Case Mgt Supv and Observation Patient Coord

SUMMARY

Reports to the Director of Case Management or designee. Provides coordinated care support to facilitate and expedite discharges of observation patients. Participates in daily observation rounds and collaborates with the clinical healthcare team across the patient care continuum. As a member of that team, shares responsibility for the implementation of the discharge plan; ensures efficient and effective delivery of patient care services through the appropriate utilization of healthcare resources

Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect and Excellence, as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

In addition, our leaders will demonstrate an aptitude for:

• Ensure Accountability and Build Effective Teams
• Drive Vision and Purpose and Optimize Work Processes

By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals.

• Partners with medical staff, case manager, utilization manager, and other members of the healthcare team in collaboration with the patient/family to facilitate the plan of care for patients who are admitted observation.
• Proactively identifies high‑risk patients within this patient population and assists case management to facilitate timely discharge plans.
• Collaborates with utilization management to ensure communication between case management and utilization management teams.
• Participates in daily observation rounds to collaborate with members of the patient’s healthcare team as well as to evaluate and facilitate development and implementation of the discharge planning process.
• Provides clinical supervision and work direction to Case Management staff as needed.
• Participates in system‑wide 24/7 coverage for clinical and/or scheduling issues.
• Ensures team is informed of insurance qualifiers that may affect the discharge plan. Discuss approaching discharge readiness of patients.
• Identify and assess readmitted patients and complex patients in collaboration with members of the healthcare team to coordinate discharge.
• Advocates for the patient and advises the patient regarding financial implications of their discharge plan when coordinating care for the patient. Communicates the discharge plan, including post facility agency acceptance, to patients, families and all members of the care team.
• Provides care plan direction for the advancement of a patient care delivery system which supports managed care strategies and decreases readmission risk. Demonstrates knowledge of federal and state rules and regulations.
• Reviews and acts as a change agent by identifying opportunities to improve patient flow and identifies and reduces service delays through problem resolution and follow‑up.
• Identifies and tracks service and discharge patient delays.
• Participates in department, affiliate and system level improvement activities as requested: i.e. weekly long LOS reviews, interdisciplinary rounds, readmission reviews, LOS initiatives.
• Participates in orientation of new staff as requested.
• Participates in ongoing education‑related professional activities and affiliations to maintain an advanced level of knowledge of patient care services third party payer and managed care requirements and case management.

• Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

• Graduate of a School of Nursing with current license to practice as a Registered Nurse in the State of Rhode Island.
• Bachelor’s Degree preferred; years of experience will be considered.
• Certification in Case Management by a nationally organization preferred or to be obtained within 1…