RN Case Manager

7 days ago

Green Bay, Wisconsin, United States Della Infotech Full time
Job Summary:

As a skilled RN Case Manager, you will play a vital role in ensuring the efficient and effective delivery of services to our patients. You will provide technical direction and administration to case management and utilization review personnel, ensuring that services are provided in a timely and predictable manner.

Key Responsibilities:

• Perform care coordination assessments for initial assessment of patients within 24 hours of admission, as well as for readmission and transition planning.
• Collaborate with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient's available resources.
• Assess patient/family needs to reduce barriers and formulate discharge plans, such as LOS barriers to discharge.
• Identify unsigned level of care (LOC) orders and communicate with utilization management nurse to obtain orders from providers.
• Review current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identify the point of contact for the patient's family.
• Assess the risk of readmission for specified patient populations and initiate assigned interventions to enhance the patient's ability to successfully transition along the care continuum.
• Perform discharge planning coordination/referral by making appropriate referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement, and other outside agencies per Standard Operating Procedure (SOP).
• Act as a liaison by collaborating and communicating daily with the physician, patient, family, nursing, and other members of the healthcare team.
• Participate in clinical case review/rounds with the interdisciplinary team.
• Document in the electronic medical record (EMR): assessment, plans, interventions, barriers, and reassessments to facilitate discharges and/or transitions, manage anticipated discharge date, and ensure all pertinent information is transferred to post-acute agency.
• Identify barriers early in the patient's stay, formulate a plan with the patient, family, internal and external members of the healthcare team, payers, and community resources.
• Identify and report avoidable day/variances and/or service delays from established plan of care to leadership.
• Represent the integrated care management department on various teams and performance outcomes committees and projects.
• Ensure patients follow up appointment with PCP has been made prior to discharge.
• Maintain effective operations by following policies and procedures.
• Perform other related duties as required and directed.

Requirements:

• 3+ Years of experience - Required
• Bachelor's Degree in Nursing - Required
• American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association Case Management Association, and maintenance of continuing education requirements - Required
• Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN) - Preferred
• Experience in utilization management/case management, critical care, or patient outcomes/quality management - Preferred
• Certification in Case Management Certification (ACM or CCM) - Preferred

About Della Infotech:

Della Infotech is a leading healthcare organization dedicated to providing high-quality patient care and services. We are committed to creating a collaborative and supportive work environment that fosters growth and development for our employees.

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