Overview Join our dynamic healthcare team as a Registered Nurse Care Manager in the Hospital Emergency Department (ED), where your expertise will directly impact patient outcomes and streamline care transitions. In this vital role, you will conduct Medicaid patient assessments, help facilitate effective discharge planning, and collaborate with multidisciplinary teams to deliver exceptional, patient-centered care. Your emergency department experience, and clinical acumen will drive efficient Medicaid patient care and ensure compliance with healthcare regulations. If you thrive in fast-paced environments and are passionate about improving patient journeys from emergency admission through post-acute care, this opportunity is for you! Responsibilities Works with other Hospital Integrated Medicaid Patient Care Management team members to deliver exceptional, thoughtful care navigation to a population with potentially complex clinical and social needs. Guides and facilitates action-oriented goals to improve clinical outcomes, empower patients using evidence-based guidelines, Reduce gaps in recommended evidence-based care and strive to reduce frequent hospital admissions and readmissions. Provides Care Navigation for Medicaid patients throughout the entire care continuum of care. Care Management Role The Care Manager is responsible for managing chronically ill and high risk patients to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes, as well as being key to ensure safe and effective transfers in the movement of patients across the health care continuum, serving as the bridge between the professional staff in a care setting (e.g. hospital) and the patient and/ or family. In this role as a patient educator, advocate and patient empowerment facilitator, the care manager provides information and guidance to the patient and/or family for improved self-management skills, an effective care transition, and enhanced patient-practitioner communication. Transition Planning ED case managers should collaborate with ED social workers to create patients' dischargeplans. This may include assistance with follow-up appointments, medication management, home health referral coordination, post-acute transfers and continued contact with patients and caregivers after discharge. The goal of coordination and continued contact is to limit situations where readmissions or poor outcomes happen. Manage High-Use Patients The ED case manager and social worker should manage high-user patients together, as psychosocial causes often contribute to frequent ED visits. By working together to create a comprehensive post-discharge care plan that includes primary care coordination, insurance enrollment, transportation and housing arrangements, they can address the patient's medical and psychosocial needs. If the patient returns, this care plan should be reassessed to ensure the patient is receiving the appropriate coordinated services, beyond medical care, to reduce their ED use. ED Case Management Metrics The RN Care Manager will be responsible for working with hospital and iON SC leadership to identify and collect data essential for understanding and improving care management outcomes. Metrics can include length of stay, smooth transitions, avoidable days, decreased re-admissions and emergency room visits and improvement in follow-up care. Care Management Processes The RN Care Managers will follow the existing care management team protocols and documentation requirements and ensure many of the following procedural steps for identification and contact with patients are met. Care Management is undertaken in a variety of locations including but not limited to: hospitals, clinics, patient homes, places of employment, or other locations at the discretion of the patient and care manager. Care Management is an ongoing process which is evaluated annually to achieve quality measures and cost savings. Care Management Goals 1. Provide quality care to those we serve while decreasing cost of care 2. Provide timely care for those with rising risk. 3. Provide continued care and education for patients identified with chronic conditions. 4. Maintain accurate records Essential Functions Uses knowledge of health system and community resources and facilities to achieve care coordination and navigation goals. Monitors patient's condition and addresses lifestyle issues, and social determinants (Housing, Transportation, Nutrition, etc.) Performs other duties as assigned. Expected to be knowledgeable and compliant with iON South Carolina and Health System Partner's values: Inspire health. Serve with compassion. Be the difference. Works with patients from diverse backgrounds to help them reduce socio-economic barriers to health. Acts as a patient advocate providing education on available resources in the health system or community.

• Collaborates with team members to address barriers when outside their scope of practice.
• Promotes consistency in both short and long-term management approaches and optimize treatment for patients with frequent emergency department visits.
• Emergency Department Navigators will provide all services necessary to assist each High ED Utilizer in addressing identified barriers to receiving the appropriate care in the appropriate setting and/or effectively managing their healthcare.
• Weekly review to assess if there are new Members who meet the definition of High ED Utilizers (6 visits in 12 months) and work to obtain consent to enroll the Member into the program.
• Proficient in motivational interviewing via telephonic contact as well as face to face encounters to assist patients and their families in identifying barriers to attainment of self-management goals and strategies to overcome barriers.
• Works in collaboration with health system staff, care management and partners as necessary to provide continuity of care, as necessary.

Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. The position reports on a dotted line responsibility to the Hospital Manager of the Integrated Medicaid Patient Program, and on a straight-line responsibility to the iON SC Executive Advisor. Minimum Requirements Active Registered Nurse (RN) licensure in

South Carolina Experience Preferred:

• Two (2) years in Intensive Care or Emergency Room Nursing
• One (4) years' experience in RN Care Manager Role Knowledge, Skills and Abilities Experience using motivational patient care management protocols Ability to interpret lab data and biometric results Knowledge of how to motivate Patient Behavior Change, Theories and Adherence to care plan.
• Knowledge of specific disease states such as diabetes, hypertension, hyperlipidemia, congestive heart failure, chronic obstructive pulmonary disease, asthma, depression and tobacco use.

Additional Job Elements Candidate must have a heart and a mission for helping and serving vulnerable populations, with a goal of improving the quality of healthcare for this targeted population. Focused on vulnerable and marginalized patient populations. Employer is a 501c3 non-profit, tax-exempt organization. Position is grant-funded and services are provided to a hospital client Job Type is a 1099 Contractor Employment. Total Compensation is hourly rate of pay. No overtime offered Compensation is average Fair Market Value as determined by employer. Join us in making a meaningful difference by delivering compassionate, expert nursing care that transforms lives!

Pay:

Up to $45.00 per hour Expected hours: 20.0

• 40.

0 per week

Work Location:

Hybrid remote in Greenville, SC 29605