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RN (Rehab/Case Management) - Fulltime
2 months ago
RN (Inpatient Rehab/Case Management) - Full time
Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing quality healthcare to the residents of Aiken and surrounding communities. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the Carolina Center for Medical Excellence for its treatment of heart attack, heart failure and pneumonia. Services provided at the hospital include emergency medical care, orthopedic surgeries, maternity, and behavioral health services.
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Summary:
Provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Provides professional leadership and support to the healthcare team. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. As part Case Manager for Inpatient Rehab, responsible to ensure effective communication of information to insurance companies, physicians, and post-acute care providers to ensure a smooth transition of care for all ARMC patients. Manages and coordinates case management and social work administrative and other activities as needed. his position will also be responsible for reconciliation of post-acute care discharge plans to ensure that Transfer DRG requirements are met and to communicate this information with the appropriate departments for final billing.
Duties:
- Coordinates completion of and transmits information to community agencies to obtain a decision consistent with the transitional plan for care, i.e. home health care, nursing home, other transfer/discharge destinations, CLTCs and services as directed.
- Contacts agencies regarding bed availability and accessibility, procedures for admission, schedules visits pertinent to the plan for the continuum and keeps the case manager or discharge planner informed of status.
- This position will also be responsible for reconciliation of post-acute care discharge plans to ensure that Transfer DRG requirements are met and to communicate this information with the appropriate departments for final billing.
- Assists with completion of paperwork, as requested, by case managers and Director within the limits of role (e.g. non-clinical activities).
- Assures seamless transitions for the patient/family across the continuum of care by assuring complete and accurate communication prior to transitions.
- Provides daily, clear communication to the clinical staff regarding the status of the patients on their unit as appropriate.
- Fosters cordial, positive and professional interpersonal relationships with patients, family members, physicians, staff, nursing homes, community agencies, insurance companies and peers.
- Acts as a proactive member of the interdisciplinary team. Collaborates with the team for a safe discharge from acute care services.
- Provide administrative support to the Director and other department staff. i.e. data entry, presentation support, etc. as needed.
- Involves the patient and family psychosocial, spiritual, emotional, population specific, and diversity needs in care assessment.
- Constructs and implements the plan of care using nursing knowledge and skill. Integrates direct and indirect patient care activities related to the diagnosis and co-morbidities.
- Coordinates the implementation of the interdisciplinary plan of care for assigned patients. Develops goals, treatment plans, and discharge plans that meet individual patient/family needs.
- Consistently completes hourly rounds with purpose to strengthen nurse communication, improve safety, and anticipate patient needs (i.e. pain, re-positioning, toileting). Rounds with purpose including pro-actively evaluating the environment to ensure it is patient friendly and patient safe.
- Actively participates in bedside report (as appropriate) to ease anxiety and address important points of care, concerns, and progress with the patient/family.
- Provides patients with caregiver name and contact information each shift.
- Provides care that is respectful of and responsive to the patient values in clinical decision making.
- Supports and informs the patient and family of hospital specific components of the Patient Centered Care Delivery model. Examples may include informing the family of open medical record policy, supports open family visitation, family presence during resuscitation and other invasive procedures and promotes a quiet environment.
- Assumes role of team member, charge nurse or team leader based on the need and/or situation.
- Follows communication practices that minimize risks associated with handoffs among providers, and across transitions in care utilizing the SBAR process.
- Leads or participates in the design and implementation of systems that support effective teamwork.
- Empowers contributions of others who play a role in helping patients/families achieve health goals.
- Demonstrates the ability to formulate questions that address clinical issues.
- Demonstrates proficiency in completing an evidence-based practice literature search.
- Analyzes best evidence to address a clinical question.
- Translates evidence into clinical practice through the consistent use of knowledge and evidence.
- Utilizes clinical reasoning and knowledge based on evidence-based practice outcomes and research studies as the basis for decision making and comprehensive patient care.
- Demonstrates quality through accurate documentation of the nursing process in a responsible, accountable manner.
- Demonstrates quality through accurate documentation of core measures and concurrent use of tools and resources to ensure high compliance is achieved (core measure checklist, double checks, etc.).
- Utilizes the results of quality improvement activities to initiate changes in nursing practice and care delivery.
- Understands and analyzes unit metrics to understand how individual practice, continuing education, and process improvement is necessary to improve the quality of practice.
- Participates in efforts to minimize cost and eliminate waste and unnecessary duplication.
- Utilizes policies, procedures, and evidence-based guidelines to improve the quality of practice.
- Participates in interdisciplinary teams to evaluate clinical care or services.
- Demonstrates competent clinical skills, critical thinking, and nursing judgment.
- Follows facility policies and procedures to promote patient safety (i.e. safe medication administration, equipment safety practices, radiation safety, fire prevention, etc).
- Reports errors (facility and unit) to promote analysis of errors and design of prevention or system improvements.
- Utilizes appropriate patient safety strategies to prevent human errors (checklists, forced functions, software calculations, mandatory fields, etc.).
- Demonstrates effective use of technology and standardized practices to promote safety.
- Navigates the patient's electronic health record to accurately enter and locate appropriate information.
- Demonstrates sound judgment to increase or decrease the frequency of data collection based upon the patient's clinical condition and data trends.
- Incorporates patient data from multiple sources to identify problems and assure timely and appropriate intervention.
- Ensures the confidentiality and security of patient information while advocating for and involving the patient as appropriate.
- Participates in the collection of data to support nursing research and evidence-based nursing practice.
- Maximizes the capabilities of the electronic clinical information system to enhance clinical decision and care planning.
- Makes discretionary patient care decisions/interventions independently within the scope of practice (selects a course of action consistent with the patient's needs and is accountable for decisions). Is self-directed and decision oriented.
- Practices interdependently, utilizing the skills and observations of team members appropriately.
- Practices with respect and dignity and advocates for the patient.
- Facilitates problem resolution among peers and unlicensed team members when behaviors and decisions are not within the range of expected actions.
- Prioritizes and delegates care appropriately.
- Evaluates changes in the patient condition and reports significant findings to the physician. Involves all disciplines, patient & family to coordinate effective medical and nursing interventions including rescue to achieve positive outcomes.
- Other duties as assigned
Benefit Highlights
- Tuition/Certification Reimbursement after 6 months
- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans . click apply for full job details
