RN CASE MANAGER: University Hospital

4 days ago

Ann Arbor, United States University of Michigan Full time

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Responsibilities*

Characteristic Duties and Responsibilities

Care Coordination and Discharge Planning

Within 24 hours of admission interview each patient/family for anticipated needs post hospitalization Develop plan for the day and plan for the stay with providers, patient and nursing staff Lead daily care coordination rounds to update the plan and facilitate implementation. Initiate discharge plan including early referrals to homecare, DME and infusion services Prepare patient/family for discharge In collaboration with SW partner follow standard for routine patient/family conference Ensure patient handovers to next level of care; work closely with Care Navigators in clinics, complex care Case Managers , homecare and sub-acute liaisons Support nursing Model of Care by working closely with nursing managers and staff to achieve Patient Family Centered Care goals: respect and dignity, information sharing, participation and collaboration Facilitate increased volume of cases discharged by noon to improve capacity management Collect avoidable days information; report findings in care management software, such as Allscripts Participate in venues to reduce barriers to discharge

Utilization Review and Utilization Management

Conduct clinical review on admission; review every 3 days or as requested by payer Determine patient classification with provider and ensure all patients placed in observation classification are notified; For inpatient to observation cases, ensure Condition Code 44 billing requirements are met Communicates with third party payers to obtain necessary authorization for reimbursement of services. Obtain anticipated LOS from provider and ensure patient and multi-disciplinary team is aware Refer defined cases for medical secondary review and share findings with providers Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials; input into appeals; share findings with providers Review all cases with readmission within 30 days; report findings in Care Management software such as Allscript Identify opportunities for cost reduction and participate in appropriate utilization management venues Conducts referrals and consultation with Physician Advisor

Professional Development

Actively participates in the performance planning, competency and individual development planning process Maintains current knowledge of case management, utilization management, and discharge planning , as specified by federal, state, and private insurance guidelines

Expectations of the position:

Knowledge of community resources to coordinate safe discharge from the emergency departments Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and or teams, across disciplines Excellent communication and negotiation skills as demonstrated in oral and written forms  Ability to work in a collaborative partnership model with Social Workers and other members of the interdisciplinary team, both internal and external Organizational and time management skills, as evidence by capacity to prioritize multiple tasks

Nursing Specific Info

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in . Michigan medicine is comprised of over 26, employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

Nursing at Michigan offers a competitive salary with excellent benefits 

Hourly range for Registered Nurses $38.26-$59.35 / hour

Evening Shift Differential-$3.00 / hour Night Shift Differential- $4.00 / hour Day Shift Weekend Differential- $2.90 / hour Evening Shift Weekend Differential- $5.90 / hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour

The benefit package includes: 

Excellent medical, dental and vision coverage 2:1 Match on retirement savings and immediate vesting Generous Paid Time Off Allowances Robust Tuition and Certification support programs Large offering of no cost CEs and professional development for advancement

Required Qualifications*

Required Educational Requirement; applicant must meet one of the following: Bachelors degree in Nursing OR an Associates degree or Diploma in Nursing with a Masters degree in Nursing

Current State of Michigan Board of Nursing licensure

Minimum of three years of acute care RN nursing experience OR 3 years care management of acute care patients.

A minimum of one year of successful experience in at least one of the following classifications: nursing management (supervisor or higher); case management; demonstrated advancement in clinical career ladder (advancement from level C to level D or higher)

NOTE: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.

RESUME REQUIRED (for both internal & external applicants): 

You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications*

Two years hospital discharge planning experience Masters degree in nursing or other health related field Case Management Certification such as ACM or CCM Excellent analysis and data management and PC skills Ability to work in autonomous and self-directed manner Experience with InterQual criterion set Experience with Allscripts Experience with quality improvement initiatives Two years home care or skilled home health experience

Work Schedule

Hours: 40
Shift: Day shift, 8am-4:30pm, with weekend and holiday commitments
Location: UMH Care Management

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Selection Process

Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The Department of Nursing, like the University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status.

  • RN CASE MANAGER: University Hospital

    4 weeks ago

    Ann Arbor, Michigan, United States University of Michigan Health System Full time

    SummaryThe RN Case Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. The position is unique in that it combines clinical/quality...

  • RN CASE MANAGER: University Hospital

    1 month ago

    Ann Arbor, Michigan, United States University of Michigan Health System Full time

    SummaryThe RN Case Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. The position is unique in that it combines clinical/quality...

  • REGISTERED NURSE: University Hospital

    4 weeks ago

    Ann Arbor, Michigan, United States University of Michigan Health System Full time

    SummaryThe University of Michigan, regionally and nationally known for its commitment to providing high quality, family-centered patient care seeks bachelors prepared Graduate Nurses for our Medical ICU (CCMU) Internship program, starting June 6, 2024.This is a 16-week internship program which prepares Graduate Nurses for a Registered Nurse position in the...

