional Medical Center is hiring an Inpatient Case Manager, RN! Inpatient Case Manager Registered Nurse Sentara Williamsburg Regional Medical Center - Williamsburg, VA ~Flexi/PRN & Day Shift~ 8 hours/week ( 1 weekend/month) Overview Responsible and accountable for the provision and facilitation of comprehensive care management, services, and quality outcomes for patients across the healthcare continuum, primary focus on the patient transition to the appropriate level of care while facilitating clinical appropriateness and LOS. Directly support those in-hospital patients identified in need of comprehensive case management. Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation to include the physical, mental, and psychosocial needs of the inpatient/caregiver. Functions in one of the following practice settings: Hospitals Only. BLS within 90 days of hire. BSN is preferred. Case Management (ACM, CCM, CCCTM, CMAC, or CMGT-BC) certification is required within one year of eligibility. 1-year acute care case management experience preferred. Education RN-Associate's Degree OR RN-Bachelor's Degree OR RN-Diploma OR RN-Master's Degree OR RN-Doctorate Degree Certification/Licensure Registered Nurse (RN) License - Compact/Multi-State License OR Registered Nurse (RN) License - Single State - Virginia Basic Life Support (BLS) - Certification - American Heart Association (AHA) Experience 1 year of nursing experience (required) 1 year acute care experience (preferred) 1 year case management experience (preferred) Keywords: Case Management, Inpatient, Critical Care, De-escalation, Integrated Care Management, RN, Registered Nurse, ACM, CCM, CCCTM, RN-B, Community Resources, Monster, Talroo-Nursing We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$13,366.08-$22,276.80. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Williamsburg Regional Medical Center , a Certified Primary Stroke Center, has 145 licensed beds and features the latest healthcare technologies, serving the region with the life-saving capabilities of an ultra-modern medical center. The hospital offers a full range of medical care from emergency heart catheterization to all-inclusive obstetrics care where patients can stay in one room. The hospital also provides advanced imaging and “smart” operating rooms. Sentara Williamsburg Regional Medical Center has also achieved Magnet recognition, the nation's highest honor for excellence in nursing. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $63k-90k yearly est. 14d ago
  • Clinical Nurse Manager (RN) - IMCU (Intermediate Care Unit)

    Sentara Health 4.9company rating

    Nurse case manager job at Sentara Healthcare

    City/State Norfolk, VA Work Shift First (Days) Sentara Leigh Hospital is hiring a Clinical Nurse Manager, Registered Nurse (RN) for our Intermediate Care Unit (Stepdown) Hours Full Time (40 hr/week) The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Department Overview: The Intermediate Care Unit (IMCU) is a 24-bed stepdown unit for patients with medical and surgical diagnoses.The predominant patient population includes but is not limited to acute CVAs, ventilator dependent patients-weaning and non-weaning, GI bleeds, chronic renal failure, newly diagnosed and chronic diabetes, general abdominal surgery, thoracic surgery and those diagnoses that require frequent monitoring. Education Bachelor of Science Nursing, BSN (Required) or MSN (Preferred) Certification/Licensure Registered nursing License (Required) BLS required within 90 days of hire Experience 2 years experience in a support leadership RN position, i.e. Unit Coordinator, Team Lead, or other like position may be accepted in lieu of 1 year formal management experience. Meets any requirements defined by specific specialty. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! keywords: #Indeed, Talroo - Nursing, clinical manager, nursing leadership, stepdown, IMCU, intermediate care, medical/surgical, med/surg, supervisor, manager, clinical leader . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Leigh Hospital , located in Norfolk, VA, is a 274-bed acute care facility that opened in 1903 and relocated to its present site in 1977. Our hospital completed a renovation in 2016, including two new patient towers, a beautiful atrium, and a multi-story parking garage. Sentara Leigh Hospital includes a dedicated Orthopedic Hospital providing patients access to a full continuum of orthopedic care, from the preoperative phase and surgery to rehabilitation and home care services. Along with being a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, we also specialize in orthopedic and spine care, heart, vascular, maternity care, and general surgery. We are also home to the region's only 24-hour hyperbaric oxygen program that helps speed up the healing of carbon monoxide poisoning, wounds that won't heal, infections in which tissues are starved for oxygen, airborne chemical exposures, and scuba diving accidents. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $72k-95k yearly est. 15d ago
  • Registered Nurse (RN) Case Manager - MAryview Medical Center

