CASE MANAGER RN - $10,000 SIGN ON BONUS
Company: Elliot Hospital
Location: Manchester
Posted on: July 30, 2022
|
|
Job Description:
Job Description POSITION SUMMARY Under the general supervision
of the Director of Case Management, the Case Manager RN provides
clinically-based case management to support the delivery of
effective and efficient patient care. The Case Manager RN will
collaborate with other members of the health care team to identify
appropriate utilization of resources and a safe and effective
transition plan ensuring clinical and social determinants of health
are met. With the patient, family/caregiver and health care team,
create a transition plan appropriate to the patient s needs and
resources including community providers to ensure effective
communication and collaboration with a successful transition plan.
Practices in a manner consistent with the Elliot Hospital
Inter-professional Practice model; the ANA s Social Policy
Statement, Scope and Standards of Practice, and the Nursing Code of
Ethics; and relevant specialty standards of practice. KEY
RESPONSIBILITIES Utilization Review: Assesses patient s clinical
course to verify continued need for acute hospital level of care.
Monitors the utilization of observation services. Ensures that all
testing is done in a timely manner for observation status patients
thus preventing hourly delays and facilitates discharge in a timely
manner. Communicates with utilization review RN to update on
patients who are discharging or who may need change to inpatient
level of care if Medicare > one midnight. Intervenes with
appropriate individuals/departments regarding delays in service
that may have an impact on quality of patient care and/or length of
stay. Explores strategies to reduce length of stay and resource
consumption with optimal patient outcomes. Reviews daily report on
working DRGs and GMLOS to use as a guideline for daily rounds and
anticipated LOS on white board in patient rooms. Conditions of
Participation: Follows Medicare conditions of Participation to
include: Medicare Important Message Medicare Outpatient Observation
Notice (MOON) Medicare Non-Coverage Notices Medicare Code 44
Procedure Medicare Discharge Planning Medicare 2 Midnight Rule
Discharge/Transition Planning: Completes an initial screen of all
patients within 24 hours of admission utilizing specific criteria
to identify needs related to discharge/transition planning Ensures
coordinated, timely and seamless discharge planning by working with
the interdisciplinary team and patient/caregiver to coordinate
needed service3s to ensure efficient continuity of care. Meets with
patients/caregivers on admission to assess home situation, current
needs and early identification of discharge planning needs.
Facilitates discharge plan in collaboration with the
interdisciplinary team, patient and family. Reviews discharge plan
daily for additional needs/changes. Forms a preliminary plan and a
back up discharge plan when necessary and ensures plans are in
place twenty-four hours prior to discharge (inpatient cases) in
collaboration with the interdisciplinary team. Advocates for
patient and ensures that the patient and caregiver are included,
understand, and accepting of the discharge plan. Communicates
discharge plan and patient needs with next provider of care which
may include PCP, care coordination, SNF, acute rehab, home care,
etc. to ensure seamless continuity of care for the patient. Patient
Care Coordination: Collaborates and participates with the primary
nurse, social worker, and the interdisciplinary team in the ongoing
clinical assessment of patient status and care management. Meets
with patients who are readmitted to understand the reason for
readmission from the patient and caregiver. Reviews this with the
attending physician and care team to identify reason for
readmission and goals to prevent future avoidable re-admissions.
Monitors patient s progress to ensure care is appropriate and
timely. Actively participates in daily patient care rounds. Assists
in the coordination and facilitation of family meetings for high
risk patient needs. Outcomes Management: Records avoidable day
data, and others as appropriate and synthesizes the data to
evaluate and recommend opportunities to improve the care process in
order to decrease barriers to care and discharge thus decreasing
length of stay and denial activity. Reviews department dashboard
trends at least quarterly with nursing departments.
EDUCATION/EXPERIENCE/LICENSURE Education: Graduate of an accredited
school of nursing. Nurses hired after May 2015, must have a
Bachelor s degree in nursing or higher nursing degree or commit to
achieving the degree in a specified time. Experience: Three (3) to
five (5) years acute care or care management nursing experience
required. Licensure: New Hampshire Registered Nurse or Compact
State Registered Nurse License. Professional Certification: CCM or
ACM preferred. Software/ Hardware: Ability to advance basic
computer skills as the health system adds new systems or performs
upgrades to existing systems. OTHER REQUIREMENTS Schedule: Work
schedule may include 8-10 hours per day with weekend/holiday
coverage based on department needs. Personnel are expected to cover
for absences by rotating or use of on-call as needed. Nursing
personnel are assigned to one area upon employment, but may be
required to assume assignments in other areas to meet patient
needs.
Keywords: Elliot Hospital, Manchester , CASE MANAGER RN - $10,000 SIGN ON BONUS, Executive , Manchester, New Hampshire
Click
here to apply!
|