RN Case Manager - Sports Medicine

How You'll Help Transform Healthcare:

Provides case management for athletes requiring medical care. Utilizes clinical expertise, communication and problem solving skills to achieve optimal clinical and resource outcomes. Facilitating referrals and providing linkages to health, wellness, and post acute care resources across the health care continuum. Promotes interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan.

• Coordinates care and services within the athletic patient population.
• Performs patient assessment upon initiation of referral process to identify individualized needs.
• Assists in identifying aspects of care for the patient/family.
• Works with treating physician staff to plan strategies to meet care needs.
• Coordinates plan of care and services, directing liaison activities to appropriately integrate the patient into the health care continuum.
• Monitors plans of care/pathways/practice guidelines to ensure that expected patient outcomes are achieved within appropriate time frames and utilizing effective resources.
• Documentation in the medical record is completed in the appropriate time frame and accurately reflects the plan of care and CM interventions planned or completed.
• Advocates for the patient and family throughout the entire episode of care.
• Facilitates/coordinates a timely and appropriate discharge plan.
• Facilitates an interdisciplinary approach to patient care.
• Participates in Interdisciplinary Team Meetings on assigned units.
• Maintains effective communications with all disciplines.
• Provides feedback to the health care team verbally and via chart entries regarding the patient's progress toward reaching expected outcomes or about barriers to the plan. Coordinates changes to the plan as necessary.
• Assists patients/families with benefits/resources management.
• Follows patient through Precertification, Financial Counseling and Billing
• Communicates with patients/families to ensure understanding of third-party payer guidelines and financial implications of care plans.
• Participates in departmental and system performance improvementInitiatives.
• Collects and analyzes relevant patient care and fiscal data.
• Analyzes and evaluates the effect of case management on quality outcomes and fiscal parameters.
• Complies with all departmental policies and practices and fosters teamwork and professionalism.

What We Require:

Education: Registered Nurse; BSN preferred.
Experience: Five years of recent experience in a clinical health care setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services. Prior case management experience preferred.
Licensure, certification, and/or registration: Current licensure in Virginia as a Registered Nurse.
Other Minimum Qualifications: Must demonstrate knowledge and competency in the following areas: satisfactory completion of orientation; positive interpersonal oral communication skills; effective written communication skills; analytic skills; integrity; innovation; team player; courteous; ability to resolve complaints/problems; customer-focused philosophy of service delivery; ability; willingness to work as an integral member of a multi-skilled team. Also demonstrate knowledge and competency in; computer literacy; community and system resources; effective interpersonal relations; analysis and research methods; assertiveness; flexibility; perseverance.

About Carilion

This is Carilion Clinic ...
An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.
Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.
Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.