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Company: St. Luke's Hospital
Posted on: May 3, 2021

Job Description:

The Inpatient RN Care Manager is responsible for coordinating patient care at St. Luke’s Hospital to support safe, seamless, and timely transitions across the continuum.  This involves utilizing a collaborative process to assess, plan, implement, and evaluate the options and services required to meet the health and health related needs of patients.  The Inpatient RN Care Manager is responsible for progressing patient care, matching patient needs with appropriate resources and services while optimizing length of stay, and minimizing avoidable delays in discharge.  The Care Management Department takes a patient-centric team approach to address high-risk complex patients, improve transitions of care, improve patient outcomes, and reduce hospital readmissions.  The RN Care Manager will work in active partnership with physicians, office staff, administration and other health care providers to develop and implement a well-coordinated plan of care that promotes the right resources, at the right time and at the right level of care.  The RN Care Manager is responsible for engaging and supporting patients that are in need of care management services.



Prinicple Accountabilities:       % of Time Spent


1.  Inpatient RN Care Manager Duties:  75%

Identifies and prioritizes patients in need of care management services
Plans with patient, family, caregivers, physicians, and healthcare team to progress care through the hospitalization and transition to next level of care
Implements strategies to promote patient engagement, self-care, and treatment adherence while involving patient in individualized care planning
Utilizes evidence based guidelines to promote quality care, decrease variation, and mitigate resource utilization
Identifies and addresses delays in care
Develops and coordinates transition plans for patients transitioned to home with home health, home infusion, Palliative/Hospice, and routine sub-acute and skilled post-acute providers; completes all necessary documentation and necessary handovers
Involves and prepares patient and caregiver for a safe transition from day one and throughout acute stay, ensuring proper teaching
Monitors cases to determine when patient is ready to transfer to the next level of care
Maintains clear and concise documentation in patient record to reflect progress towards discharge including but not limited to functional limitations, support system needs, psychosocial characteristics, financial challenges, and other barriers to a safe and timely transition
Identifies potential or current patient situations which require referral to other members of the healthcare team
Communicates vertically and laterally to other departments as needed and keeps leadership informed of any issues
Promotes a culture of two-way communication and collaboration that informs and engages staff, physicians and post-acute providers
Develops comprehensive knowledge of post-acute care resources and functions as a liaison to facilitate patient access
Supports compliance with the regulatory landscape


2.  Professionalism:  On-going

The Inpatient Care Management department will follow the principles outlined by American Case Management Association as it pertains the role of the case manager and professionalism, which are outlined in the scope of services as listed below:


A professional case manager emulates the standards of practice of case managers, their professional disciplines and the mission, vision and values of their organization.


The case manager:

Aligns practice with the mission, vision and values of their health care organization
Emulates the standards of practice for both case management and their professional discipline
Maintains appropriate licensure and certifications
Commits to lifelong learning and strives to improve competence in all areas of practice
Advances the application of research and evidence-based practices
Participates in the orientation and training of students and new department members
Demonstrates commitment, initiative, integrity and flexibility
Regularly evaluates his or her own performance and sets goals for personal and professional development
Maintains current knowledge of health care economics, trends and reimbursement methodologies and applies this knowledge to daily practice
Utilizes data to drive performance improvement

Demonstrates commitment to work partners to help each other reach mutual goals and learn from each other. Demonstrates actions and behaviors that consistently promote trust, respect, a positive attitude and promote team morale.


3.  Evaluate and monitor performance indicators.  15%

Regulatory Compliance
Quality Assurance
Quality dashboard
Proactively engage members of the medical staff and nursing staff to increase understanding of quality initiatives, reimbursement, risk, and patient satisfaction
Use data to build and evaluate effectiveness interventions


4.  Perform other duties as assigned.  10%



Current licensure as a Registered Nurse in the state of Missouri Required.

BSN required.

Three or more years of experience in a clinical setting, ambulatory or post-acute, care coordination experience is preferred.
Excellent clinical knowledge and skills, sound critical thinking and creative problem solving skills required.
Case Management certification preferred.
Must be PC literate with basic knowledge of Windows Microsoft Office and capable of utilizing electronic medical record.
Comprehensive knowledge of disease conditions and key clinical protocols and pathways.
Ability to quickly identify and prioritize patient needs to provide structured and focused support and interventions.
Must be able to work independently and in coordination with various other persons and professions.
Has knowledge of physician practice operations, hospital operations, personnel roles, and community resources.
Must have excellent customer relations, communications, and organizational skills.


Employee is required to sit continuously and walk frequently.  Employee must lift/carry a light (1-20 lbs.) medium (21-50 lbs.) and heavy (50 lbs. +) load occasionally.  Employee may be required to lift over 100 lbs. with assistance.  Employee is frequently required to bend, squat, crawl, kneel, climb, lift waist to overhead.  Employee is occasionally required to reach forward and reach overhead.  Employee may be required to do simple grasping and pushing/pulling. 


(Occasionally:  1-33%, Frequently:  34-66%, Continuously:  67-100%)


The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties.  

Job Relationships:  Interacts regularly with patients, physicians, families and other internal and external health care providers and insurance company representatives.


Supervised by: Coordinator, Inpatient Care Management; Assistant Director, Care Coordination

Takes direction from:  Coordinator, Inpatient Care Management; Manager, Care Management; Assistant Director, Care Coordination




Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke’s is dedicated to improving the health of the communities we serve.

Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence and respect for each other and those we serve.



As an independent healthcare network, we create healthy communities in the region through our commitment to high quality, safe and personalized services.



Human Dignity

We accept and treat all persons as being created in the image of God.



We respond with caring to the needs of others as if they were members of our family.



We honor each person’s rights and responsibilities in light of the common good.



We set and strive to attain high standards of performance and continuous improvement.



We use our talents and resources wisely, with honesty and integrity.


FACES - Friendly - Available - Caring - Efficient - Safe Communication Standards: Promotes and provides courteous and effective communication with internal and external customers.

Keywords: St. Luke's Hospital, Chesterfield , RN-CARE MANAGER- PRN, Other , CHESTERFIELD, Missouri

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