RN - Patient Resource Manager (FT) 8a-5p, Case Management - Johnson City, United States - Ballad Health

Ballad Health Johnson City, United States

1 week ago

Description

*Job Title:

RN - Patient Resource Manager (FT) 8a-5p, Case Management - Johnson City, TN

*Job Code:

MSHA000AOK

Location:
JOHNSON CITY MEDICAL CENTER, Johnson City, TN

*Position Type:

Full-time (scheduled 72 hrs or more per pay period)

*Job Definition
*Job Description**SCOPE OF POSITION

Patient Resource Management is a comprehensive, coordinated approach to planning high quality patient care for all patients from the neonate, infant, pediatric, adolescent, adult and geriatric population (s).

RN - Patient Resource Managers function as the non-physician team leader and as such assume overall responsibility for coordinating services, programs, and personnel necessary to maximize patient outcomes and quality care, ensuring efficient movement of the patient through the continuum of care, and minimizing unnecessary resource utilization in a selected group of patients.

To perform this function, the RN - Patient Resource Manager must have exceptional clinical assessment and intervention skills to oversee the care provided their assigned patient population.

The RN - Patient Resource Manager must review the patients status daily and identify issues requiring intervention.

They must anticipate, plan and discuss patient needs with the patient and family, physician, members of the interdisciplinary team, and third-party payers.

As the non-physician team leader, the RN - Patient Resource Manager must ensure appropriateness and timeliness of medical interventions and ancillary services.

They are to ensure a collaborative and team approach to patient care to minimize delays in care delivery and ensure positive outcomes.

The RN - Patient Resource Manager oversees the collection of appropriate data that identifies opportunities for improvement in service delivery and assists in improving the efficiency and effectiveness of services when appropriate.

This individual must work closely with physicians and intervene when barriers to care are encountered.

In addition, this individual will oversee clinical documentation in assigned patient groups to ensure documentation is complete and accurately reflects patients status and medical interventions completed.

The RN - Patient Resource Manager is responsible for ensuring ongoing communication and collaboration with payer sources, achieving appropriate pre-certification and ongoing concurrent certification such that Ballad Health is paid appropriately for services provided.

As such, the individual must have an in-depth knowledge and ability to apply various payer's rules and regulations, admission, discharge and continued stay reimbursement criteria and both Interqual and Milliman Guidelines.

The RN - Patient Resource Manager must ensure that patients are admitted appropriately, and that continued care is appropriate for their clinical needs in the appropriate place in the continuum.

While the RN - Patient Resource Manager must monitor resource management and cost effectiveness of care for their assigned patient population; patient safety and achieving positive clinical outcomes will always be the ultimate guiding force in the Patient Resource Managers position.

As part of this role, the RN - Patient Resource Manager must also oversee the discharge planning process including plan development, implementation, education and acquisition of resources for a successful discharge.

The RN - Patient Resource Manager oversees utilization of patient care protocols and clinical pathways and ensures appropriate patient and family education has occurred prior to discharge.

This individual demonstrates competency in the care of Neonate, Infant, Child, Adolescent, Adult, Geriatric patients.

*REPORTING RELATIONSHIP
See Table of Organization.

*EDUCATION AND EXPERIENCE
Associate's or Bachelor's degree from an accredited Nursing program. Varied clinical experience. Experience in Quality, Case Management, Utilization Review, or similar field is preferred.
Valid and active RN licensure in appropriate state

*Compensation

*Location and Work Requirements

*Work Schedule:

8 AM to 5 PM

Shift:
Day

*On Call:

Yes

Weekends:
No

*Travel Required:

Local Travel

Job Type:
Full-time

Case Manager

1 week ago

DataStaff, Inc. Johnson City, United States

DataStaff, Inc. is seeking a Case Manager for a long-term contract opportunity with one of our direct clients in the Elizabethton, TN area. · *This position is onsite · Responsibilities: · The Clinical Care Team will take referrals from primary care providers and will work with t ...
case manager

3 days ago

The GEO Group, Inc. Johnson City, United States

Benefits Information: · ***This is a hybrid role; some days in the office, other days are remote (WFH)*** · ***Now Hiring with a Sign On Bonus - Payable in Quarerly Installments*** · Full-time employees will enjoy a competitive benefits package with options for you and your fa ...
case manager

2 days ago

GEO Reentry Services, LLC Johnson City, United States

Job Description Benefits Information · ***This is a hybrid role; some days in the office, other days are remote (WFH)*** · ***Now Hiring with a Sign On Bonus - Payable in Quarerly Installments*** · Full-time employees will enjoy a competitive benefits package with options for ...
FEP Medical Case Manager

1 week ago

BCBST BlueCross BlueShield of Tennessee, Inc. Johnson City, United States Full time

Description · : Job Responsibilities · Supporting utilization management functions for more complex and non-routine cases as needed. · Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. ...
Med Social Worker, MSW

3 weeks ago

Case Management Johnson City, United States

Med Social Worker, MSW (FT) 8a-5p - Johnson City, TN · Job ID: 004FTJ · JOHNSON CITY MEDICAL CENTER · Behavioral Health - Case Management · Full-time (scheduled 72 hrs or more per pay period) - Day · Job Description · SCOPE OF POSITION · Accountable for assessment & ongoing r ...
Hospice Nurse Case Manager

