RN Care Manager - Inpatient (Full or Part-Time) in Billings, MT

Full-Time and Part-Time Positions Available. Monday-Friday schedule that may include Weekend and Holiday Rotations.

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 Functio

ns
Assessm

ent• Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care nee

ds.• Proactively screens and assesses the acuity and transitional needs of each assigned patie

nt.• 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 patie

nt.Interventions and Care Coordinat

ion• Demonstrates the ability to interpret clinical information and understand health care treatment and syste

ms.• 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 manageme

nt.• 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 informati

on.• 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 settin

gs.• Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engageme

nt.• Coordinates care conferences to support effective communication as need

ed.• Helps navigate the patient throughout the continuum of ca

re.• Effectively collaborates and coordinates care with the Social Services Care Manag

er.• Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional custome

rs.• Provides information about available resources to patients and their support syste

ms.• 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 appropria

te.• Acts as a clinical resource to the Social Services Care Manag

er.• Understands consultative disciplines and their role in patient ca

re.• Maintains respectful and professional communication skil

ls.Insurance and Utilization Managem

ent•Maintains working knowledge of CMS requirements and readmission penalti

es.•Maintains working knowledge of insurance/payer benefi

ts.Evaluat

ion•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 nee

ds.•Monitors, evaluates and documents patient progress related to plan of ca

re.Documentat

ion• Documents accurately and in a timely manner in the Electronic Medical Record per program guidelin

es.• 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 professi

on.• Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelin

es.Safety/Quality Assurance/Risk Managem

ent• Identifies service gaps and participates in hospital and department programs to address and improve quality of ca

re.• Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agenc

iesProfessional Accountabilit

ies•Participates in continuing education, department planning, work teams and process improvement activiti

es.•Maintains current Licensu

re.•Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safe

ty.•Demonstrates the ability to be flexible, open minded and adaptable to chan

ge.•Maintains competency in organizational and departmental policies/processes relevant to job performan

ce.•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 professi

on.
Minimum Qualificat

ions
Educ

ation• 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 exper

ience
Expe

rience• 2 - 4 years of successful professional nursing exper

ience.• 1 Successful inpatient nursing experience, pref

erred.• 1 Experience working in Billings Clinic, pref

erred.
License and Certifi

cation • Current Registered Nurse license in the state of Montana,

at hire