RN Care Manager Phoebe Sumter Hospice

Job Number:34556

Location:

Sumter Campus Street Address:126 US-280

City, State:

Americus, Georgia Zip Code:31719

Department:

PSMC OP HOSPICE Shift: Days Job Type:Full time Posted Date:

Job Description

Summary:

The Nurse Case Manager (CM) is responsible for care coordination of patients along their continuum from point of entry through discharge. The CM will address issues related to appropriate and timely admission, discharge, and care for patients receiving inpatient and observation care and services at PPHS facilities. The Care Manager performs first level clinical reviews according to hospital approved clinical criteria and in accordance with the Care Management Program's Utilization Plan and payer specific requirements.

He/she will address utilization of resources for efficient and effective care delivery at the appropriate level of care. The Care Manager collaborates with social work, physicians, nurses and multidisciplinary team, lending professional care management expertise to ensure quality, timely and cost effective case management for an identified patient population and addresses issues or patterns in patient readmission. In this role the Care Manager is accountable for facilitating clinical patient progression through a defined plan of care to achieve optimal outcomes.

Under the direction of the Care Management Team Lead, the Director of Care Management, and through coordination with nursing, social work, physicians and other members of the interdisciplinary team, the Care Manager develops, facilitates and implements appropriate case management and discharge plans.

Description:

Job Summary The Nurse Case Manager (CM) is responsible for care coordination of patients along their continuum from point of entry through discharge. The CM will address issues related to appropriate and timely admission, discharge, and care for patients receiving inpatient and observation care and services at PPHS facilities. The Care Manager performs first level clinical reviews according to hospital approved clinical criteria and in accordance with the Care Management Program's Utilization Plan and payer specific requirements.

He/she will address utilization of resources for efficient and effective care delivery at the appropriate level of care. The Care Manager collaborates with social work, physicians, nurses and multidisciplinary team, lending professional care management expertise to ensure quality, timely and cost effective case management for an identified patient population and addresses issues or patterns in patient readmission. In this role the Care Manager is accountable for facilitating clinical patient progression through a defined plan of care to achieve optimal outcomes.

Under the direction of the Care Management Team Lead, the Director of Care Management, and through coordination with nursing, social work, physicians and other members of the interdisciplinary team, the Care Manager develops, facilitates and implements appropriate case management and discharge plans.

Qualifications Associate’s degree in nursing, from a state accredited school. Required Bachelor’s degree in nursing, from a state accredited school. Preferred Work Experience3 or more years of general medical surgical nursing experience. Required1 or more years of hospice or home care experience. Preferred Licenses and Certifications RN
- Registered Nurse andCCM
- Certified Case Manager Required (Within 3 Years)
Or, CHPN
- Certified Hospice And Palliative Nurse. Required (Within 3 Years)
BCLS
- Basic Life Support. Required Essential Functions Collects data in a systematic and ongoing process

Issues are identified and diagnoses are developed based on assessment data.

Prioritizes data collection based on the patient's condition and needs.

Identi…