The RN Care Manager (RN CM) utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include, but are not limited to, clinical effectiveness, discharge planning, care coordination, and clinical resource management. The RN CM interacts with Medical, Nursing, and Ancillary department staff to facilitate quality-based, cost effective patient outcomes and ensure care is provided in the most appropriate setting.
Bachelor of Science in Nursing from an accredited nursing school, college, or university is required. Master’s degree is preferred.
Must have and maintain license as a Registered Nurse in Rhode Island.
Minimum of 3 to 5 years of related clinical experience as a Registered Nurse.
Case Management experience or knowledge is required.
Knowledge is defined as applicant has 1) a Nursing Care Management Certificate of Graduate Studies or 2) demonstrates current knowledge of Care Management through applicant pre-hire assessment. As of January 01, 2016, Certification in Case Management (CCM or ACM) must be earned within 24 months of employment, prorated for part-time staff.
Ability to effectively communicate with and gain cooperation of resident and attending physicians with regards to documentation needs and to effectively influence all members of the interdisciplinary care team during difficult cases to achieve appropriate resolutions.
Must have effective written and oral communication.
The ability to interpret medical data as documented.
Utilization management, quality management and basic knowledge of third party payers is preferred. Knowledge and training in multiple computer systems required to perform position responsibilities (i.e. EMR, Microsoft Office, etc.).
Participation in weekend, and holiday coverage rotation. Flexibility to cover as needed.
We are proud to provide Equal Employment Opportunities to all qualified applicants and employees irrespective of race, color, national origin, sex, sexual orientation, gender identity or expression, religion, age, disability or veteran status.