Registered Nurse RN - Case Manager - PRN

Overview

Job Category: Nursing - Registered Nurse

Work Shift/

Schedule:

Varies

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:
Job Summary

Responsible for providing comprehensive assessment, planning, implementation and overall evaluation of individual patient needs; collaborates with the physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure patient management aligns with patient needs, using resources to meet quality, clinical and cost-effective outcomes. Coordinates a team approach designed to facilitate achievement of expected patient outcomes with appropriate transitions to the next level of care.

Responsible for length of stay management, regulatory compliance, and participating with interdisciplinary team rounds on the assigned unit. Collaborates with community providers to coordinate the plan of care for post-hospitalization needs. This position will come in contact with patients in the neonate, infant, child, adolescent, adult, and geriatric age groups. Performs clinical duties in accordance with population-specific guidelines and adheres to National Patient Safety Guidelines.

Provides cross-coverage for all RNCM as required across all settings in the care continuum, including weekend rotation as needed.

• Licensure or other certifications: Licensed to practice as an RN in Georgia.

• Educational Requirements: Associate Degree. Graduate of an accredited school of nursing.

• Minimum Experience: Three (3) to five (5) years of experience in direct patient care and/or case management. Financial and discharge planning experience.

• Other:

• Preferred Licensure or other certifications: CCM (Case Management Certification) or ACM (American Case Management Certification) preferred.

• Preferred
  
  Educational Requirements:
  
  Bachelor’s Degree

• Preferred Experience:

• Other:

• Demonstrates aptitude in critical care, cardiac, medical, and/or surgical nursing

• Working knowledge of State and Federal regulations required

• Excellent observation skills, analytical thinking, problem solving abilities, and self-direction

• Excellent oral and written communication skills

• Interpersonal skills including professionalism, teamwork, and a positive approach

• Ability to think outside of the box and develop new, effective solutions

• Monitor all patients on assigned units to ensure appropriate use of resources and interventions while managing length of stay based on working DRG/admitting diagnosis.

• Communicate with physician, patient/family, and other disciplines the expected length of stay and patient progress toward discharge.

• Coordinate and facilitate patient care to ensure required interventions occur in proper sequence and processes occur in a timely manner. Identify delays and escalate unresolved delays to management for intervention.

• Assess, coordinate and facilitate the discharge plan to assure post-acute needs are arranged and secured prior to discharge. Communicate discharge plan with the physician, patient/family, and other team members as appropriate. Reassess the discharge plan routinely to ensure timely, safe discharge and appropriate transition to the next level of care. Provide patient/family with information regarding plan of care, discharge and any financial responsibility for inpatient or post-hospitalization services.

• Maintain knowledge of reimbursement methodologies and general coverage guidelines for all levels of inpatient and outpatient care. Communicate with physician, patient/family or other team members as needed to ensure services will be covered.

• Coordinate and communicate with Utilization Review Nurse daily to ensure appropriate status and level of care. Facilitate changes by communicating with physician, mid-level or nursing staff as needed.

• Serve as liaison to patients’ families, physicians, nursing staff and other disciplines to achieve optimal outcomes in discharge planning, social services, community resources/referrals and financial information related to patient care…