RN Case Manager - Community - Full Time Days

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. 

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

40

Salary Range: $32.00 - $48.00

Union Position:

No

Department Details

1. Schedule
• Monday – Friday 0800-1700
2. Education Requirements – Bachelors degree is required
• Bachelors required; certification preferred or to obtain when eligible for specialty exam
3. How many years of RN experience are required?
• 5 years RN experience required
4. What type of experience are you looking for? Inpatient?
• Inpatient nursing experience; case management experience; ambulatory/community experience
• Combination of these
5. What does a day in the life of a RN look like in this department?
• Usually start the day reviewing new referrals to the team
• Mon and Thurs start with prep for team rounds at 10a and 9a respectively
o Manages patient lists for the team
o manage the day-to-day operations for the team
• Make rounds at hospital on new referrals to review service and begin assessment if patient accepts
• Make home visits with CNP or IHT/SW as needed
6. Responsibilities:
• Manage a caseload of CCCS patients including care coordination, communication, collaboration with team, community, patient and family/support system.
o Direct provision of services in patient homes / community locations
• Communication is a key skill for this role, verbal and written
• Working with IDT is key strategy for succuss of the team and for patient outcomes
o Sanford team, community partners, CCCS team
• This CM will be responsible for leading the rounds format, managing patient lists, communicating with clinics and referral sources
• Round on patients at area nursing homes who will be on CCCS case load when discharged to home
• develop and train staff on new initiatives and processes,
• collaborate and actively participate in measuring team performance
• Supports positive clinical and financial outcomes for patients and the organization
• maintain positive connections with inpatient care management, ambulatory care management, primary care and specialty clinics, clinical informatics and community partners
• Travel required 30-40 mile radius of Sioux Falls.

Summary

Demonstrates expertise utilizing the professional nursing process to provide individualized nursing care. Patient education is individualized to patient needs and condition, provider instruction.

Job Description

Care planning is individualized to patient needs and conditions and ensures it is updated. Assists with the coordination of patient care across the continuum by collaborating with physicians, advanced practice providers, staff and other professionals. Is a liaison with the healthcare team, and serves as a link to community resources. A sampling of the duties performed include, but are not limited to, patient assessment, data collection for research, patient education, goal setting and care planning, Care Management.

Must be self-motivated, self-directed, and autonomous; willing to teach the healthcare team; and seeks professional development in area of expertise. Able to facilitate patient advocacy efforts. Knowledgeable about healthcare reimbursement models and the application for individuals, groups, and providers. Provides specialized, multidisciplinary patient and family centered education and coordinates off-site education opportunities as needed. Acts as an advocate for patient and families to coordinate care with insurance companies, state and applicable assistance programs and travel arrangements as needed. Support quality improvement and transformation of the health care delivery system.

Qualifications

Bachelor's degree in nursing required. Graduate from a nationally accredited nursing program required, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). For Rural Health Network facilities only, employees who do not possess a Bachelor’s degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor’s degree in Nursing within five years of hire into position. For current employees in this role, leadership may have considered acceptable qualif