Traveling RN Case Manager (Days)

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Traveling RN Case Manager (Days)

Job Overview

Traveling RN Case Manager (Days)

Overview:

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  • Provides overall technical direction and administration to case management and utilization review personnel, ensuring services are provided efficiently and effectively. 
  • Regularly reviews and revises, as necessary, relevant standards and ensures services performed comply with all hospital, system, and regulatory agency standards. 
  • Coordinates provision of services with other nursing and medical functions and serves as technical resource for departmental personnel. 
  • As an expert in the assigned area, is a resource person to both staff and physicians. 
  • Oversees, guides, and mentors the entire team to ensure patients (a) receive the right level of care at the right time predictably and (b) requiring referral care and/or services receive them in a timely manner. 
  • Performs care coordination assessments for initial assessment of patients with 24 hrs. of admission. assessments for readmission and transition planning.
  • Works collaboratively with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient’s available resources.
  • Assesses patient/family needs to reduce barriers and formulate discharge plans (e.g., LOS barriers to D/C).
  • Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.
  • Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies which family member is the point of contact.
  • Assesses risk of readmission for specified patient populations and initiates assigned interventions that will enhance the patient’s ability to successfully transition along the care continuum.
  • Performs discharge planning coordination/referral by making appropriate referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement, and other outside agencies per Standard Operating Procedure (SOP).
  •  Acts as a liaison by collaborating and communicating daily with the physician, patient, family, nursing, and other members of the healthcare team.
  • Actively participates in clinical case review/rounds with the interdisciplinary team.
  • Documents in the electronic medical record (EMR): assessment, plans, interventions, barriers, and reassessments to facilitate discharges and/or transitions, manages anticipated discharge date and ensures all pertinent information is transferred to post-acute agency.
  • Identifies barriers early in the patient’s stay, formulating a plan with the patient, family, internal and external members of the healthcare team, payers, and community resources.
  •  Identifies and reports avoidable day/variances and/or service delays from established plan of care to leadership.
  • Represents the integrated care management department on various teams and performance outcomes committees and projects.
  • Ensures patients follow up appointment with PCP has been made prior to discharge.
  • Maintains effective operations by following policies and procedures.
  • Performs other related duties as required and directed.

 

SUBMISSION REQUIREMENTS
  • 3+ Years if experience - Required
  • Bachelor's Degree in Nursing- Required
  • American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association Case Management Association, and maintenance of continuing education requirements - Required
  • Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN) - Preferred 
  •  Experience in utilization management/case management, critical care, or patient outcomes/quality management- preferred 
  •  Certification in Case Management Certification (ACM or CCM)- Preferred 
 
CERTIFICATION REQUIREMENTS
  • BLS (AHA)
STATE LICENSE REQUIREMENTS
  • Michigan

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