Full Time 40 hours week Exempt RN Case Manager

MAIN FUNCTION:

Supports the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care.

RESPONSIBLE TO: Manager, Care Management 

MUST HAVE REQUIREMENTS:

• Active unrestricted Ohio RN  license
• Bachelor's Degree
• Acute care nursing and/or case management experience

COMPLEXITY OF WORK:

Requires critical thinking skills, decisive judgment and ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

PREFERRED ATTRIBUTES:

• Critical care experience
• Knowledge of discharge processes and resource utilization.
• Case management experience in an acute care setting
• Certification in Case Management through ACMA
• 5-years of experience in an acute care setting
• Prior case management experience strongly preferred

POSITION EXPECTATIONS:

• Performs all aspects of Case Management, including care coordination, discharge planning and resource management.
• Determines appropriate level of care based on the intensity of effort required to diagnose, treat, preserve or maintain the patient’s physical or emotional state.
• Verifies that all inappropriate admissions, unnecessary continued days, and procedures not meeting approved indications are reviewed and discussed with the attending physician.
• Identifies delays in care or services and reports the findings to the appropriate department manager or attending physician.
• Interviews patients, patient representatives, and/or patients’ family/friends when appropriate; meets their psychosocial needs within the scope of authority and established procedures and protocols.
• Collaborates with patient/patient representative, patient caregiver, social worker, and multidisciplinary team to determine discharge plan for patients.
• Participates in multidisciplinary rounds working with the team to organize, secure, integrate and modify the resources necessary to ensure the patient is getting the right treatment in the right place at the right time.
• Participates in daily huddles to review LOS concerns, contributing knowledgeable to the discussion and enacting follow up recommendations
• Communicates with medical staff, hospital personnel, and post-acute providers to provide continuum of care to all patients.
• Initiates the discharge plan for patients of all ages and coordinates and arranges services needed by the patient post-discharge in collaboration with the discharge planning assistant.
• Regularly evaluates the need for continued hospitalization and for necessary changes in the discharge plan with subsequent documentation of such.
• Makes recommendations for changes in the department’s policies, procedures and protocols.
• Anticipates and reports potential problems to appropriate personnel.
• Monitors appropriateness of admissions and continued stay to specialty areas (Telemetry, ICU).
• Ensures completion of daily work assignments by prioritizing and reassigning duties.