    Bon Secours Mercy Health 4.8company rating

    Portsmouth, VA jobs

    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. About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Job Summary: The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions: * Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. * Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. * Documentation will reflect plan of care to address post hospital care needs and 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. * Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. * Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. * Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Education: Licensure/Certification: * BLS Basic Life Support - American Heart Association (required) * RN License in the state in which they are working or covered by compact (required) * Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Experience: * 1 year of experience in clinical setting (required) * 3 years of experience in an acute care clinical setting (preferred) * Ambulatory or post-acute, care coordination experience (preferred) Training: None Skills and Abilities: Hard/Tech/Clinical Skills: Care management Discharge planning Patient Advocacy Flexible Care Planning Care Coordination Analyzing data or information Reimbursement methodologies Staffing workflow and bed allocation Clinical knowledge Tracking Working knowledge of local and state resources Knowledge of government and non-government payor practices, regulations, standards and reimbursement Soft/Interpersonal Skills: Knowledge Sharing Attention to detail Critical thinking Communication with family members Conflict resolution Proactive Problem Solving Active listening Relationship building Effective problem solving Teamwork Facilitation As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $63k-98k yearly est. 51d ago
  • Registered Nurse (RN) Case Manager - MAryview Medical Center

    Bon Secours Mercy Health 4.8company rating

    Portsmouth, VA jobs

    Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Job Summary: The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions: Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. Documentation will reflect plan of care to address post hospital care needs and 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. Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Education: Licensure/Certification: BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Experience: 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) Training: None Skills and Abilities: Hard/Tech/Clinical Skills : Care management Discharge planning Patient Advocacy Flexible Care Planning Care Coordination Analyzing data or information Reimbursement methodologies Staffing workflow and bed allocation Clinical knowledge Tracking Working knowledge of local and state resources Knowledge of government and non-government payor practices, regulations, standards and reimbursement Soft/Interpersonal Skills: Knowledge Sharing Attention to detail Critical thinking Communication with family members Conflict resolution Proactive Problem Solving Active listening Relationship building Effective problem solving Teamwork Facilitation Bon Secours is an equal opportunity employer. As a Bon Secours associate, you're part of a Mission that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Case Mgmt - Maryview Medical Center It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all 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 Employer, please email *********************. 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 *********************.
    $63k-98k yearly est. 50d ago
  • Registered Nurse (RN) Case Manager - Southside Regional Medical Center

    Bon Secours Mercy Health 4.8company rating

    Petersburg, VA jobs

    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. Registered Nurse (RN) - Southside Regional Medical Center - Part - time Job Summary: The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions: * Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. * Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. * Documentation will reflect plan of care to address post hospital care needs and 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. * Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. * Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. * Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Education: Licensure/Certification: * BLS Basic Life Support - American Heart Association (required) * RN License in the state in which they are working or covered by compact (required) * Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Experience: * 1 year of experience in clinical setting (required) * 3 years of experience in an acute care clinical setting (preferred) * Ambulatory or post-acute, care coordination experience (preferred) Training: None Skills and Abilities: Hard/Tech/Clinical Skills: Care management Discharge planning Patient Advocacy Flexible Care Planning Care Coordination Analyzing data or information Reimbursement methodologies Staffing workflow and bed allocation Clinical knowledge Tracking Working knowledge of local and state resources Knowledge of government and non-government payor practices, regulations, standards and reimbursement Soft/Interpersonal Skills: Knowledge Sharing Attention to detail Critical thinking Communication with family members Conflict resolution Proactive Problem Solving Active listening Relationship building Effective problem solving Teamwork Facilitation As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $62k-97k yearly est. 7d ago
  • Registered Nurse (RN) Case Manager - Southside Regional Medical Center

