RN - Patient Resource Manager (FT) 7a-7p Weekends
Company: Ballad Health
Location: Johnson City
Posted on: May 8, 2024
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Job Description:
*Job Title:*RN - Patient Resource Manager (FT) 7a-7p Weekends -
Johnson City, TN*Job Code:*MSHA000AOJ*Location:*JOHNSON CITY
MEDICAL CENTER, Johnson City, TN*Position Type:*Full-time
(scheduled 72 hrs or more per pay period)*Job Definition**Job
Description*Become a part of the Ballad Health story.Together, we
are transforming our region. Were making communities healthier.
Were expanding access to critical services in rural areas. Were
investing in health research and medical education. _And we need
you!_ Ballad Health is seeking compassionate individuals who are
excited about making a difference and caring for those in need.Our
Team Members in benefits eligible positions enjoy a comprehensive
compensation package, a competitive salary with outstanding
benefits. There are also many opportunities for personal and
professional growth. Your benefits package with Ballad Health will
include:* Medical Plan* Dental Plan* Vision Plan* Retirement Plan
with Employer Matching Contribution* Paid Time Off* Paid Major
Medical Leave* Short Term and Long Term Disability Plans* Life
Insurance* Tuition Reimbursement Program*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
patients 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 patients 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 Managers 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 EXPERIENCE*Associate'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 stateJob Type: Full-timeby Jobble
Keywords: Ballad Health, Asheville , RN - Patient Resource Manager (FT) 7a-7p Weekends, Executive , Johnson City, North Carolina
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