Inpatient Nurse Case Manager
1 month ago
Department/Unit:Care Management/Social Work
Work Shift:
The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve maximum clinical and financial outcomes. The Case Manager participates in maintaining quality care and performance improvement through leadership, problem solving, decision making, and outcome measurement. The Case Manager functions as a resource for the health care team, community, patient/significant others/family and payers by functioning as a clinician, consultant, advocate and educator for assigned service.
The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve maximum clinical and financial outcomes. The Case Manager participates in maintaining quality care and performance improvement through leadership, problem solving, decision making, and outcome measurement. The Case Manager functions as a resource for the health care team, community, patient/significant others/family and payers by functioning as a clinician, consultant, advocate and educator for assigned service.
Assists the admission MD and or designated physician and the interdisciplinary teams in assuring coordination of care across the continuum of care in the hospital pre Nurse Case Manager and post-op.
Proactively monitor patients' clinical process through /patient care standards and evidence-based guidelines to ensure timely, appropriate interventions that achieve optimal patient outcomes within appropriate LOS and financial constraints.
Provides collaborative care management with the primary nurse in assessing for discharge planning needs, coordinating appropriate resources and evaluating effectiveness of the discharge plan. The discharge planning process needs to begin on admission.
Collaborates with the health care team and appropriate department in the management of care across the continuum of care, including pre-admission, discharge, post-discharge, planning length of stay, and utilization of resources.
Utilizes own special body of knowledge and evidence-based guidelines to provide leadership and guidance to the health care team in formulating an individualized multidisciplinary plan of care to include: pre-hospitalization, acute hospital care, discharge education, transition to home and use of community resources.
Facilitates and participates in health care team care conference for patients with complex problems. Facilitates patient and family education and the discharge process to promote continuity of care and optimal patient outcomes.
Demonstrates experience in the referral process and use of community resources.
Reviews data from admission screening to clarify admission diagnosis, establish appropriate length of stay, and identify any potential outliers and determine appropriateness of admission based on institutional standards and evidence-based guidelines.
Identifies capitated patients to determine appropriate utilization of series and coordinates post hospital care using defined standards.
Identifies high-risk patients based on clinical and financial criteria for collaboration with patient financial services to problem-solve available resources.
Ensures that appropriate medical/legal documentation is contained in patient's records.
Collaborates with the health care team in implementing strategies to reduce length of stay/resource consumption to optimize patient health status for an assigned service patient.
Assesses educational needs and provides learning opportunities for health care professionals relevant to particular cases and selected patient care groups.
Collaborates with case management leadership to compile and report aggregate variances and data for specific patient care services.
Communicates and analyzes aggregate variances with members of the health care team and develops strategies for variance reduction.
Bachelor's degree preferred.
Recent experience in case management, utilization management and/or discharge planning/home care in a high volume, acute care hospital preferred. Assertive and creative in problem solving, critical thinking skills, systems planning and patient care management.
Basic knowledge of computer systems with skills applicable to utilization review process.
Thank you for your interest in Albany Medical Center
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
-
Nurse Case Manager
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit:Radiology Support Services Work Shift: The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care standards, and utilization...
-
Clinical Nurse III: E2: Inpatient Psychiatry
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit:Psychiatry, Closed Unit-E2 Work Shift: Evening (United States of America) Provides nursing care to inpatient mental health clients. Hourly Min= $36.73 Hourly Max= $60.93 Provides nursing care to inpatient mental health clients. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This...
-
Case Manager
4 days ago
Springfield, MO , USA, United States Mercy Rehabilitation Hospital – Springfield Full timeAbout the RoleMercy Rehabilitation Hospital – Springfield is a leading provider of inpatient rehabilitation services, dedicated to delivering exceptional patient care and outcomes. As a Case Manager, you will play a vital role in our interdisciplinary team, working closely with patients, families, and healthcare professionals to achieve optimal...
