Manager RN Job Description
Manager RN
provides patient care utilizing the nursing process-assessment, care planning, implementation, and reassessment- for identified population per the Colorado Nurse Practice Act.
Manager RN Duties & Responsibilities
To write an effective manager RN job description, begin by listing detailed duties, responsibilities and expectations. We have included manager RN job description templates that you can modify and use.
Sample responsibilities for this position include:
Function as an independent contributor team member
Promote effective utilization of healthcare resources
Participate in clinical information collection and process improvement
Contacts providers to obtain any information needed by Case Managers
Receive and process incoming correspondence
Create authorizations in CCMS for new enrolled members, review SHP documents, set up PCA, RN, PT, OT, SN, Home delivered meals, PERS, DME, and Environmental Support
Solve member services issues, transportation requests, OTC requests, and member material requests
Communicate with service providers regarding authorizations
Completion of PRIs
Concurrent/retrospective clinical reviews for health plans
Manager RN Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Manager RN
List any licenses or certifications required by the position: CPR, BLS, PRI, CCM, AHA, ANCC, BCLS, CCP, AMA
Education for Manager RN
Typically a job would require a certain level of education.
Employers hiring for the manager RN job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Nursing, Education, Graduate, School of Nursing, Health, Healthcare, Health Care, Supervision, Science, Management
Skills for Manager RN
Desired skills for manager RN include:
State
Nurse Practice Act
Medicare
Local
Federal regulations
Managed Care
Utilizes accurate computer databases and documentation systems
Various reimbursement criteria and documentation necessary for reimbursement
Appropriate clinical goal expectations/outcomes for identified population
Disease management for health maintenance
Desired experience for manager RN includes:
UAS and MLTC experience
2-3 years of acute care experience in hospital case management
Some clinical review experience
Case Management experience (preferably a certified case manager)
Identification and escalation of complex discharge issues, identification, intervention and escalation of non-medically necessary admissions or continued stay
Oversight of patient's discharge appeal process, identification and tracking of avoidable days
Manager RN Examples
1
Manager RN Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of manager RN. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for manager RN
- Monitor infection control practices and procedures to ensure that all personnel are complying with acceptable standards of practice
- Ensure that all referral sources are notified of case acceptance, provide introductory information about the clinical manager, and monitor customer satisfaction
- Oversee the negotiation of rates, the frequency and duration of visits with Case Manager, and assist the Credit Manager with credit decisions
- Make initial evaluation of homecare request, ensure that an assessment visit is conducted, and coordinate internal activities to ensure a smooth transition to homecare
- Obtain verbal physician orders, as appropriate, and communicate with pharmacists to ensure that coordination occurs for infusion therapy cases
- Record the outcome of all inquiry calls received and make follow-up calls when an inquiry cannot be converted to a referral on the first call
- Oversee and ensure that all potential payer sources are identified and establish the primary payer
- Document demographic, clinical, and payer information on all inquiries and determine coverage availability for third party, non-governmental payers
- Addresses and resolves items impeding diagnostic or treatment progress
- Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with the risk stratification level requirements
Qualifications for manager RN
- 2+ years of Case Management and/or Chart Review experience
- 7+ years of experience in the field of Hospice Nursing
- 3+ years of nursing experience, 1 of which must have been at Charge/Coordinator/Supervisor level
- Previous Utilization Review and Discharge Planning experience
- Minimum of three (3) years’ experience, as an RN, in direct patient care delivery and / or management
- Demonstrates basic knowledge of the role of UM, DC Planning and / or CM for patients within an acute hospital and / or ED setting and across the continuum of care
2
Manager RN Job Description
Job Description Example
Our company is growing rapidly and is looking for a manager RN. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for manager RN
- Uses standards of patient satisfaction as one measurement of effectiveness
- Oversees the adherence to OSHA, CLIA, and HIPAA guidelines, conducts periodic training, and performs regular audits
- Understands and enforces department/corporate policies
- Participates in appropriate department and organization committees
- Assist in the design, implementation, and maintenance of patient care guidelines and protocols
- Ensure proper recall systems are in place and utilized to ensure highest quality patient care
- Conduct concurrent daily chart review
