General Summary of Position
Summary
Servesas a member of the Case Management Team and applies RN clinical expertise andmedical appropriateness to care coordination and discharge planning.Facilitates the delivery of quality, cost effective, patient-centered care frompre-admission through post-discharge timeframe. Ensures the care is designed tomeet individualized patient outcomes. Monitors the care and services deliveredto selected patient populations during the acute hospital stay, promoteseffective case management and utilization of resources, and works to achieveoptimal clinical and resource outcomes for the acute, and post-hospital phasesof care.
Key Responsibilities
- Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
- Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care.
- Communicates with patient, family and/or significant other, health care team, external case manager, community resources, and facility to address appropriate issues and patient/family goals.
- Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.
- Evaluates and documents the patient's response to the plan of care and achievement of outcomes. Makes recommendations for modifications to the plan of care as indicated. Adheres to all policies and procedures regarding documentation and confidentiality of information.
- Maintains knowledge of regulatory agencies' requirements, necessary criteria for admission to various care settings, and Medicare's/Medicaid's reimbursement methods for different levels of care.
- Manages a caseload of patients. Identifies essential resources needed to implement the plan of care.
- Manages own professional growth in the area of managed care, care management, other health care, financial trends, clinical practice and research.
- Manages patient care according to multidisciplinary plan of care and/or managed care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes.
- Participates in Performance and Service Improvement teams. Assists in program evaluation through customer service surveys, LOS data analysis, charge/discharge data, comparison to state averages, and best practice/benchmark data.
- Performs a comprehensive assessment in collaboration with interdisciplinary team to identify patient-specific problems and needs related to diagnosis, treatment, including psychosocial and financial concerns as well as medical.
What We Offer
- Culture-Collaborative, inclusive, diverse, and supportive work environment.
- Career growth-Career mentoring to help you pursue your passions and gain skills to enhance your value.
- Wellbeing-Competitive salary and Total Rewards benefits to help keep you happy and healthy.
- Reputation-Regional&National recognition, advanced technology, and leading medical innovations.
Qualifications
- ADN, BSN, MSN, or CNL from an accredited School of Nursing required.
- 2-3 years of Clinical Nursing Experience required. 1-2 years of case management experience preferred.
- Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required.
This position has a hiring range of $87,318 - $157,289