RN Care Manager - Geriatrics

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Company: Billings Clinic

Location: Billings, MT 59102

Description:

You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006.

And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

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. Click here for more information or download the Employee Benefits Guide.

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. Click here to learn more!

Pre-Employment RequirementsAll new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

RN Care Manager - Geriatrics
Billings Clinic (Billings Clinic Main Campus)
req8954

Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours (Non-Exempt)
Starting Wage DOE: $38.96 - 48.71
Under the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.

Essential Job Functions
Assessment Conducts initial and ongoing assessments andchart reviews of each assigned patient to identify potential and or actualbarriers and care needs.
Proactively screens and assesses the acuity andtransitional needs of each assigned patient
Engages and collaborates with patients, support systemsand the multidisciplinary/healthcare team to establish a plan of care thataddresses the mutually identified needs of the patient.

Interventions and Care Coordination
Demonstrates the ability to interpret clinicalinformation and understand health care treatment and systems.
Supports patients to ensure they can function to thebest of their ability and maintain optimal health related to their medicalcondition(s). Identifies and addresses gaps inknowledge/understanding/education related to disease management.
Participates in the patient's plan of care byinteracting/collaborating with patients, support systems, healthcareprofessionals and community and state agencies. Serves as a liaison betweenhospital, clinic and community agencies to facilitate the exchange of clinicaland referral information.
Identifies high-risk patients through riskstratification tools and ongoing assessments including ED utilization andhospitalizations to address the medical/psychosocial/financial needs ofpatients and their support systems in both hospital and ambulatory settings.
Reinforces goals of care and treatment plans withpatients and support systems in order to enhance patient and support systemengagement.
Coordinates care conferences to support effectivecommunication as needed.
Helps navigate the patient throughout the continuum ofcare.
Effectively collaborates and coordinates care with theSocial Services Care Manager.
Maintains current knowledge of community resources andancillary clinical services to meet the needs of hospital, clinic and regionalcustomers.
Provides information about available resources topatients and their support systems.
Partners with the multidisciplinary/healthcare team andthe Social Services Care Manager to guide/advocate placement to the appropriateAcute rehab, LTACH, SNF, long-term care facility, assisted living facility, orHome Health Care, in-home services, hospice, ancillary OP services and/or DMEas clinically appropriate.
Acts as a clinical resource to the Social Services CareManager.
Understands consultative disciplines and their role inpatient care.

Insurance and Utilization Management
Maintains working knowledge of CMS requirements andreadmission penalties.
Maintains working knowledge of insurance/payerbenefits.

Evaluation
Monitors the need for revisions in the plan of care andmakes recommendations to the multidisciplinary/healthcare team when indicated.Modifies the plan of care/goals to reflect changes in patient or their supportsystem status and needs.
Monitors, evaluates and documents patient progressrelated to plan of care.

Documentation
Documents accurately and in a timely manner in theElectronic Medical Record per program guidelines.
Utilizes standards of professional practice in alldocumentation and communication consistent with organization/department policyas well as the Board of Nursing and ethical guidelines established anduniversally supported by the nursing profession.
Documentation and patient information shall be securedand maintained in accordance with Billings Clinic policy, HIPPA, state andfederal guidelines.

Safety/Quality Assurance/Risk Management
Participates in continuing education, departmentplanning, work teams and process improvement activities
Maintains current Licensure.
Adheres to department and organizational policiesaddressing confidentiality, infection control, patient rights, medical ethics,advance directives, disaster protocols and safety.
Adheres to department and organizational policiesaddressing confidentiality, infection control, patient rights, medical ethics,advance directives, disaster protocols and safety.
Maintains competency in organizational and departmentalpolicies/processes relevant to job performance.
Utilizes standards of professional practice in allcommunication with patients, support systems and colleagues consistent with theBoard of Nursing and ethical guidelines established and universally supportedby the nursing profession.
Performs all other duties as assigned or as needed tomeet the needs of the department/organization.

Outpatient Care Management Specific
Receives referrals on patients being seen in the clinic(Primary Care, SDC, specialty office, ancillary departments). Coordinatesservices for medical and non-medical care coordination needs that are episodicor longitudinal.
Assists patients through care transitions from hospitalto home, SNF to home/assisted living, or alternate setting per programguidelines.
Manages a panel of high-risk patients that requirelongitudinal education and support.
Effectively collaborates with Inpatient Care Managersand Social Service Care Managers to address the needs of shared patients.
Able to function effectively as a part of a team.Utilizing shared knowledge to address complex patient needs.
Supports Billings Clinic and community-based programsto advance the role of Outpatient Care Management, strengthen partnerships andmeet department and patient needs.

Minimum Qualifications
Education
Graduate of anaccredited school of nursing
Bachelorof Science in Nursing (BSN) or Bachelor of Arts in Nursing (BAN) preferred

Experience
Five (5) years of professional nursing (one within the BillingsClinic) in a related cardiac care area such as critical care, ambulatorytelemetry unit, or emergency services

Certifications and Licenses
National Institutes of Health Stroke Scale (NIHSS)certification required or to be obtained within first year of employment
Current Registered Nurse license in the state ofMontana

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 tobeing an inclusive and welcoming employer, that strives to be kind, safe, andcourageous in all we do. As an equal opportunity employer, our policies andprocesses are designed to achieve fair and equitable treatment of all employeesand job applicants. All employees and job applicants will be provided the sametreatment in all aspects of the employment relationship, regardless of race,color, religion, sex, gender identity, sexual orientation, pregnancy, maritalstatus, national origin, age, genetic information, military status, and/ordisability. To ensure we provide an accessible candidate experience forprospective employees, please let us know if you need any accommodations duringthe recruitment process.

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