Registered Nurse, RN Case Manager - Per Diem

The Case Manageris responsible and accountable for the management of care for an assigned patient population by service line and across the continuum of care. The Case Manager, works to achieve daily clinical, quality, and cost outcomes by providing well-coordinated experiences for patients/families through the synchronization of care activities of multiple disciplines and negotiation with third-party payers.

• Demonstrate great assessment skills and knowledge to accurately develop and implement a comprehensive care plan specific to the identified need/s.
• Coordinate all aspects of the patient’s care plan including by not limited to home health care/hospice referrals, home infusion services, DME, transportation, etc.
• Facilitate communication and coordination among members of the interdisciplinary team. Involve the patient in the decision-making process in order to minimize fragmentation in the services provided.
• Communicate the patient’s preferences, serving as their advocate and verifying that interventions meet their individualized needs and goals of treatment.
• Provide information about resources and options available in the community and coordinate service delivery.
• Identify and address client risk factors and/ or obstacles to care
• Educates the patients and families regarding various symptoms and consequences related to their specific diseases, conditions and treatment.

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Care Manager related duties:
Works as part of a multidisciplinary team to coordinate their patient’s care in an effort to improve patient outcomes and create efficiencies. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education.

A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems.

This position is responsible and accountable for the management of care for an assigned patient population by unit, across the continuum of care. Works to achieve daily clinical, quality and cost outcomes by providing well-coordinated experiences for patients/families through the synchronization of care activities of multiple disciplines and negotiating with third party payors. This is accomplished by negotiating, procuring and coordinating services and resources needed by patient/family;

ensuring and facilitating the achievement of quality and clinical customer service; cost and clinical outcomes; intervening at key points for individual patients; addressing and resolving patterns or issues that have a negative quality-cost impact; and creating opportunities and systems to enhance outcomes.

The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be…