Registered Nurse- Case Manager

4 weeks ago


Columbus, United States St. Francis-Emory Healthcare Full time
Description

Under the general supervision of the Case Management Director, acts as a patient advocate/ Case Manager to hospital 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 effective patient outcomes.

Knowledge of and works within the CMS Conditions of Participation for Discharge planning

Timely assessment of patients identified with discharge planning needs

Development and implementation of discharge plans for each patient targeting optimal cost and quality outcomes

Re-evaluation for discharge needs upon change of condition of the patient or caregiver ability to care for the patient

Maximizes care coordination efforts and collaborates with the healthcare team to promote efficient movement through the continuum of care

Identifies and mitigates delays in delivery of care

Effective and appropriate communication with the healthcare team, patient, and family

Timely, appropriate, and accurate documentation of the discharge plan, patient progress to plan, and communication with the healthcare team, patient, and family in the medical record

Assists the Director of Case Management with collection of data for the UM Committee and other reports

Escalates cases appropriately

As required, collaborates with payers to ensure authorization for discharge plan needs

Participates in Interdisciplinary Rounds

Displays effective communication skills

Assists the Director of Case Management with other job duties as requested

Demonstrates knowledge of HIPAA guidelines and utilizes them in all aspects of communication

Qualifications

Education: Associates Degree in Nursing required. Bachelors Degree in Nursing desirable. The Registered Nurse must possess a license to practice in the state of Georgia.


Experience: 5 or more years in the acute care setting. Experience in other related healthcare settings considered. Previous case management experience desirable, but not required.



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