Case Manager RN - Full Time presso undefined

Case Manager RN - Full Time

POSITION SUMMARY:

The Case Management Registered Nurse (RN) is responsible for coordinating and facilitating patient care across the healthcare continuum, from admission to discharge. The Case Management RN works closely with patients, families, healthcare providers, and community resources to ensure that patients receive the appropriate level of care in a cost-effective manner. This role involves assessing patient needs, developing and implementing care plans, and ensuring that patients have the resources and support they need for a safe and timely discharge.. Participates in quality improvement and evaluation processes related to the management of patient care.

POSITION REQUIREMENTS:

Minimum Education Required:

• Graduate of an accredited school of nursing.
• Associate Degree or higher.

License Required: 

• RN with active Nevada License.

Minimum Work Experience:

• Minimum of 3 years of clinical nursing experience, with at least 1-2 years in case management, discharge planning, or utilization review in a hospital setting preferred.
• Excellent verbal and written communication skills required. 
• Demonstrates flexibility via an ability to adapt to changing priorities and regulations.
• Basic computer skills required.
• Professional customer service skills.
• Ability to read and communicate in English, bilingual abilities preferred.

POSITION ESSENTIAL FUNCTIONS:

Patient Assessment and Care Planning

• Conduct comprehensive assessments of patients’ medical, psychosocial, and discharge needs.
• Develop and implement individualized care plans in collaboration with the interdisciplinary healthcare team to ensure appropriate level of care and resource utilization.
• Monitor patient progress and adjust care plans as needed to ensure optimal outcomes and timely discharge.  
• Develops and maintains a network of the usual services and disciplines required by the typical patients within the caseload.
• Collaborates with already existing programs and departments to ensure appropriate resource utilization by all patients being followed in a caseload.
• Demonstrated skills in the areas of negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking. 
• Knowledge of healthcare financing, community and organizational resources, and patient care process.
• Basic knowledge of utilization management as it relates to third-party payers.
• Knowledge of post -acute care community resources.

Patient Care

• Serve as the primary liaison between patients, families, healthcare providers, and external agencies to coordinate patient care and discharge planning.
• Facilitate interdisciplinary team meetings, rounds, and care conferences to discuss patient status, care plans, and discharge needs.
• Utilize clinical judgment and critical thinking skills to assess patient needs, identify potential barriers to care, and develop solutions.
• Evaluate the effectiveness of care plans and adjust based on patient response and changes in condition.
• Collaborate with the healthcare team to address complex cases and ensure that patients receive appropriate care in the most appropriate setting.
• Provide education and support to patients and families regarding the discharge process, community resources, and post-hospital care. 
• Directs, coordinates, and provides care management to patients in caseload.
• Assesses the patients within the caseload to identify needs, issues, resources, and care goals.
• Through proper reporting mechanisms, completes case management assessment, reviews admitting, diagnoses/problem(s), determines plan to address client's needs, and optional/preferred points of service.
• Develops a discharge plan early on in admission.
• Completes a case management assessment on admission and develops a discharge plan anticipating needs/resources for a safe discharge.
• Continued stay planning and assessment of determined goals and objectives and care setting to optimally meet patient needs.
• Conducts necessary conferences and team meetings regarding specific patient needs.
• Implements interventions that lead to the patient accomplishing goals established in plan.
• Coordinates the necessary resources to accomplish goals developed in plan.
• Proactively affects system to facilitate efficient flow of care.
• Gathers information from sources to enable case manager to monitor the plan's effectiveness.
• Evaluates the effectiveness of the plan (including variance) in reaching patient's outcomes and goals.
• Makes appropriate changes to plan as necessary.

 Scope of Service 

• May assist in post-discharge patient call-backs to promote patient compliance, care plan comprehension, and readmission reduction.
• Provide case management services to a diverse patient population, including those with complex medical, psychosocial, and financial needs.
• Work within the scope of nursing practice as defined by state laws, hospital policies, and professional standards.
• Participate in quality improvement initiatives, policy development, and best practice implementation related to case management and discharge planning. 

Communication

• Interacts, communicates, and intervenes with multidisciplinary healthcare team in a purposeful, goal directed fashion. 
• Works proactively to maximize the effectiveness of resource utilization. Anticipates, initiates, and facilitates problem resolution around issues of resource use and continued hospitalization and discharge planning.
• Establishes a means of communicating and collaborating with physicians, other team members.
• Explores strategies to reduce length of stay and resource consumption within the care-managed patient populations, implements them, and documents the results.
• Works with Utilization Review to communicate to appropriate members of healthcare team the patients at risk of losing insurance coverage via termination of benefits and facilitates discharge plan.
• Maintains a proactive role to ensure appropriate documentation concurrently to minimize inefficient resource utilization and prevent loss of reimbursement.

BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment. 

• NO STATE INCOME TAX
• Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
• Vanguard 401(k) with match.
• Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
• Employer Paid Basic Life and AD&D insurance.
• Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
• Earned Time Off, Sick Leave and Paid Holidays.
• Nevada 529 College Fund.
• Unum Employee Assistance Program.
• Employer paid Credit monitoring and Identity Theft Program through CyberScout.
• Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
• Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
• Paid Volunteer Hours for staff to help in the community.
• and More...

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!