RN Case Manager

4 weeks ago

Louisville, United States UofL Health Full time
Overview

About UofL Health 

UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital.  Affiliated with the University of Louisville School of Medicine, UofL Health is committed to providing patients with access to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. For more information on UofL Health, go to www.uoflhealth.org.

Responsibilities

The RN Case Manager promotes optimal health care outcomes in accordance with the policies, procedures, applicable laws and contracts, philosophy, mission, vision and values of UofL Health; assumes responsibility and accountability for the appropriate utilization of facilities and services; serves as a resource to physicians, nurses and ancillary staff; conducts initial admission assessments; identifies patients who do not meet criteria and takes action to ensure patients receive the most appropriate level of care; actively participates in daily rapid rounds to coordinate care in conjunction with other members of the interdisciplinary healthcare team and provide and facilitate optimal health care/discharge planning;  utilizes the nursing process (assess, plan, implement and evaluate) and management process (plan, organize, direct and control) to provide a framework for decision-making;  maintains confidentiality of information; actively supports organizational goals and objectives by providing needed information to divisions and departments.

Under the direction of the Manager or Director of Care Coordination or CNO, the RN Case Manager performs activities which support the Care Coordination Department including:

  • Promotes optimal management of clinical resources by conducting timely initial admission assessments based on clinical indicators and anticipated service needs for appropriate level of hospital care; Validates patient demographics and payor source
  • Utilizes and contributes to the development of the multidisciplinary clinical assessment of patients on an on-going basis during the patient’s admission to ensure the quality and appropriateness of patient care
  • Implements, reassesses, and evaluates patient condition and coordinates plan of care daily;  Develops patient specific plan of care based on the individual needs of the patients,   
    • Performs timely, professional, and appropriate documentation as reflected in the Quality Review Audit process
    • Advocates for patient/family needs in a respectful, non-judgmental, and confidential manner
    • Serves as a liaison or facilitator for the patient and interdisciplinary healthcare team in the management of unusual or questions cases. Educates the healthcare team about the role of the RN Case manager. Is accessible to the healthcare team as a resource.
    • Appropriately refers cases to manager/director of care coordination, CAO, or medical director when intensity of service or severity of illness is not present and is unable to be resolved
    • Ensure delivery of Discharge Medicare Important Message (IM) and Medicare Outpatient Observation Notice (MOON), where applicable
    Acknowledges, addresses, and completes are Consults to Case Management on respective units in EMRconversations with providers and other staff, and documentation in electronic medical record (EMR.) Ensures updated plan of care is documented in the EMR
Qualifications

Education:

  • Associates Degree in Nursing if actively pursuing BSN or bachelor’s degree in Business, Health Care Administration or equivalent with bachelor’s completion required within 3 years of hire date (required)
  • Bachelor Degree in Nursing or an RN with a bachelor’s degree in Business, Health Care Administration or equivalent preferred (preferred)

Experience:

  • Two (2) years of experience as RN (required)
  • Additional (1) year experience in discharge planning/case management experience in an acute care facility (preferred)

Licensure:

  • Current KY RN licensure or compact license with privileges to work in Kentucky (required)

Certification:

  • Basic Life Saving (BLS) accredited by the American Heart Association (AHA) (required)

Case Management Certification (ACM, ANCC-Nurse Case Manager or CCM) (preferred)

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