Inpatient Care Manager (RN)
Status: Full time
Shift: M - F 8:00 - 4:30; some weekends and holidays
MAJOR RESPONSIBILITIES
- Conducts complete assessments, establishes appropriate plans, and initiates interventions within desired timeframes. Collaborates and negotiates effectively with patient, family, and team while striving to achieve patient and organizational goals regarding patient's care needs, choice, and satisfaction when discharge planning/transitioning care.
- Provides continuity of care and discharge planning services compliant with regulatory standards by providing coordinated relevant options and services based on assessed needs to ensure patient/family and healthcare team is informed and able to proceed with accountabilities in a timely manner.
- Provides case management services related to various levels of health care, finances, housing, family discord, or illness adjustment, based on department scope. This may include managing family dynamics and crisis situations in a timely and professional manner, using community resources effectively, and educating patient/family regarding access to and use of services.
- Initiates internal and external referrals to assure timely progression of care and transitions. Documents discharge planning interventions and utilization review activity per department and medical center standards in a timely manner.
- Communicates effectively with the healthcare team. Works in partnership with Social Work and unlicensed support personnel to effectively establish and implement a safe plan of care.
- Collaborates with managers, physicians, medical directors, advisory groups, and treatment teams for issues related to physician practices and best practices for the patient's plan of care.
- Remains knowledgeable in issues of healthcare regulations, reimbursement issues, impact on length of stay, and community resources.
- Develops and maintains productive relationships with community-based agencies and networks by representing Advocate Aurora Health Care in a positive manner.
- Serves as an educator and expert resource to medical and hospital staff regarding admission status and acute care criteria, utilization management issues, care coordination, and discharge planning needs.
- Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
License/Registration/Certification
Registered Nurse License issued by the state in which the Team Member practices.
Level of Education
Bachelor's Degree in Nursing
Years of Experience
2 years of clinical nursing experience.
KNOWLEDGE, SKILLS, AND ABILITIES
- Ability to prioritize and organize work.
- Effective communication skills.
- Utilization of critical thinking and timely decision making.
- Ability to navigate the Electronic Health Record.
- Basic utilization of MS Office products.
- Knowledge of Medicare A and B guidelines.
- Knowledge of Managed Care program requirements/implications.
- Ability to apply elements of Utilization Management programs.
PHYSICAL REQUIREMENTS
- Must be able to sit up to approximately 50 percent of the workday; stand and walk for the equivalent of several blocks at a time.
- Must lift up to 10 lbs. continuously, up to 20 lbs. frequently, and up to 50 lbs. occasionally.
- Manual dexterity required for operation of computer and calculator.
- Visual acuity required for facilitating review of written documents/computer screens, medical records, and to record information accurately.
- Clear verbal communications and hearing acuity required for receiving instructions and conversing on standard telephone.
- Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone.
- Exposed to normal office environment; including usual hazards related to operating electrical equipment.
- Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the incumbent. The incumbent may be required to perform other related duties.
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