RN Transitional Care Manager
Company: Intermountain Healthcare
Location: Butte
Posted on: September 16, 2023
|
|
Job Description:
Job Description:Responsible for specialty care management for
assigned clinics/geographical areas and other appropriate referrals
within the Intermountain system. Assess, plan, educate, and
advocate for patient's health needs by collaborating with the
patient/family, physician(s), other health care providers, national
organizations, and community resources. Collaboratively develop and
implement a plan of care that meets the patient's healthcare goals,
promotes shared-decision making, optimizes allocation of resources,
and facilitates patient engagement and self-care management across
the care continuum.ScopeIdentify patients for proactive
interventions using payor models and medical risk scores.Lead pre-
and post-hospital transition of high-risk patients, developing a
transitional care plan in collaboration with patient/family and
care team.Conduct post-acute phone calls, providing care
coordination and health coaching, including
patient/caregiver/family education in disease management, while
addressing the social determinants of health and other barriers to
optimal health outcomes.Facilitate hand-offs to Ambulatory Care
Coordinators when appropriate.Perform tasks identified as part of
an episodic payment model, value-based purchasing program, or other
identified patient population for transitional care management of
patients across the health-care continuum.Develop and maintain
proactive, collaborative partnerships with the post-acute provider
partner network to manage patient length of stay and optimize
recovery in the most appropriate level of care.Collaborate with
multiple stakeholders for the purposes of education, risk
stratification, identification of barriers to successful post-acute
care planning.Conduct root cause analysis of all extended
post-acute stays and re-hospitalizations for presentation and
analysis at internal operations committee meetings. Facilitate data
collection and tracking of key data elements or metrics as defined
for each episode model. Work with finance associates to synthesize
and understand patient trends and outcomes.Minimum
Qualifications:Bachelor's degree in nursing (BSN) from an
accredited nursing program.Current valid state RN license.Minimum
of five (5) years of nursing experience in either an acute care,
post-acute care, or ambulatory care setting.Demonstrated experience
in data collection, tracking, and reporting.Demonstrated electronic
EHR experience.Preferred:Master's degree in a work-related
discipline/field from an accredited college or university.Current
Care Management certification.At least three (3) years of care
management experience, either hospital- or community-based.Previous
experience in an episodic payment model program.Physical
Requirements:Physical RequirementsOngoing need for employee to see
and read information, labels, assess patient needs, operate
monitors, identify equipment and supplies.Frequent interactions
with patient care providers, patients, and visitors that require
employee to verbally communicate as well as hear and understand
spoken information, alarms, needs, and issues quickly and
accurately, particularly during emergency situations.Manual
dexterity of hands and fingers to manipulate complex and delicate
equipment with precision and accuracy. This includes frequent
computer use and typing for documenting patient care, accessing
needed information, medication preparation, etc.Anticipated job
posting close date:Location:St James HospitalWork City:ButteWork
State:MontanaScheduled Weekly Hours:40The hourly range for this
position is listed below. Actual hourly rate dependent upon
experience.$29.78 - $52.91We care about your well-being - mind,
body, and spirit - which is why we provide our caregivers a
generous benefits package that covers a wide range of programs to
foster a sustainable culture of wellness that encompasses living
healthy, happy, secure, connected, and engaged.Learn more about our
comprehensive benefits packages for our Idaho, Nevada, and Utah
based caregivers , and for our Colorado, Montana, and Kansas based
caregivers ; and our commitment to diversity, equity, and inclusion
.Intermountain Health is an equal opportunity employer. Qualified
applicants will receive consideration for employment without regard
to race, color, religion, age, sex, sexual orientation, gender
identity, national origin, disability or protected veteran
status.
Keywords: Intermountain Healthcare, Bozeman , RN Transitional Care Manager, Executive , Butte, Montana
Click
here to apply!
|