  • REGISTERED NURSE: University Hospital

    1 month ago

    Ann Arbor, Michigan, United States University of Michigan Health System Full time

    SummaryThe University of Michigan, regionally and nationally known for its commitment to providing high quality, family-centered patient care seeks bachelors prepared Graduate Nurses for our Medical ICU (CCMU) Internship program, starting June 6, 2024.This is a 16-week internship program which prepares Graduate Nurses for a Registered Nurse position in the...

  • Registered Nurse- University Hospital, 6a Adult

    6 days ago

    Ann Arbor, United States University of Michigan Full time

    **Mission Statement**: Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical...

  • REGISTERED NURSE: University Hospital

    1 month ago

    Ann Arbor, United States University of Michigan Full time

    Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical...

  • REGISTERED NURSE: University Hospital

    4 weeks ago

    Ann Arbor, United States University of Michigan Full time

    Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical...

  • REGISTERED NURSE: University Hospital

    6 days ago

    Ann Arbor, United States University of Michigan Full time

    Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical...

  • REGISTERED NURSE- University Hospital; 6D, Critical Care Medicine Unit

    4 weeks ago

    Ann Arbor, Michigan, United States University of Michigan Health System Full time

    Mission StatementMichigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical...

  • REGISTERED NURSE- University Hospital; 6D, Critical Care Medicine Unit

    1 month ago

    Ann Arbor, Michigan, United States University of Michigan Health System Full time

    Mission StatementMichigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical...

  • Case Manager

    1 month ago

    Ann Arbor, United States Shelter Association of Washtenaw County Full time

    Job DescriptionJOB DESCRIPTIONThe Shelter Association of Washtenaw County is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin,...

  • Case Manager

    4 weeks ago

    Ann Arbor, United States Shelter Association of Washtenaw County Full time

    Job Description JOB DESCRIPTION The Shelter Association of Washtenaw County is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin,...

  • Case Manager

    2 months ago

    Ann Arbor, United States Shelter Association of Washtenaw County Full time

    Job DescriptionJob DescriptionJOB DESCRIPTIONThe Shelter Association of Washtenaw County is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation,...

  • Registered Nurse

    1 month ago

    Ann Arbor, United States BrightStar Care of Howell Brighton Ann Arbor, MI Full time

    Become a part of the newest approach to meeting the needs of acute care patients in the comfort of their home!!!Our Registered Nurse Team provides hospital-level services at home - Brightstar Care is proud to be partnering with one of University of Michigan Hospital system as the world of healthcare continues to evolve to meet the needs of our community. We...

  • Registered Nurse

    4 weeks ago

    Ann Arbor, United States BrightStar Care of Howell Brighton Ann Arbor, MI Full time

    Become a part of the newest approach to meeting the needs of acute care patients in the comfort of their home!!!Our Registered Nurse Team provides hospital-level services at home - Brightstar Care is proud to be partnering with one of University of Michigan Hospital system as the world of healthcare continues to evolve to meet the needs of our community. We...

  • Case Manager

    1 month ago

    Ann Arbor, United States Domino's Pizza LLC Full time

    Company DescriptionThe Domino's Partners Foundation is a separate non-profit organization affiliated with and supported by Domino's Pizza team members. The Foundation's mission is to provide financial assistance to team members experiencing a hardship or crisis.Job DescriptionField incoming requests for assistance from Domino's Pizza team members Collect...

  • Case Manager

    1 month ago

    Ann Arbor, United States Domino's Pizza LLC Full time

    Company Description The Domino's Partners Foundation is a separate non-profit organization affiliated with and supported by Domino's Pizza team members. The Foundation's mission is to provide financial assistance to team members experiencing a hardship or crisis. Job DescriptionField incoming requests for assistance from Domino's Pizza team members Collect...

  • Case Manager

    1 month ago

    Ann Arbor, United States Domino's Corporate Full time

    Job DescriptionJob DescriptionCompany DescriptionThe Domino’s Partners Foundation is a separate non-profit organization affiliated with and supported by Domino’s Pizza team members. The Foundation’s mission is to provide financial assistance to team members experiencing a hardship or crisis.Job Description Field incoming requests for assistance from...

  • Case Manager

    1 month ago

    Ann Arbor, United States Dungarvin Full time

    Job Description The Case Manager works in a dynamic multidisciplinary team providing treatment services according to the Discovery Clinical Model. Therapist responsibilities include ensuring patient safety, providing milieu interventions, leading psychoeducational and process-oriented therapy groups, facilitate clinical assessments, conduct individual and...

  • Case Manager

    3 weeks ago

    Ann Arbor, United States Dungarvin Full time

    Job Description The Case Manager works in a dynamic multidisciplinary team providing treatment services according to the Discovery Clinical Model. Therapist responsibilities include ensuring patient safety, providing milieu interventions, leading psychoeducational and process-oriented therapy groups, facilitate clinical assessments, conduct individual and...