- Responsible for managing a group of patients throughout a ninety-day episode of care, as part of the Bundled Payment for Care Improvement (BPCI) Advanced program, Blue Cross Blue Shield Bundled patient and any other bundled programs.
- Completion of preoperative risk assessment and post op clinical care assessments.
- Educate the patient and caregiver of the process and expectations of the health care delivery system throughout the continuum of care, including pre-operative, acute stay, Inpatient Rehab (if applicable), Skilled Nursing (if applicable), Long Term Acute Care (if applicable), Home Care (if applicable) and access to community resources (if necessary).
- Development and implementation of collaborative care plans throughout the continuum of care, specific to patient individual needs.
- Collaborate with physician and monitor all providers in the pre-operative, acute, post-acute and outpatient settings, to identify patient needs such as: home health care, DME, physical therapy and community services.
- Provide telephonic and/or onsite follow up with patients at planned intervals and as needed based on patient status.
- Complete and submit all required documentation within established guidelines.
- Input & maintain all files & documentation within care management system & practice medical record as appropriate.
- Ongoing evaluation and revision of plan of care as determined by patient's health status. Communicate changes to all providers and multi-disciplinary care team members involved in the patient's care.
- Identify gaps or barriers in the treatment plan and provide appropriate resources and services. Update care plan as needed throughout the continuum of care.
- Understand the BPCI and other Bundle programs design, implementation, management, monitoring and reporting requirements.
- Remain flexible and responsive when changes occur in patient activity and workload.
- Maintain patient confidentiality and HIPAA compliance.
- Perform other duties as assigned.
- RN Preferred.
- LPN with 10 years of experience.
- Education and experience considered for negotiation.
- Licensed to practice Nursing in Mississippi.
- 2-3 years' of Nursing experience required; orthopedic experience is highly preferred; experience in discharge planning and outpatient care coordination preferred.
- Exceptional customer service, interpersonal skills, and communication skills.
- Proficiency of electronic records systems preferred. Must have strong data entry skills.
- Must be able to complete tasks with a high-degree of efficiency and accuracy while working in a fast-paced environment with frequent disruptions.
- Must demonstrate ability to analyze data and resolve complex problems.
- Must have the ability to work independently while managing time and workload appropriately.
- Must be able to travel to various locations and work overtime hours as needed.
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RN Case Manager - Vancleave, United States - Bienville Orthopaedic Specialists
Description
PLEASE COPY&PASTE THE LINK AND APPLY:Position Overview:
The Nurse Navigator ensures optimal quality and continuity of patient care from the pre-operative setting through a ninety-day episode of care. The Nurse Navigator collaborates with multi-disciplinary teams to provide patient risk assessment, patient and family education, development and implementation of treatment plans, and facilitation of other services.
Essential Job Duties:
PLEASE COPY&PASTE THE LINK AND APPLY:
About Bienville Orthopaedic Specialists:
Bienville Orthopaedic Specialists is the largest Orthopaedic group in Mississippi. Founded in 1981, Bienville Orthopaedics has now grown to 18 physicians who have admitting privileges at five local hospitals and over 300 employees,. Our physicians offer the most up-to-date technology while maintaining personalized care. Our dedicated staff, at all five of our locations, work hard to create a comforting atmosphere and an environment conducive to healing.
A history of excellence by a renowned team of physicians has made Bienville Orthopaedic Specialists the largest and most TRUSTED provider of orthopaedic care in Mississippi.
Bienville Orthopaedic Specialists delivers personalized care using the most advanced technology available with a compassionate understanding of our patient's individual needs. Our success lies in the dedication of our employees as each one is selected for their commitment to our values, a strong focus on service, and a passion for the care of our patients.
Bienville Orthopaedic Specialists is an Equal Opportunity Employer and reports to E-Verify for proof of work eligibility and the State Directory of new hires.
We will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with information from each new employee's Form I-9 to confirm work authorization.
BIENVILLE OFFERS:
*Excellent benefits package
*Competitive salary, health, dental and vision coverage
*Paid vacation, sick time and holidays
*Flexible schedules
*Long-term and short-term disability
*Life insurance
*401(k)
*Profit-sharing plan
*And much more