-
RN Case Manager
2 weeks ago
Valley County, MT, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms! Hiring Senior Case Managers in New Mexico including 100% of Hourly Wage Paid for All Drive Time) ~ Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with state-specific nurse practice act, and regulatory requirements Graduate of a state...
-
Nurse (Assistant Nurse Manager)
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit: Colorectal Surgery & Urology - C2 Work Shift: Night (United States of America) The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant Vice President of Specialty Nursing Division....
-
Assistant Nurse Manager Hospital Nights
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit: Medical/Surgica Pulmonary Renal Hospitalist - E5 Work Shift: Night (United States of America) The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant Vice President of Specialty...
-
Assistant Nurse Manager
3 months ago
Scotland County, MO, United States Albany Medical Center Full time43 New Scotland Avenue Albany, NY 12208 Department/Unit: Post Surgical PRN Work Shift: Night (United States of America) The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant Vice President of Specialty...
-
Assistant Nurse Manager
3 months ago
Scotland County, MO, United States Albany Medical Center Full time43 New Scotland Avenue Albany, NY 12208 Department/Unit: Colorectal Surgery & Urology - C2 Work Shift: Night (United States of America) The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant Vice...
-
Assistant Nurse Manager: E5: Pulmonary/Renal
3 months ago
Scotland County, MO, United States Albany Medical Center Full time43 New Scotland Avenue Albany, NY 12208 Department/Unit: Medical/Surgica Pulmonary Renal Hospitalist - E5 Work Shift: Night (United States of America) The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and...
-
Case Manager
1 month ago
Springfield, MO, United States Mercy Rehabilitation Hospital - Springfield Full timeJob DescriptionDescriptionMercy Rehabilitation Hospital – Springfield is proud to be recognized by Newsweek as one of America’s Best Rehabilitation Hospitals in 2023. A career at Mercy Rehabilitation Hospital – Springfield, an inpatient acute rehabilitation hospital operated jointly with Lifepoint Health and Mercy, is more than a job. It’s a chance...
-
Case Manager
4 weeks ago
Springfield, MO, United States Mercy Rehabilitation Hospital Springfield Full timeDescription Mercy Rehabilitation Hospital - Springfield is proud to be recognized by Newsweek as one of America's Best Rehabilitation Hospitals in 2023. A career at Mercy Rehabilitation Hospital - Springfield, an inpatient acute rehabilitation hospital operated jointly with Lifepoint Health and Mercy, is more than a job. It's a chance to be a vital member...
-
Registered Nurse
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit: Care Management/Social Work Work Shift: Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG criteria to monitor appropriateness of admissions and continued stays, and documents findings...
-
Travel Nurse RN
1 month ago
Mountain Grove, MO, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Mountain Grove, Missouri. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/26/2024 Duration: 8 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case...
-
Travel Nurse RN
1 month ago
Saint Louis, MO, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in St. Louis, Missouri. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/26/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered...
-
Travel Nurse RN
1 month ago
Mountain Grove, MO, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Mountain Grove, Missouri. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/26/2024 Duration: 8 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case...
-
Travel Nurse RN
4 weeks ago
Tucumcari, Quay County, NM, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Tucumcari, New Mexico. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 09/03/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered...
-
RN Care Management
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit: Secure Unit - C3W Work Shift: The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during transitions within the acute care stay. coordination of patient care provided by the...
-
Medical Matron
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit: Anesthesiology General Work Shift: The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates the advanced knowledge, skills, and credentialing...
-
Clinic Registered Nurse
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit: Infectious Disease Med/Surg Unit Work Shift: Night (United States of America) The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during transitions within the acute care stay....
-
Registered Nurse
3 months ago
Scotland County, MO, United States Albany Medical Center Full timeDepartment/Unit: Medical/Surgical Cardiac Hospitalist - D4N Work Shift: Hourly Range: $36.Medical Cardiology (D4N) The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during transitions...
