Registered Nurse Case Manager

Overview

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Our Case Management team is leading the way in shaping the future of health care. We unite to improve lives through innovation, compassion, and an unwavering commitment to achieving unparalleled excellence in patient care.

Description

We’re seeking an experienced Case Manager Unit nurse with experience is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. This individual will:

 

• will begin the process of care coordination at the time of the patient's admission by independently completing a thorough admission assessment and/or psychosocial assessment which will allow for a timely and accurate capture of information as forecast potential barriers and begin working towards a discharge plan.
• The RN CM is an expert at assessing and forecasting and is able to support others with this skill.
• The RN CM is an integral part of the interdisciplinary care team who is required to attend rounds, care conferences, and/or care team meetings.
• The RN CM will act as a representative of both the hospital care team and the patient/family in an effort to balance patient/family choice and projected care coordination needs with the ability to execute such services.
• The RN CM will work with the hospital care team and the patient/family in order to plan and implement the best possible plan for the patient while taking various factors, limitations, and patient/family preference into consideration.
• The RN CM will proactively identify and recommend post-acute services and will complete referrals to appropriate post-acute care providers in a timely manner, coordinating directly with the patient/family as well as the care team.
• Through continuous assessment and review, the RN CM will apply critical thinking and acquired clinical knowledge to ensure alignment and appropriateness of post ¿acute services as the patient clinically progresses throughout their stay.
• Ultimately, the RN CM is responsible for ensuring the discharge plan is aligned to be executed with the patient's medically cleared for discharge date as well as the projected length of stay as provided by the payor. The RN CM is able to readily identify and implement strategies to reduce unnecessary length of stay and/or resource consumption.
• The RN CM functions independently while assessing and formulating discharge plans and is able to successfully coordinate and navigate clinically and socially complex cases independently.
• The RN CM acts as a lead and resource to their team to provide support and guidance for success related to this.
• The RN CM is an expert in initiating and facilitating family meetings, care conferences, and crucial conversations.
• The RN CM has an expert knowledge base of resources as well as an advanced understanding of the post-acute care space.
• The RN CM escalates cases, as appropriate, to management, Physician Advisor, Complex Care team and/or Ethics committee.
• It is the role of the RN CM to educate patients/families as well as the care team as it relates to post-acute services, transitions of care, readmission mitigation, appropriate post-acute level of care choices and available resources.
• The RN CM will serve as a lead to the Case Management team. MINIMUM QUALIFICATIONS:
• Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board.
• Bachelor's degree in nursing required. 3-5 years experience in Case Management (CM) required.
• 3-5 years healthcare experience required.
• Case Management certification required.
• CM RN Nurse II for 1 year.
• Must meet all quality and productivity expectations and successfully com