    Bon Secours Mercy Health 4.8company rating

    Petersburg, VA jobs

    Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 24 Work Shift: Days (United States of America) Registered Nurse (RN) - Southside Regional Medical Center - Part - time The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions: Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. Documentation will reflect plan of care to address post hospital care needs and 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. Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Education: Licensure/Certification: BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Experience: 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) Training: None Skills and Abilities: Hard/Tech/Clinical Skills : Care management Discharge planning Patient Advocacy Flexible Care Planning Care Coordination Analyzing data or information Reimbursement methodologies Staffing workflow and bed allocation Clinical knowledge Tracking Working knowledge of local and state resources Knowledge of government and non-government payor practices, regulations, standards and reimbursement Soft/Interpersonal Skills: Knowledge Sharing Attention to detail Critical thinking Communication with family members Conflict resolution Proactive Problem Solving Active listening Relationship building Effective problem solving Teamwork Facilitation Bon Secours is an equal opportunity employer. As a Bon Secours associate, you're part of a Mission that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Case Mgmt - Southside RMC - Petersburg It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all 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 Employer, please email *********************. 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 *********************.
    $62k-97k yearly est. 8d ago
  • Registered Nurse (RN) - Case Manager - Mary Immaculate Hospital - PRN

    Bon Secours Mercy Health 4.8company rating

    Newport News, VA jobs

    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. Registered Nurse (RN) - Case Manager - Mary Immaculate Hospital - PRN As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Job Summary: The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions: * Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. * Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. * Documentation will reflect plan of care to address post hospital care needs and 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. * Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. * Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. * Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Education: Licensure/Certification: * BLS Basic Life Support - American Heart Association (required) * RN License in the state in which they are working or covered by compact (required) * Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Experience: * 1 year of experience in clinical setting (required) * 3 years of experience in an acute care clinical setting (preferred) * Ambulatory or post-acute, care coordination experience (preferred) Training: None Skills and Abilities: Hard/Tech/Clinical Skills: Care management Discharge planning Patient Advocacy Flexible Care Planning Care Coordination Analyzing data or information Reimbursement methodologies Staffing workflow and bed allocation Clinical knowledge Tracking Working knowledge of local and state resources Knowledge of government and non-government payor practices, regulations, standards and reimbursement Soft/Interpersonal Skills: Knowledge Sharing Attention to detail Critical thinking Communication with family members Conflict resolution Proactive Problem Solving Active listening Relationship building Effective problem solving Teamwork Facilitation As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $63k-98k yearly est. 23d ago
  • Registered Nurse (RN) - Case Manager - Mary Immaculate Hospital - PRN

    Bon Secours Mercy Health 4.8company rating

    Newport News, VA jobs

    Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 0.01 Work Shift: Days/Evenings (United States of America) Registered Nurse (RN) - Case Manager - Mary Immaculate Hospital - PRN As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Job Summary: The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions: Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. Documentation will reflect plan of care to address post hospital care needs and 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. Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Education: Licensure/Certification: BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Experience: 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) Training: None Skills and Abilities: Hard/Tech/Clinical Skills : Care management Discharge planning Patient Advocacy Flexible Care Planning Care Coordination Analyzing data or information Reimbursement methodologies Staffing workflow and bed allocation Clinical knowledge Tracking Working knowledge of local and state resources Knowledge of government and non-government payor practices, regulations, standards and reimbursement Soft/Interpersonal Skills: Knowledge Sharing Attention to detail Critical thinking Communication with family members Conflict resolution Proactive Problem Solving Active listening Relationship building Effective problem solving Teamwork Facilitation Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Case Mgmt - Mary Immaculate It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll 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 Employer, please email *********************. 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 *********************.
    $63k-98k yearly est. 23d ago
  • Nurse Case Manager

