Supervisor- RN Case Manager

Supervisor- RN Case Manager This role will drive positive outcomes for designated patient groups by providing oversight; education; clinical direction/redirection; accountability; escalation & resolution of issues for RN Case Manager I positions, and assisting social workers within the clinical aspect of discharge planning. This position supervises RN Case Managers (primary) & other staff within the care coordination department; actively participates in the hiring of new team members; develops process flows; provides input for staff educational material; collaborates with all members of the provider care team to identify opportunities for improvement; reaches out to external customers to escalate issues and remove discharge barriers. This positions functions under the guidelines of patient centric nursing process utilizing UMC nursing model, actively participating in the "Magnet" journey related to nursing practice and behavior works to directly manage length of stay (LOS-targets for assigned populations) and assure efficient utilization of resources through the prevention of avoidable days (data capture, analysis, reporting and recommendation for change) and unplanned readmissions. Acts. Individuals within RN Case Manager II position are strategic, innovative and utilize critical-thinking to create optimal patient/staff/customer outcomes while supporting organizational mission, vision and values. Two (2) years of bedside RN experience and two (2) years of utilization management or case management/coordinated care experience in an acute care environment. Academic medical center experience preferred. Valid RN license. Accredited Case Manager Certification (ACMC) or Certified Case Manager (CCM) required post-hire within 24 months. Must demonstrate excellent interpersonal communication and negotiation skills with leadership capability. Understanding of discharge planning, utilization management, case management, performance improvement, managed care reimbursement, data collection, analysis and report development or interpretation. Understanding of pre-acute, acute and post-acute venues of care and post-hospitalization community resources. Drives achievement of patient "right care, right time, right place" practice. Ability to work independently and exercise sound clinical judgement with all decision-making. Ability to demonstrate high levels of emotional intelligence in fast-paced, high-stress environment. Ability to understand and perform all duties/responsibilities within the RN-Case Manager I role successfully. Develops and delivers successful educational sessions to co-workers. Manages successful implementation of case management and nursing models. Is viewed by peers as a departmental leader. Responsibilities include overseeing the management of assigned patient populations across the continuum; serving as a resource to the multidisciplinary/multi professional team to manage appropriate and safe patient care transitions; working with departmental/physician/nursing leadership and the healthcare team for defined patient populations assisting to implement clinical pathways as appropriate; driving patient satisfaction related to discharge planning and assuring all patients are assessed for timely, appropriate and safe discharge planning; serving as the primary information resource for case management staff, payors, and physicians, other healthcare team members, customers and regulatory bodies; conducting training sessions and workshops to educate case managers on best practices, policies, procedures, and relevant regulations; identifying potential risks or barriers to effective case management, implementing strategies to mitigate risks, and addressing any issues or concerns that may arise during the course of patient care/discharge planning; educating others on case management responsibilities; readily accepting responsibility for actions/discharge planning/appropriate utilization provided by assigned team; assuming delegated activities from the manager/director/chief officer as requested; addressing/resolving system problems impeding diagnostic or treatment progress; proactively mitigating risk to patients with special focus on clinical discharge planning using the nursing process of assessment, intervention, implementation, and evaluation; seeking consultation from appropriate disciplines/ departments/leaders as required to expedite care and facilitate safe discharge; utilizing critical-thinking and demonstrating innovative thought; ensuring compliance with regulatory requirements, accreditation standards, and organizational policies; identifying at-risk populations and establishing or identifying intervention to reduce risk and implementing reporting procedures; taking actions to achieve continuous improvement and understanding continuous improvement methodology; ensuring that all elements critical to the discharge plan have been communicated to the patient/family and members of healthcare team; assuring appropriate documentation is completed on all patient groups timely, accurately and concisely; responsible for coordinating seamless discharges; driving initiatives to reduce excess days; working to improve staff satisfaction through team building; recognizing the importance of a dyad model utilizing social worker(s) as needed related to social work expertise; being customer driven and focused, recognizing customers include but are not all inclusive of co-workers, providers, payers, nurses, and ancillary staff in addition to outside entities accepting patient referrals or working to provide supplies/equipment; obtaining necessary CEUs to maintain an active RN license. Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional exposure to bio-hazardous conditions such as risk of radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations, occasional working hours significantly beyond regularly scheduled hours, occasional work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 25 pounds, occasional climbing, occasional crawling, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, occasional reaching, occasional sitting, occasional standing, occasional twisting, and frequent walking.