DaVita Post-Acute Care Manager, RN in Malvern, Pennsylvania
The RN Care Manager is responsible for ensuring the continuity of patient care in the post-acute setting (skilled nursing facilities) utilizing the appropriate resources within the parameters of established contracts and patients’ health plan benefits. The RN Care Manager facilitates continuum of patients’ care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. The RN Care Manager performs care management functions on-site or telephonically as the need arises. The RN Care Manager performs other care management duties as assigned and reports findings to the Care Management Department Supervisor / Manager / Director in a timely manner. The RN Care Manager works collaboratively with nurse practitioners, care managers, primary care physicians, and other facility-based health care professionals to form a care team. The RN Care Manager helps optimize care through more effective practice and accelerates the patient’s progress by ensuring efficient yet compassionate care.
Conduct prospective, concurrent, and retrospective review of active patient care on-site or telephonic, where assigned. Review patients' clinical records within 48 hours of SNF admission. Review patient referrals within the specified CM policy time frame.
Coordinate provisions for discharge from facilities, including follow up appointments, home health, social services, transportation, etc., in order to maintain continuity of care.
Communicate authorization/denial for services to appropriate parties. Communication may include patient (or agent), attending/referring physician, and facility administration as necessary
Educate patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.
Initiate and/or oversee data entry into IS systems on all patients within 24 hours of patient contact. Maintain accurate and complete documentation of care rendered including LOC, CPT code, ICD 10, referral type, date, and etc.
Uses, protects, and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Performs additional duties as assigned.
Dedication, above all, to caring for patients suffering from complex chronic conditions.
Consistently exhibits behavior and communication skills that demonstrate Davita, Inc.’s commitment to our mission and values.
·Graduate of an accredited school of nursing, Bachelor’s degree in Nursing preferred
·3-5 years clinical experience in a hospital or other healthcare setting
·HMO experience preferred
·Experience with geriatric or end of life care preferred
·Current Pennsylvania Nurse license Required
·Valid Driver’s license
·Deep knowledge of community resources and commitment to innovation
·Ability to interface effectively with culturally diverse patients and communities, providers, management, and employees of the organizations.
·Ability to exercise objectivity and good judgment relating to difficult and emotionally-charged situations.
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DaVita is an equal opportunity/affirmative action employer. As such, DaVita makes hiring decisions solely on the basis of qualifications and experience, and without regard to age, race, color, religion, sex,gender identity,sexual orientation, national origin, disability orprotectedveteran status.
We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.