- Investigate patient history, symptoms, clinical status, and treatment utilizing Interqual ISD criteria as a tool to determine a patient's severity of illness and the intensity of service
- Work with the Multidisciplinary team to develop treatment plans, including contingency plans
- Lead daily case management rounds on assigned unit
Qualifications for manager RN
- Significant knowledge of KP's outside provider environment
- Excellent verbal and written communications, presentation and project management skills
- Ability to deal effectively with senior managers at the Divisional, Regional, Service Area and Medical Center levels
- Minimum three (3) years of related clinical experience in one (1) or more of the following clinical focus areas
- Professional competence in Microsoft PowerPoint, Excel and Visio preferred
- 1-2 years of current or recent Acute Care Case Management experience
3
Manager RN Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of manager RN. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for manager RN
- Monitor the quality of therapeutic service through written and verbal communications with all disciplines
- Participate in performance improvement activities, team meetings and orientation, as requested
- Report all suspected violations to supervisor, Compliance Officer or Compliance Hotline
- Participate in care planning process
- Conduct rounds on all wings daily, including environmental rounds and rounds to assess each resident’s care needs
- Provide hands on teaching to CNA and RN/LPN staff
- Assess staffing needs and assign CNAs and RN/LPNs as needed
- Evaluate RN/LPNs’ performance
- Implement and monitor policies and procedures of facility
- Review documentation such as monthly assessments, daily progress notes of RN/LPNs, and make recommendations
Qualifications for manager RN
- Must be open to travel for training and possible relocation after completion of training
- Minimum of five years clinical experience in the area of specialty
- Two years in a supervisory role
- Acute homecare experience within the last two years
- Excellent organization, problem-solving, and communications skills
- Two years experience as a Registered Nurse in a clinical setting, home health and/or hospice preferred
4
Manager RN Job Description
Job Description Example
Our company is growing rapidly and is hiring for a manager RN. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for manager RN
- Identifies and develops training methodology and materials for product prior to release to the field
- Owns projects from inception through release to the field
- Insures that project work requests meet company guidelines and regulatory expectations
- Act as liaison between customer user base and HCHB Technology Team – particularly Development & QA groups
- Acts as mentor and preceptor for associate analysts and new employees and participates in orientation
- Available subject matter expert for internal team members
- Deals directly with members of other outside user(s) and user groups
- Innovation and creativity are required to develop and design solutions to meet complex business and financial proposals
- Adheres to clinical standards of care through collaboration with providers
- Ensures appropriate outcomes
Qualifications for manager RN
- Prior experience in coaching, mentoring and leadership skills
- Ability to collaborate and communicate effectively with physicians, nursing staff, clinical staff, and support staff
- Must work effectively in a team environment, have excellent interpersonal skills, possess knowledge of community resources, hospital and medical office processes, structure and function
- Must possess ability to promote change in a creative and positive framework
- Associate’s and/or Bachelor’s Degree in Nursing, a Health related field, or diploma from an accredited Nursing School
- Previous and or ability to learn use of electronic medical record, UM/CM platforms or electronic health record preferred
5
Manager RN Job Description
Job Description Example
Our company is growing rapidly and is hiring for a manager RN. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for manager RN
- Advocate patient's welfare
- Serve as a liaison between patients, their families, and healthcare providers
- Identifies discharge needs, determines the appropriate level of care that the patient can
- Assess and provide coordination on private cases
- Act as primary nurse on private cases and initiates and updates nursing and Home Health Aides Plan of Care
- Provide ongoing patient / caregiver education and evaluate outcome
- Perform field evaluations visits in client patients' homes
- Intervene as appropriate and provides additional instruction and remediation on site
- Develop, provide, and/or recommend additional classroom or in-service training
- Maintain all documentation in patient records to ensure compliance
Qualifications for manager RN
- Bachelors required Masters in Nursing or other field preferred
- Five years of Pediatric nursing experience required
- Must be able to travel to, between, and from client's location, providing own transportation
- Ability to interpret and extensive variety of physical assessment findings and deal with findings appropriately
- One (1) year of hospital case management experience preferred
- National Case Management Certification (CCM or ACM preferred)