RN Care Manager - MansfieldMansfield, TX

RN Care Manager

Texas Health Huguley Hospital is a joint venture with AdventHealth, and these two faith-based organizations have a long history of collaboration. The Texas Health Huguley campus will be operated by AdventHealth, and staff working at the facility will be AdventHealth employees. Here, you can join our Burleson nurses, medical assistants, nurse assistants, patient care and health administration professionals to provide inpatient and outpatient services to help our community feel whole. Our expansive 350-bed hospital includes behavioral health, a cardiovascular critical care unit, a medical intensive care unit, a progressive care unit and an open-heart surgery center. We also have accredited programs in chest pain, inpatient diabetes and orthopedics, and our award-winning emergency department offers 24-hour care. Take the next step in your career and learn about Burleson medical jobs available at Texas Health Huguley Hospital.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The RN Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The RN Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The RN Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The RN Care Manager adheres to departmental and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation. Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, Therapy notes, ED notes, test results and progress notes. Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team. Incorporate clinical, social and financial factors into the transition of care plan. Meets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital care. Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievement.

The expertise and experiences you'll need to succeed:

EDUCATION AND EXPERIENCE REQUIRED:

Associates Degree Nursing or RN Diploma degree Registered Nurse (RN) Two (2) years of medical/hospital nursing experience

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.