RN Care Manager O​/P​/Miles

Billings Clinic Care Manager

You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

Billings Clinic is a community-owned, not-for-profit, physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic and how we are recognized nationally for our exceptional quality.

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years.

This position may be eligible for a sign on incentive. Under the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care.

The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.

Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.

Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs. Proactively screens and assesses the acuity and transitional needs of each assigned patient. Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.

Demonstrates the ability to interpret clinical information and understand health care treatment and systems. Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.

Participates in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information. Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.

Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement. Coordinates care conferences to support effective communication as needed. Helps navigate the patient throughout the continuum of care. Effectively collaborates and coordinates care with the Social Services Care Manager.

Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers. Provides information about available resources to patients and their support systems. Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate.

Acts as a clinical resource to the Social Services Care Manager.

Understands consultative disciplines and their role in patient care. Maintains respectful and professional communication skills. Maintains working knowledge of CMS requirements and readmission penalties. Maintains working knowledge of insurance/payer benefits. Monitors the need for revisions in the plan of care and makes recommendations to the…