RN - Patient Resource Manager (FT) ED - JCMC - Johnson City, TN
Company: Ballad Health
Location: Johnson City
Posted on: January 9, 2021
|
|
Job Description:
SCOPE OF POSITION Patient Resource Management is a
comprehensive, coordinated approach to planning high quality
patient care for all patients from the neonate, infant, pediatric,
adolescent, adult and geriatric population (s). RN - Patient
Resource Managers function as the non-physician team leader and as
such assume overall responsibility for coordinating services,
programs, and personnel necessary to maximize patient outcomes and
quality care, ensuring efficient movement of the patient through
the continuum of care, and minimizing unnecessary resource
utilization in a selected group of patients. To perform this
function, the RN - Patient Resource Manager must have exceptional
clinical assessment and intervention skills to oversee the care
provided their assigned patient population. The RN - Patient
Resource Manager must review the patient's status daily and
identify issues requiring intervention.They must anticipate, plan
and discuss patient needs with the patient and family, physician,
members of the interdisciplinary team, and third-party payers. As
the non-physician team leader, the RN - Patient Resource Manager
must ensure appropriateness and timeliness of medical interventions
and ancillary services. They are to ensure a collaborative and team
approach to patient care to minimize delays in care delivery and
ensure positive outcomes. The RN - Patient Resource Manager
oversees the collection of appropriate data that identifies
opportunities for improvement in service delivery and assists in
improving the efficiency and effectiveness of services when
appropriate.This individual must work closely with physicians and
intervene when barriers to care are encountered. In addition, this
individual will oversee clinical documentation in assigned patient
groups to ensure documentation is complete and accurately reflects
patient's status and medical interventions completed. The RN -
Patient Resource Manager is responsible for ensuring ongoing
communication and collaboration with payer sources, achieving
appropriate pre-certification and ongoing concurrent certification
such that Ballad Health is paid appropriately for services
provided. As such, the individual must have an in-depth knowledge
and ability to apply various payer's rules and regulations,
admission, discharge and continued stay reimbursement criteria and
both Interqual and Milliman Guidelines.The RN - Patient Resource
Manager must ensure that patients are admitted appropriately, and
that continued care is appropriate for their clinical needs in the
appropriate place in the continuum. While the RN - Patient Resource
Manager must monitor resource management and cost effectiveness of
care for their assigned patient population; patient safety and
achieving positive clinical outcomes will always be the ultimate
guiding force in the Patient Resource Manager's position. As part
of this role, the RN - Patient Resource Manager must also oversee
the discharge planning process - including plan development,
implementation, education and acquisition of resources for a
successful discharge. The RN - Patient Resource Manager oversees
utilization of patient care protocols and clinical pathways and
ensures appropriate patient and family education has occurred prior
to discharge.This individual demonstrates competency in the care of
Neonate, Infant, Child, Adolescent, Adult, Geriatric patients.
REPORTING RELATIONSHIP See Table of Organization. EDUCATION AND
EXPERIENCEAssociate's or Bachelor's degree from an accredited
Nursing program. Varied clinical experience.Experience in Quality,
Case Management, Utilization Review, or similar field is preferred.
Valid and active RN licensure in appropriate state CPR required
Keywords: Ballad Health, Johnson City , RN - Patient Resource Manager (FT) ED - JCMC - Johnson City, TN, Executive , Johnson City, Tennessee
Click
here to apply!
|
Didn't find what you're looking for? Search again!
Other Executive JobsSTORE MANAGER CANDIDATE in KNOXVILLE, TN Description: Company OverviewDollar General Corporation has been delivering value to shoppers for more than 80 years. Dollar General helps shoppers Save time. Save money. Every day by offering products that are frequently (more...) Company: Dollar General Location: Knoxville Posted on: 01/17/2021 Associate Category Manager - PetSafe Brand - 6710 Description: Description: br Do you have a passion for innovation, launching new products, and leading teams Are you a strong communicator and strategic thinker with the ability to execute plans in cross-functional (more...) Company: Radio Systems Corporation Location: Knoxville Posted on: 01/17/2021 Restaurant General Manager Description: Restaurant General Manager - Little CaesarsBenefits OfferedMedical, Dental, Vision, Life InsuranceEmployment TypeFull-TimeRestaurant General Manager - Little CaesarsLittle Caesars franchise is seeking (more...) Company: Little Caesars Location: Harriman Posted on: 01/17/2021 House Manager Description: D S Community Services has a great career opportunity as a HOUSE MANAGER D S wants you to join our growing team providing Company: D&S Community Services. Location: Alcoa Posted on: 01/17/2021 Shift Manager Description: The Job: As a SONIC Drive-In Shift Manager, you are responsible for assisting the General Manager and Assistant General Manager in managing the daily operations of the restaurant to provide quality food (more...) Company: Sonic Location: Afton Posted on: 01/17/2021 Store General Manager 3910 Description: Job DescriptionWhat is a General Manager A General Manager must be committed to inspiring our team, helping our Customers succeed and growing our business with integrity. Professional level sales and (more...) Company: Advance Auto Parts Location: Sweetwater Posted on: 01/17/2021 Doctor of Business Administration (DBA) Program Director and Associate Professor of Business Description: br Position Details br br br br br br Position Title br Doctor of Business Administration DBA Program Director and Associate Professor of Business br br br Department br School (more...) Company: Lincoln Memorial University Location: Harrogate Posted on: 01/17/2021 Nurse Manager - Pulmonary Unit Description: Nurse Manager, Pulmonary Unit - Methodist Medical Center of Oak RidgeOak Ridge, TennesseeFull Time, 80 hours Company: Covenant Health Location: Oak Ridge Posted on: 01/17/2021 Assistant General Manager Description: The Job: As a SONIC Drive-In Assistant General Manager, you are responsible for assisting and managing the daily operations of the Drive-In in conjunction with the General Manager to provide quality (more...) Company: Sonic Location: Deer Lodge Posted on: 01/17/2021 Shift Manager Description: The Job: As a SONIC Drive-In Shift Manager, you are responsible for assisting the General Manager and Assistant General Manager in managing the daily operations of the restaurant to provide quality food (more...) Company: Sonic Location: Byrdstown Posted on: 01/17/2021 |