What are the responsibilities and job description for the RN Care Manager (1.0 FTE) position at Billings Clinic?
You can make a difference as a part of our region's largest health care system, based locally in Billings, Montana. Join our amazing team with a focus on safe, high quality care and an excellent patient experience. Billings Clinic is here to take care of our community and region.
We look forward to meeting you.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years.
Under the direction of department leadership, the RN Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. Accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. Supports providers and the multidisciplinary in facilitating patient care. Strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.
Essential Job Functions
- Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs.
- Proactively screens and assesses the acuity and transitional needs of each assigned patient.
- Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.
- Demonstrates the ability to interpret clinical information and understand health care treatment and systems.
- Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.
- Participates in the patient’s plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information.
- Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.
- Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.
- Coordinates care conferences to support effective communication as needed.
- Helps navigate the patient throughout the continuum of care.
- Effectively collaborates and coordinates care with the Social Services Care Manager.
- Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers.
- Provides information about available resources to patients and their support systems.
- Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate.
- Acts as a clinical resource to the Social Services Care Manager.
- Understands consultative disciplines and their role in patient care.
- Maintains respectful and professional communication skills.
- Maintains working knowledge of CMS requirements and readmission penalties.
- Maintains working knowledge of insurance/payer benefits.
- Monitors the need for revisions in the plan of care and makes recommendations to the multidisciplinary/healthcare team when indicated. Modifies the plan of care/goals to reflect changes in patient or their support system status and needs.
- Monitors, evaluates and documents patient progress related to plan of care.
- Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines.
- Utilizes standards of professional practice in all documentation and communication c consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.
- Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines.
- Identifies service gaps and participates in hospital and department programs to address and improve quality of care.
- Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies
- Participates in continuing education, department planning, work teams and process improvement activities.
- Maintains current Licensure.
- Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety.
- Demonstrates the ability to be flexible, open minded and adaptable to change.
- Maintains competency in organizational and departmental policies/processes relevant to job performance.
- Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.
Education
- 2 Year / Associate Degree Associate Degree in Nursing considered with commitment to complete BSN.
- 4 Year / Bachelors Degree BSN required for candidates with fewer then 5 years of registered nursing experience
- 2 - 4 years of successful professional nursing experience.
- 1 Successful inpatient nursing experience, preferred.
- 1 Experience working in Billings Clinic, preferred.
- Current Registered Nurse license in the state of Montana, at hire
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus
Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.
Salary : $66,444 - $83,169