    Sentara Hospitals 4.9company rating

    Nurse case manager job at Sentara Healthcare

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in Tidewater Virginia Status: Full Time (40 hrs/wk) Shift: Day (8am-5pm) Location: Remote* in Tidewater, VA (Requires Travel) *Position is remote but does require in person face-to-face assessments multiple times throughout the week. Candidates must be able to travel frequently throughout the week to complete in person assessments. Location of assessments include: Peninsula including Hampton, Newport News, Poquoson, Smithfield, Isle of White, Ivor, Gloucester/surrounding area, with potential to travel to the Southside Primary responsibilities include: Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures May assist in problem solving with provider, claims or service issues Preferred: Private duty nursing experience and knowledgeable with ventilators in a facility or home Education Associates or Bachelors Degree in Nursing (Required) Certification/Licensure Virginia or Compact RN License (Required) Experience 3 years experience in Nursing (Required) Experience in Private Duty Nursing or NICU or Experience working with Ventilators (Required) Discharge planning experience (Preferred) Managed Care experience (Preferred) Keywords: Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, LinkedIn, Talroo-Nursing Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $68k-85k yearly est. Auto-Apply 22d ago
  • Registered Nurse Ambulatory Care Manager (RN) - Population Health

    Bon Secours Mercy Health 4.8company rating

    Richmond, VA jobs

    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. Summary of Primary Function In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. Perform standardized comprehensive needs assessment, identifying and addressing barriers to care and aligning patients with available benefits and resources. Collaborate with patient, provider and care team to develop and implement a plan of care to ensure medically appropriate cost-effective care. * This position is primarily remote/work from home. Hire must be able to go onsite up to 20% to support the Richmond, Virginia (VA) market. Essential Job Functions * Utilize Motivational Interviewing techniques as a patient-centered approach to activate patients in self-management of their chronic conditions with the goal of improved symptom management and interruption of a negative disease trajectory * Maintain a caseload of patients according to department policies. * Identify, enroll and manage patients in program for Transitions of Care/Complex Case Management/Chronic Disease Management. * Develop and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols. * Perform medication review and teach-back to ensure patient understanding and ability to adhere to medical regimen. * Collaborate with PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan. * Perform patient outreach according to established protocols and document in electronic medical record. * Identify, execute, and track needed referrals to care and community resources. * Provide resource management to improve care, patient experience and reduce unnecessary cost and utilization: right care, right place, right time. * Assist patient in advanced care planning to complete Advanced Directives. * Document all communications with patient and/or care team in electronic medical record. 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. Employment Qualifications Associate's Degree (required) Specialty/Major- Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) Licensing/ Certification Registered Nurse with active License in State of Patient Care (required) Case Management certification (CCM) (preferred) Minimum Qualifications 2-3 years acute care, home health or case management experience (required) Other Knowledge, Skills and Abilities * Excellent interpersonal communication and negotiation skills. Strong analytical, data management and computer skills (required) * Demonstrated success in improving the health of a distinct population of patients in the ambulatory or community setting (preferred) Patient Population The following must be included in all position descriptions that involve direct or indirect patient care. This is a JCAHO requirement. Also select the age of the patient population served: Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Neonates (0-4 weeks) Adolescents (13-17 years) Infant (1-12 months) Adults (18-64 years). Pediatrics (1-12 years) Geriatrics (65 years and older) As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $72k-88k yearly est. 29d ago
  • Registered Nurse (RN) Care Manager - Maryview Medical Center

