RN Case Manager Per Diem 2

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number:

R-18507

Facility:

LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190

Department Name:

SSH Care Progression

Status:

Part time

Budgeted Hours:

0

Shift:

Varied Shifts (United States of America)

Under the general supervision of the Case Management Manager acts as a patient advocate/Case Manager to SSH&EC clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while assuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically-based case management, discharge planning and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care.

Works collaboratively with interdisciplinary staff internal and external to the Organization. Participates in quality improvement and evaluation processes related to the management of patient care. The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore, is required to work a weekend rotation and also an occasional holiday.

Work a minimum of 32 hours, with at least 16 hours (in 2 shifts) worked during a night and/or weekend. Work 1 major summer or winter holiday.

1. Medication Administration

a. Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications.

b. Completes medication reconciliation process following SSH policy and procedure.

c. Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy.


2. Plan of care/Documentation/Patient Family Centered Care/Patient Experience Develops, discusses, and communicates a prioritized problem list/plan of care for each patient.

a. Develop, evaluate and update individualized plan of care for patient and documents outcomes.

b. Initiating admission assessment within 8 hours of admissions, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization.

c. Continues assessment/reassessment and identifies care needs within established nursing practice.

d. Documents all patient care following the department of nursing policy, unit based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, skin, CAUTI)

e. Assess/reassesses and documents patient's level of comfort utilizing the appropriate pain scale and the patient's response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy.

f. Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves.

g. Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions.

h. Actively communicates plan of day via white board updating every shift.

i. Facilitates discharge/transfer by goal of 12:00pm, communicates barriers utilizing chain of command.


3. Safety/Quality - Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment.

a. Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen's an documents confirming the correct patient, procedure, site, equipment and consent.

b. Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access.

c. Ensures environment meets regulatory requirements at all times.

d. Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness.


4. Professional Development: Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performanc