BON SECOURS HAMPTON ROADS CARE MANAGEMENT ADMINISTRATION
Provides medical case management services with minimal supervision. Accepts case management referrals; maintains assigned caseload (125-150). Assesses patients healthcare needs and identifies community resources. Promotes and coordinates optimum healthcare services, with cost effective solutions.
The Medical Group Care Manager works predominantly within Practice Groups to deal with the increasing complicated chronic disease patient with multiple co-morbid conditions. The MGCM interfaces with physicians, nurses, all departments within the hospital facilities, and community resources to expedite medically appropriate cost-effective care.
The MGCM applies clinical expertise and medical appropriateness criteria to ensure appropriate level of care, resource utilization and discharge planning. Serves as a patient advocate and assists in the identification and improvement of service delivery.
1.Licensed as a registered nurse in the state of employment. Baccalaureate degree required.
2.At least 2 years nursing experience in community nursing, critical care or emergency department experience preferred.
3.Utilization review/ discharge planning experience required.
4.Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.
5.Ability to work independently and exercise clinical judgment in interactions with physicians, payers, the patient and their families.
6.Excellent interpersonal communication and negotiation skills.
7.Strong analytical, data management and computer skills.
Bon Secours Health System, Inc