    Bon Secours Mercy Health 4.8company rating

    Portsmouth, VA jobs

    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. The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions * Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. * Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. * Documentation will reflect plan of care to address post hospital care needs and 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. * Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. * Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. * Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. * Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician. * Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner. * Participates in department clinical outcome projects as well as process improvement initiatives within the care management department. * 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. * Strong collaborative partnerships with other members of the care team. * Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership. Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population. 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/Certification BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Education Bachelor of Science in Nursing (preferred for BSMH, required for RSFH) Work Experience 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $72k-89k yearly est. 49d ago
  • Registered Nurse Ambulatory Care Manager (RN) - Population Health

    Bon Secours Mercy Health 4.8company rating

    Norfolk, VA jobs

    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. Summary of Primary Function In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. Perform standardized comprehensive needs assessment, identifying and addressing barriers to care and aligning patients with available benefits and resources. Collaborate with patient, provider and care team to develop and implement a plan of care to ensure medically appropriate cost-effective care. * This position is primarily remote/work from home. Hire must be able to go onsite up to 20% to support the Hampton Roads Virginia (VA) market. Essential Job Functions * Utilize Motivational Interviewing techniques as a patient-centered approach to activate patients in self-management of their chronic conditions with the goal of improved symptom management and interruption of a negative disease trajectory * Maintain a caseload of patients according to department policies. * Identify, enroll and manage patients in program for Transitions of Care/Complex Case Management/Chronic Disease Management. * Develop and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols. * Perform medication review and teach-back to ensure patient understanding and ability to adhere to medical regimen. * Collaborate with PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan. * Perform patient outreach according to established protocols and document in electronic medical record. * Identify, execute, and track needed referrals to care and community resources. * Provide resource management to improve care, patient experience and reduce unnecessary cost and utilization: right care, right place, right time. * Assist patient in advanced care planning to complete Advanced Directives. * Document all communications with patient and/or care team in electronic medical record. 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. Employment Qualifications Associate's Degree (required) Specialty/Major- Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) Licensing/ Certification Registered Nurse with active License in State of Patient Care (required) Case Management certification (CCM) (preferred) Minimum Qualifications 2-3 years acute care, home health or case management experience (required) Other Knowledge, Skills and Abilities * Excellent interpersonal communication and negotiation skills. Strong analytical, data management and computer skills (required) * Demonstrated success in improving the health of a distinct population of patients in the ambulatory or community setting (preferred) Patient Population The following must be included in all position descriptions that involve direct or indirect patient care. This is a JCAHO requirement. Also select the age of the patient population served: Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Neonates (0-4 weeks) Adolescents (13-17 years) Infant (1-12 months) Adults (18-64 years). Pediatrics (1-12 years) Geriatrics (65 years and older) As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $72k-89k yearly est. 29d ago
  • Registered Nurse (RN) Care Manager - Memorial Regional Medical Center

    Bon Secours Mercy Health 4.8company rating

    Mechanicsville, VA jobs

    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. Registered Nurse (RN) Care Manager - Memorial Regional Medical Center $10,000 sign-on bonus! The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions * Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. * Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. * Documentation will reflect plan of care to address post hospital care needs and 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. * Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. * Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. * Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. * Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician. * Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner. * Participates in department clinical outcome projects as well as process improvement initiatives within the care management department. * 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. * Strong collaborative partnerships with other members of the care team. * Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership. Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population. 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/Certification BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Education Bachelor of Science in Nursing (preferred for BSMH, required for RSFH) Work Experience 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $72k-88k yearly est. 60d+ ago
  • Registered Nurse (RN) Care Manager - Memorial Regional Medical Center

    Bon Secours Mercy Health 4.8company rating

    Mechanicsville, VA jobs

    Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days/Evenings (United States of America) The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. Documentation will reflect plan of care to address post hospital care needs and 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. Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician. Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner. Participates in department clinical outcome projects as well as process improvement initiatives within the care management department. 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. Strong collaborative partnerships with other members of the care team. Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership. Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population. 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/Certification BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Education Bachelor of Science in Nursing (preferred for BSMH, required for RSFH) Work Experience 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Bon Secours is an equal opportunity employer. As a Bon Secours associate, you're part of a Mission that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Case Mgmt - Memorial Regional It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all 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 Employer, please email *********************. 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 *********************.
    $72k-88k yearly est. 60d+ ago
  • Registered Nurse (RN) Care Manager -Rappahannock General Hospital - PRN

