RN Case Manager

RN, Case Manager The RN Case Manager at St. Charles Health System provides clinically based case management to support the delivery of effective and efficient patient care. This position has the overall accountability for the utilization management and discharge planning for patients within the assigned caseload. The Case Manager collaborates with other members of the health care team to identify appropriate utilization of resources in the care of the patient. This nursing position will provide and oversee the provision of specific care to assigned patients throughout the shift, consistent with the scope of RN licensure. This position does not directly manage any other caregivers. The role involves utilizing the nursing process of assessment, diagnosis, planning, intervention, and evaluation when assessing the patient's condition and needs; setting outcomes; implementing appropriate nursing actions to meet the patient/family's physical, emotional, spiritual, social and intellectual needs; evaluating the patient's progress. The RN Case Manager confirms medical necessity for continued stay, creates discharge plans, facilitates patient's and family's learning throughout the hospital experience in preparation for discharge, reinforces patient's continued health care through teaching and/or referral to community agency follow-up, and partners with physician, hospital administration, and other disciplines in implementing and documenting the discharge plan of care. Supports and contributes to optimal outcomes, including reduced length of stay, reduced cost per discharge, improved discharge procedures, improved patient satisfaction, and improved interaction between interdisciplinary caregivers. Manages clinical aspects of discharge planning process for those patients in case management process, identifies potential barriers to discharge or transfer, and communicates them to the care team to spearhead resolution of the issues where possible. Functions as patient care facilitator and as a patient liaison to internal services and external agencies, facilitates staff education, participates in quality improvement and evaluation processes related to the case management practice, and provides cross over coverage for other units as needed. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver, and participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients and guests, documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies, supports the vision, mission and values of the organization in all respects, supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change, conducts all activities with the highest standards of professionalism and confidentiality, complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate, and may perform additional duties of similar complexity within the organization, as required or assigned. This may involve occasional travel to community locations, other St. Charles sites, or regional locations for education, meetings and training. Education: Graduate of an accredited school of nursing. Preferred: BSN. Licensure/Certification/Registration: Required: Current Oregon RN License. AHA Basic Life Support for Healthcare Provider certification. Preferred: Certification in Case Management. Experience: Required: 3 years of clinical nursing experience in an acute care setting. Knowledge of Quality Improvement. Previous experience with emphasis on disease management, patient, and staff education. Preferred: Experience in case management and/or discharge planning. Specialty experience, such as cardiac, emergency department, oncology, orthopedics or neuroscience. Additional duties for RN, Case Manager, Emergency Department include screening, assessing, planning and facilitating services that meet patients' needs for health care in a way that promotes quality and cost-effective outcomes, identifying complex, high-utilization patients admitted to the Emergency Department appropriate for case management, reviewing patients entering through the Emergency Department to identify those appropriate for case management screening, and providing the patient and family with referrals to appropriate community resources as identified.