RN Case ManagerJob CategoryNursing
ScheduleFull time
Shift1 - Day Shift
SUMMARY:
Works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge. Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and/or evaluation. Assesses and responds to patient/family needs by coordinating efforts of other team members. Identifies and resolves barriers that hinder effective patient care. Improves quality and completeness of documentation.
ESSENTIAL FUNCTIONS:
- Assesses, creates, implements, evaluates and modifies timely discharge plans.
- Collaborates with patients, families, nurses, physicians, and other members of the team, creating consensus around issues of discharge planning.
- Documents in a clear, complete, concise, and organized manner.
- Monitors clinically high-risk and complicated cases and institutes necessary actions to promote quality care and appropriate integration.
- Accepts referrals and identifies patients who meet the criteria for case management.
- Coordinates cases between health care providers and insurance companies.
- Determines appropriate level of care according to InterQual criteria and facilitates movement of patients in a timely manner.
- Facilitates staffing and care conferences when indicated.
- Develops treatment plans and discusses proposed courses of treatment with patients’ attending physicians, patients, families, and other members of the team.
- Ensures patient/family/staff concerns are appropriately resolved in a timely manner.
- Analyzes current operations, policies, systems, procedures, and develops and implements necessary and innovative changes.
- Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors, and staff.
- Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
- Assists with program planning, development, and evaluation.
- Adheres to TMC organizational and department-specific safety, confidentiality, values policies, and standards.
- Performs related duties as assigned.
MINIMUM QUALIFICATIONS
EDUCATION: Bachelor’s degree in a related field required; Master’s degree preferred.
EXPERIENCE: Eight (8) years of infection control experience in an acute care setting required.
LICENSURE OR CERTIFICATION: Certification by the National Board of Infection Control (CIC) preferred.
KNOWLEDGE, SKILLS AND ABILITIES:
- Knowledge of infectious diseases, OSHA, CDC, and CMS requirements, microbiology, and surveillance practices for infection control.
- Skill in evaluating performance and recommending improvements.
- Skill in managing and training staff.
- Skill in strategic planning and developing staffing plans to meet not only current needs but future needs.
- Skill in coordinating risk assessments and communicating protocols to follow.
- Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
- Ability to write reports, business correspondence, and procedure manuals.
- Ability to effectively present information and respond to inquiries or complaints from employees, patients, and/or their representatives, and the general public.
- Ability to comprehend and apply principles of statistical theory.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Ability to interpret and deal with several abstract and concrete variables.
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