Accreditation Standards, Basic Life Support (BLS), Case Management, Certified Case Manager (CCM), Clinical Nursing, Communication Skills, Community and Social Services, Discharge Plans, Documentation, Electronic Medical Records, Establish Priorities, Health Plan, Home Care, Hospital, Interpersonal Skills, Maintain Compliance, Medical Records, Nursing, Nursing Home, Organizational Skills, Patient Care, Problem Solving Skills, Recreation, Registered Nurse (RN), Regulatory Compliance, Social Work, Team Player, Time Management
Why Merit Health River Region?
We know choosing a career is more than just finding a job-it's about joining a team where you are respected, valued, and supported. At Merit Health River Region, your work is purposeful and fulfilling. Your talent is recognized, your growth is encouraged, and your future is full of opportunity.
Our team members are passionate about delivering exceptional care and making a lasting difference in the lives of the patients and families we serve.
About Vicksburg, Mississippi
Located on the Mississippi River, Vicksburg offers rich history, southern hospitality, and a welcoming community. From historic landmarks and cultural attractions to family-friendly neighborhoods and outdoor recreation, it's a city where you can truly feel at home.
Job Summary
The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.
Essential Functions
- Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
- Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
- Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
- Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
- Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
- Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
- Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
- Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
Qualifications
- Associate Degree in Nursing required
- Bachelor's Degree in Nursing preferred
- 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
- 2-4 years of care management experience preferred
Knowledge, Skills and Abilities
- Strong understanding of case management principles, discharge planning, and transitions of care.
- Knowledge of federal, state, and Joint Commission standards related to case management.
- Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
- Ability to assess complex situations, identify solutions, and implement care plans efficiently.
- Proficiency in electronic medical records (EMR) and documentation systems.
- Strong organizational and time management skills to prioritize tasks in a dynamic environment.
Licenses and Certifications
- RN - Registered Nurse - State Licensure and/or Compact State Licensure state licensure in state of employment or Compact state licensure required
- Accredited Case Manager (ACM) preferred
- CCM - Certified Case Manager preferred
- BLS - Basic Life Support preferred
This position is not eligible for immigration sponsorship now or in the future Applicants must be authorized to work in the U.S. for any employer.
C
Community Health Systems Inc
Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).
As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.