RN Case Manager (Days)

Description

• Student Loan Repayment*
• Tuition Reimbursement/Assistance Programs*
• Paid Personal Leave
• 401k (100% annual match – 3% to 9% of pay based on years of service)
• Identity Theft Protection discounts
• Auto, Home, and Life Insurance options
• Adoption Assistance
• Employee Stock Purchase Program (ESPP)*

• Provides case management services for both inpatient and observation patients as assigned
• Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
• Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
• Reassesses the patient’s clinical condition as indicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
• Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patients physician to facilitate a successful care transition
• In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate.
• The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.
• Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals.
• Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command.
• Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states.
• Align patient’s needs with available resources to ensure a safe discharge / transition
• Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies.
• Serve as an advocate for patients rights, needs, and values; ensuring that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned
• Other duties as assigned

Qualifications

• RN with current state licensure. BSN Bachelor’s preferred.
• 5 years or more of nursing experience with 2 years critical care or 3 years nursing experience with 2 years case management experience preferred.
• Certification in case management, nursing, or utilization review preferred.
• InterQual experience, preferred.

Notice

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