    Bon Secours Mercy Health 4.8company rating

    Kilmarnock, VA jobs

    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. The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions * Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. * Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. * Documentation will reflect plan of care to address post hospital care needs and 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. * Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. * Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. * Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. * Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician. * Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner. * Participates in department clinical outcome projects as well as process improvement initiatives within the care management department. * 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. * Strong collaborative partnerships with other members of the care team. * Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership. Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population. 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/Certification BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Education Bachelor of Science in Nursing (preferred for BSMH, required for RSFH) Work Experience 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) Training None Language None Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Neonates (0-4 weeks) Infant (1-12 months) Pediatrics (1-12 years) Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment. May be exposed to high noise levels and bright lights. May be exposed to physical altercations and verbal abuse. May be exposed to limited hazardous substances or body fluids.* May be required to use physical restraints. May be exposed to human blood and other potentially infectious materials.* May be exposed to adverse weather conditions; cold, hot, dust, wind, etc. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Physical Requirements Physical Demands Frequency 0% 1-33% 34-66% 67-100% Lifting/ Carrying (0-50 lbs.) X Lifting/ Carrying (50-100 lbs.) X Push/ Pull (0-50 lbs.) X Push/ Pull (50-100 lbs.) X Stoop, Kneel X Crawling X Climbing X Balance X Bending X Work Position Frequency 0% 1-33% 34-66% 67-100% Sitting X Walking X Standing X Additional Physical Requirements/Hazards Physical Requirements Manual dexterity (eye/hand coordination) Maneuver weight of patients Perform shift work Hear alarms/telephone/audio recordings Finger Dexterity Acuity - near Hazards Use of Latex products Skills Care management Discharge planning Patient Advocacy Flexible Care Planning Care Coordination Analyzing data or information Reimbursement methodologies Staffing workflow and bed allocation Clinical knowledge Tracking Working knowledge of local and state resources Knowledge of government and non-government payor practices, regulations, standards and reimbursement Knowledge Sharing Attention to detail Critical thinking Communication with family members Conflict resolution Proactive Problem Solving Active listening Relationship building Effective problem solving Teamwork Facilitation As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $72k-89k yearly est. 21d ago
  • Registered Nurse (RN) Care Manager -Rappahannock General Hospital - PRN

