Registered Nurse RN Case Manager Care Coordination

RN Case Manager In Care Coordination

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As the RN Case Manager in Care Coordination, you will have the opportunity to provide comprehensive care coordination for patients as assigned. This position is accountable for clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. Case Managers cover units throughout the hospital and generally work in multiple areas each day. Case Managers are responsible for conducting initial assessments on patients, participating in daily multi-disciplinary rounds, communicating the discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a transitional care associate.

SCHEDULE:

• Full Time/ 40 Hours
• Monday-Friday
• 4 Ten Hour Shifts
• 7:00am- 5:30pm
• Every 3 weeks weekend rotation
• Holiday rotations are required in this role.
• Enjoy a flat rate $3/hour weekend shift differential

POSITION SUMMARY

This position provides comprehensive care coordination for patients as assigned. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.

CORE FUNCTIONS

• Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.
• Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
• Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
• Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of community resources relevant to health care, end of life dynamics, substance abuse, abuse, neglect, and domestic violence.
• Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
• Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
• May supervise other staff.
• Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations.

MINIMUM QUALIFICATIONS

Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (R.N.) license in state worked. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.

Requires a proficiency level typically achieved with 2-3 years clinical experience. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. May have to take rotating call based on the acute facility need.

PREFERRED QUALIFICATIONS

Certification for CCM (Certified Case Manager) preferred. Additional related education and/or experience preferred.