1 week ago

Iowa City Hospice Iowa City, United States

Job Description · Job DescriptionDescription:Iowa City Hospice is growing We are excited to add one more full time Nurse Case Manager to our team. Iowa City Hospice Nurses have a passionate understanding for the hospice philosophy. They combine their acute/crisis symptom manageme ...
Case Manager/Care Coordinator, BHMA

5 days ago

Care Management Ambulatory Johnson City, United States

Case Manager/Care Coordinator, BHMA (FT) 8a-5p - Johnson City, TN · Job ID: 004FUV · INTEGRATED SOLUTIONS HLTH NTWK · Other Clinical - Care Management Ambulatory · Full-time (scheduled 72 hrs or more per pay period) - Day · Job Description · SCOPE OF POSITION · The Case Manag ...
Case Manager/Care Coordinator, BHMA

5 days ago

Care Management Ambulatory Johnson City, United States

Case Manager/Care Coordinator, BHMA (FT) 8a-5p, Care Management Job ID: 004D6I INTEGRATED SOLUTIONS HLTH NTWK Nursing - Care Management Ambulatory Full-time (scheduled 72 hrs or more per pay period) - DayJob Description SCOPE OF POSITIONThe Case Manager/Care Coordinator provides ...
Criminal Justice Case Manager II

3 weeks ago

Frontier Health Johnson City, United States

JOB TITLE Case Manager II - Criminal Justice Program · SUMMARY: · Selected candidates will provide professional case management services using evidence based assessment and treatment planning as a guide to assist clients in addressing social determinants of health, closing HEDIS ...
Case Management Specialist

2 weeks ago

The Salvation Army USA Southern Territory Johnson City, United States

The Case Management Specialist provides strengths-based case management services to families experiencing poverty. The person in this position interviews, accepts, and provides comprehensive, long-term, structured, complex, family coaching services for an assigned caseload of cli ...
AmplifyHealth Case Manager

2 weeks ago

BlueCross BlueShield of Tennessee Johnson City, United States

Manages member care and progress for cases with multiple levels of risk. · Job Description: · Job Responsibilities · Supporting utilization management functions for more complex and non-routine cases as needed. · Serving as a liaison between members, providers and internal/extern ...
VNA Home Health RN Case Manager

3 weeks ago

Iowa City Hospice Iowa City, United States

Job Description · Job DescriptionDescription:The Visiting Nurse Association is seeking a highly skilled and compassionate Home Health Nurse Case Manager to join our team. As a home health nurse case manager, you will be responsible for providing quality healthcare services to pat ...
Hospice Nurse Case Manager

3 weeks ago

Iowa City Hospice Iowa City, IA, United States

Job Type · Full-time · Description · Iowa City Hospice is growing and we are excited to add one more full time Nurse Case Manager to our team. · What lead you to become a nurse?Did you visualize having one on one time to provide individualized, compassionate and engaged care to e ...
Homelessness Prevention Case Manager

1 week ago

Shelter House Iowa Iowa City, United States

Job Type Full-timeDescriptionYou go to work every day. Make the commute, clock in, do your job, clock out, and head home. What if what happened in the middle changed everything? At Shelter House, your work saves lives. Not just sometimes: every single day. Whether you help provid ...
Homelessness Prevention Case Manager

2 weeks ago

Shelter House Iowa Iowa City, United States

Job Type · Full-time · Description · You go to work every day. Make the commute, clock in, do your job, clock out, and head home. · What if what happened in the middle changed everything? · At Shelter House, your work saves lives. Not just sometimes: every single day. Whether ...
Hospice Nurse Case Manager

3 weeks ago

Iowa City Hospice Iowa City, United States

Job Description · Job DescriptionDescription:Iowa City Hospice is growing and we are excited to add one more full time Nurse Case Manager to our team. · What lead you to become a nurse?Did you visualize having one on one time to provide individualized, compassionate and engaged c ...
Case Manager/Care Coordinator, BHMA

3 weeks ago

Care Management Ambulatory Johnson City, United States

Case Manager/Care Coordinator, BHMA (FT) 8a-5p - Johnson City, TN Job ID: 004FUV INTEGRATED SOLUTIONS HLTH NTWK Other Clinical - Care Management Ambulatory Full-time (scheduled 72 hrs or more per pay period) - DayJob Description SCOPE OF POSITIONThe Case Manager/Care Coordinator, ...
Home Health Nurse; Case Manager

3 weeks ago

Iowa City Hospice Iowa City, IA, United States

Job Type · Full-time, Part-time · Description · The Visiting Nurse Association is growing and needing to add one more highly skilled and compassionate Home Health Nurse Case Manager to our team. As a home health nurse case manager, you will be responsible for providing quality he ...
Permanent Supportive Housing Case Manager

2 weeks ago

Shelter House Iowa Iowa City, United States

You are great with people, committed to harm reduction, and you all-caps CARE. Shelter House's Permanent Supportive Housing (PSH) facilities work with tenants in a trauma-informed environment. They help folks access supportive services, coordinate transportation to off-site appoi ...
Case Manager

1 week ago

Iowa Department of Administrative Services Cedar Rapids, United States

Case Manager · Print ) · Apply · ? · Case Manager · Salary · $45, $66,393.60 Annually · Location · Cedar Rapids Linn County, IA · Job Type · Full-time · Job Number · Agency · 402 Health & Human Services - Community Services Area · Division · HHS - Child Support Rec ...