RN Care Manager

4 weeks ago


La Grange, United States AdventHealth Full time
About the Role

We are seeking a skilled RN Care Manager to join our team at UChicago Medicine AdventHealth La Grange. As a RN Care Manager, you will play a critical role in ensuring patient-centered care coordination and progression through the continuum of care.

Key Responsibilities
  • Collaborate with patients, families, social workers, nurses, physicians, and the interdisciplinary team to ensure efficient and cost-effective care.
  • Develop and implement transition of care plans to ensure smooth and safe transitions, patient satisfaction, patient safety, readmission prevention, and length of stay management.
  • Communicate daily with the interdisciplinary team during multidisciplinary rounds to facilitate high-quality patient progression of care and transitions plans.
  • Evaluate potential readmissions throughout the patient stay and coordinate readmission mitigation interventions.
  • Consult with Social Work for specialty services related to psychosocial needs, decision-making needs for patients who lack capacity, patient/family adjustment needs, and psychosocially complex cases.
  • Develop discharge plans with appropriate contingency plans throughout the hospital stay to enable adaptation to evolving patient care needs and ensure timely care coordination.
  • Escalate issues and barriers to appropriate levels of Care Management leadership.
  • Assist with End of Life conversations, Living Wills, Advance Directives, Power of Attorney, and Community DNR.
  • Facilitate patient care conferences with the multidisciplinary team as needed.
  • Establish and document Anticipated Date of Transition (ADOT) and destination, and update as needed.
  • Actively participate in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients.
  • Proactively identify patients who no longer meet medical necessity and escalate potential denials, document avoidable days, and facilitate progression of care.
  • Collaborate with Utilization Management staff for collaboration on patient status changes and medical necessity discussions.
  • Ensure all patients on assigned units are moved timely and effectively to appropriate levels of care.
  • Ensure reassessment of discharge needs provided anytime a patient's condition changes and/or the circumstances impacting the provision of post-hospital care changes.
  • Ensure patient notifications are provided and documented in a timely manner for compliance.
Requirements
  • Associates Degree in Nursing or RN Diploma degree.
  • Registered Nurse (RN) license in the State of Illinois.
  • Two (2) years of medical/hospital nursing experience.
Preferred Qualifications
  • BSN.
  • Health-related Master's degree or MSN.
  • Prior Care Management/Utilization Management experience.
What We Offer

As a RN Care Manager at UChicago Medicine AdventHealth La Grange, you will have the opportunity to work in a dynamic and supportive environment that values patient-centered care and teamwork. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.


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