    Bon Secours Mercy Health 4.8company rating

    Kilmarnock, VA jobs

    Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 0.01 Work Shift: Days (United States of America) The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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 Functions Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. Documentation will reflect plan of care to address post hospital care needs and 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. Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician. Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner. Participates in department clinical outcome projects as well as process improvement initiatives within the care management department. 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. Strong collaborative partnerships with other members of the care team. Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership. Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population. 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/Certification BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Education Bachelor of Science in Nursing (preferred for BSMH, required for RSFH) Work Experience 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) Training None Language None Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Neonates (0-4 weeks) Infant (1-12 months) Pediatrics (1-12 years) Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment. May be exposed to high noise levels and bright lights. May be exposed to physical altercations and verbal abuse. May be exposed to limited hazardous substances or body fluids.* May be required to use physical restraints. May be exposed to human blood and other potentially infectious materials.* May be exposed to adverse weather conditions; cold, hot, dust, wind, etc. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Physical Requirements Physical Demands Frequency 0% 1-33% 34-66% 67-100% Lifting/ Carrying (0-50 lbs.) X Lifting/ Carrying (50-100 lbs.) X Push/ Pull (0-50 lbs.) X Push/ Pull (50-100 lbs.) X Stoop, Kneel X Crawling X Climbing X Balance X Bending X Work Position Frequency 0% 1-33% 34-66% 67-100% Sitting X Walking X Standing X Additional Physical Requirements/Hazards Physical Requirements Manual dexterity (eye/hand coordination) Maneuver weight of patients Perform shift work Hear alarms/telephone/audio recordings Finger Dexterity Acuity - near Hazards Use of Latex products Skills Care management Discharge planning Patient Advocacy Flexible Care Planning Care Coordination Analyzing data or information Reimbursement methodologies Staffing workflow and bed allocation Clinical knowledge Tracking Working knowledge of local and state resources Knowledge of government and non-government payor practices, regulations, standards and reimbursement Knowledge Sharing Attention to detail Critical thinking Communication with family members Conflict resolution Proactive Problem Solving Active listening Relationship building Effective problem solving Teamwork Facilitation Bon Secours is an equal opportunity employer. As a Bon Secours associate, you're part of a Mission that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Case Mgmt - Richmond Community Hospital It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all 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 Employer, please email *********************. 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 *********************.
    $72k-89k yearly est. 16d ago
  • Registered Nurse (RN) Care Manager - Southern Virginia Medical Center - PRN

    Bon Secours Mercy Health 4.8company rating

    Emporia, VA jobs

    Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 0.01 Work Shift: Days (United States of America) Registered Nurse (RN) Care Manager - Southern Virginia Medical Center - PRN The RN 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 RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. The RN 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. This is a PRN position working as needed. Orientation is 3 days per week for 6-8 weeks Essential Job Functions Identifies 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, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes. Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions. Documentation will reflect plan of care to address post hospital care needs and 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. Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention. Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds. Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team. Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician. Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner. Participates in department clinical outcome projects as well as process improvement initiatives within the care management department. 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. Strong collaborative partnerships with other members of the care team. Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership. Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population. 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/Certification BLS Basic Life Support - American Heart Association (required) RN License in the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) Education Bachelor of Science in Nursing (preferred for BSMH, required for RSFH) Work Experience 1 year of experience in clinical setting (required) 3 years of experience in an acute care clinical setting (preferred) Ambulatory or post-acute, care coordination experience (preferred) About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Bon Secours is an equal opportunity employer. As a Bon Secours associate, you're part of a Mission that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Case Mgmt - Virginia RMC - Emporia It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all 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 Employer, please email *********************. 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 *********************.
    $71k-88k yearly est. 60d+ ago
  • Registered Nurse (RN) - Nursing Coordinator - Harbour View Medical Office

    Bon Secours Mercy Health 4.8company rating

    Suffolk, VA jobs

    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. Registered Nurse (RN) - Nursing Coordinator - Harbour View Medical Office Bon Secours As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient's problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members. Essential Job Functions In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment and evaluates treatment effectiveness; administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures; serves as point of contact for patients' care coordination throughout hospital departments. Acts as a patient safety advocate by participating in ongoing quality improvement in the department. Incorporates the professional practice model into care delivery Skills * Knowledge of contemporary nursing practice and future innovations * Nursing judgment and skill based on principles of the biological, physical, behavioral, and social sciences * Application of the nursing process in patient care delivery * Coordination of patient care delivery * Evaluation of professional nursing practice to optimize goals and outcomes * Health teaching and health promotion * Patient advocacy and partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence * Integration of quality improvement, evidence based practices and research in practice * Accountability for professional actions * Effective stewardship of available resources * Conflict management and resilience * Authority for delegating activities to others, while remaining responsible and accountable for outcomes * Cardiology experience preferred Certifications BLS Basic Life Support - American Heart Association (preferred) Valid nursing license from the state of practice (required) Education Associate of Nursing, nursing (required) OR Diploma in Nursing (required) Bachelors of Science, nursing (preferred) As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All 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 Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. 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 *********************
    $72k-86k yearly est. 21d ago

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