Registered Nurse

5 days ago

Lewes, Delaware, United States Bebee Healthcare Full time
About the Role

We are seeking a dedicated Registered Nurse (RN) Complex Case Manager to join our dynamic team at Beebe Healthcare.

As an RN Complex Case Manager, you will play a pivotal role in our healthcare team by providing expert case management services for medically complex inpatients.

Key Responsibilities
  • Assess the physical, functional, social, psychological, environmental, learning, and financial needs of patients.
  • Identify problems, goals, and interventions designed to meet patient needs, including prioritized goals that consider the patient/caregiver's goals, preferences, and desired level of involvement in the case management plan.
  • Assist with creation of IP care plans, including objectives, goals, and actions designed to meet patient needs.
  • Provide appropriate interventions that demonstrate knowledge of and sensitivity toward cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served.
  • Assess the patient's formal and informal support systems, including caregiver resources and involvement as well as available benefits and/or community resources.
  • Implement and monitor the IP care plan to ensure the effectiveness and appropriateness of services.
  • Evaluate patient progress toward goal achievement, including identification and evaluation of barriers to meeting or complying with the case management plan of care.
  • Research alternative treatment options and select and locate appropriate providers.
  • Communicate with attending and primary care physicians and members of the comprehensive care team regarding patient status.
  • Utilize motivational interviewing skills to build patient engagement in the case management plan of care.
  • Provide education, information, direction, and support related to care goals of patients.
  • Act as a patient advocate and assist with problem-solving and addressing any barriers to care or compliance with the care plan.
  • Coordinate care and develop treatment plans.
  • Provide referrals to appropriate community resources and facilitate access and communication when multiple services are involved.
  • Maintain accurate patient records and patient confidentiality.
  • Measure outcomes and effectiveness of case management, including clinical, financial, quality of life, and patient/family satisfaction.
  • Engage in professional development activities to keep abreast of case management practices and patient engagement strategies.
  • Facilitate disease prevention and health promotion with patients and families.
  • Determine psychosocial needs and complex medical needs of all patients.
  • Troubleshoot problems regarding operational and clinical procedures that may affect patient outcomes.
  • Attend mandatory training sessions and staff meetings as assigned.
  • Participate in prospective, concurrent, and retrospective case reviews involving targeted patients.
  • Identify risk factors and teach patients a clear pathway of response to identified triggers.
  • Promote patient and family responsibility and self-management.
  • Document all relevant information following department policy guidelines.
  • Maintain knowledge of operational procedures and case management program components.
  • Promote chronic disease management concepts, health screening, and preventive health initiatives for targeted patients.
Program Development
  • Assist with the collection, analysis, and benchmarking of utilization data.
  • Collaborate in the development of protocols and guidelines for patient care management.
  • Adhere and uphold Beebe Healthcare's Mission, Vision, and Values and Performance Standards.
  • Other tasks as assigned.
Qualifications

Bachelor's degree in nursing or related field OR ADN with 5 years of case management experience with BSN completion within 5 years of hire required.

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