Inpatient Care Manager

Full-time Nursing: Care Coordination position at Wake Forest Baptist Medical Center, Winston-Salem, NC. Hours: 40 per week, Monday-Friday 8am-5pm. Benefits eligible.

Responsibilities

Conducts complete assessments, establishes appropriate plans, and initiates interventions within desired timeframes; Collaborates and negotiates with patient, family, and team on discharge planning and transitioning care; Provides continuity of care and discharge planning services compliant with regulatory standards; Provides case management services related to health care, finances, housing, family discord, or illness adjustment; Initiates internal and external referrals to assure timely progression of care and transitions; Documents discharge planning interventions and utilization review activity; Performs concurrent and retrospective reviews based on approved criteria; Communicates effectively with the healthcare team and works with Social Work and support personnel; Serves as an active member of the MDR and works to identify and resolve barriers to discharge; Collaborates with managers, physicians, medical directors, and treatment teams on plans of care; Remains knowledgeable in healthcare regulations, reimbursement, and community resources; Completes UM activities, including clinical updates to payers and delivery of CMS regulatory notices; Develops and maintains relationships with community-based agencies and networks; Serves as an educator and expert resource to medical and hospital staff on admission status, acute care criteria, and discharge planning

Requirements

Graduate of a Board of Nursing approved nursing education program (RN); Current RN license or temporary license as a Registered Nurse in the state where you work and reside, or meet the licensure requirements in your home state if declaring a National License Compact (NLC) state as primary residency; Typically requires 3 years of related nursing experience; Clinical experience within the assigned population; Extensive knowledge of disease processes and clinical outcomes; Ability to prioritize and organize work; Effective communication skills; Utilization of critical thinking and timely decision making; Ability to navigate the Electronic Health Record; Basic utilization of MS Office products; Knowledge of Medicare A and B guidelines; Knowledge of Managed Care program requirements/implications; Ability to apply elements of Utilization Management programs; Must be able to sit up to approximately 50 percent of the workday; stand and walk for the equivalent of several blocks at a time; Must lift up to 10 lbs. continuously, up to 20 lbs. frequently, and up to 50 lbs. occasionally; Manual dexterity required for operating computer and calculator; Visual acuity required for reviewing written documents, computer screens, medical records; Clear verbal communication and hearing acuity required for telephone communication

Nice to have

Preferred Bachelor of Science degree in Nursing (BSN); Case Management experience or background; Strong critical thinking and analytical skills; Appropriate professional certification within 3 years of hire

Benefits

Paid Time Off programs; Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability; Flexible Spending Accounts for eligible health care and dependent care expenses; Family benefits such as adoption assistance and paid parental leave; Defined contribution retirement plans with employer match and financial wellness programs; Educational Assistance Program; Base compensation within the listed pay range; Premium pay such as shift and on-call pay; Incentive pay for select positions; Opportunity for annual increases based on performance