RN - Case Management

Unit Name: Case Management

Cost Center: L192

Location Address: 271 Carew St. Springfield, MA

Unit Name: ER, ICU, and Med Surg units

Shift times: 1st shift, 8am-4:30pm

Weekend coverage: every fourth weekend

On call?: no

Brief unit description: discharge planning coverage for ER/ICU/Med Surg units. This does not include Utilization Management.

Years of Exp preferred: 3 or more years of Hospital Case Manager experience

Cases seen (If applicable)

Certifications required: Case Management Certification preferred but not required

Any additional details that may help the agency with recruitment and onboarding/compliance :

Job Responsibilities:

Uses Case Management skills to ensure quality patient-centered care is achieved. Utilizes effective communication with peers, patients, and families. Performs daily review of cases and makes appropriate recommendations to the care team for LoS, and quality of care. Recognizes the case manager's role in assessing, facilitating, collaborating, and coordinating patient services through the continuum of care. Effectively collaborates with others on the healthcare team to resolve patient care issues. Provides post-acute hospital care planning/discharge facilitation. Proactively works with the healthcare team to identify those patients who will need some level of care following their acute hospitalization. Involves patients/families in the discharge planning process to facilitate a clear understanding by all parties. Monitors each patient’s discharge plan of care for variance and, makes appropriate recommendations and revises the plan as necessary. Assures that interventions are in alignment with medical management initiatives. Provides appropriate financial/regulatory information to patients and/or families including the scope of reimbursement sources. Follows all state and federal guidelines in regard to patient rights in planning for their post-acute needs. Demonstrates strong clinical knowledge as part of the healthcare team to ensure quality, evidenced based care is delivered. Demonstrates strong clinical knowledge in the patient population being managed. Continually seeks to develop their body of clinical knowledge. Serves as a resource to members of the healthcare team Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan. Provides timely documentation of the post-acute care plan in the medical record. Conducts extensive assessments and implements interventions for patients at risk for readmissions Active participant in daily unit progression rounds with interdisciplinary teams to direct timely care progression along the continuum, focusing on appropriate GMLOS.

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