Rn Case Mangement Specialist Emergency Care Center

The ECC Case Management Specialist (RN) works as part of a Multidisciplinary Care Team and demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant Health Care and the commitment to Extraordinary Care for Every Generation. The purpose of the ECC Case Management Specialist position is to work with an assigned patient population to promote the achievement of optimal clinical and resource outcomes.

Responsible for managing appropriate lengths of stay for all hospital admissions in accordance with its goals and objectives. Acts as the key information and education resource for the multidisciplinary team. Works to develop organization-wide approaches to problem solving, analyzes current systems and variances to identify opportunities for improvement and works to promote quality of care through collaboration with all service team members, patients, and families.

Works with the leadership team to align the goals and vision. The Case Management Specialist plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. This Case Management Specialist shall have responsibility for complex geriatric patient care and responsibility for geriatric patient capacity development/performance improvement within the ECC.

• Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery.
• Assists patients and families to cope with hospitalization (if admitted) and may help with tangible needs that impact on their ability to support the patient or contribute to a safe discharge plan for the patient.
• This may include assisting families with lodging or basic needs or helping families to access appropriate resources for these needs as well as provide psychotherapeutic interventions (SW), crisis intervention (SW), bereavement counseling, education, interventions to restore the capacity for social functioning, referral, coordination of services and advocacy.
• Facilitates transfer of patients to the most appropriate level of care and in accordance with CMS Discharge Planning regulations.
• Coordination of care for the patient during their emergency room visit and effect appropriate and timely transition to sub-acute setting that best meet the patients needs.
• Coordination of communication with physicians.
• Participate in Process Improvement methodologies in evaluating outcomes of care and interventions.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient population served.
• Collaborates with ECC staff to provide the geriatric population with appropriate resources and post-acute care based on their triage assessment.
• Must demonstrate knowledge of the principles of growth and development as it relates to the different life cycles.
• Specific age groups that are served by this position are noted below:
  Neonatal/Newborn (birth - 30 days) - PEDS, NICU, OB, ECC Infant (30 days - 1 year) - PEDS, NICU, ECC Pediatric (1 - 12 years) - PEDS, ECC Adolescent (13 - 17 years) - OB, M/S, CC, ECC Adult (18 - 64 years) - OB, M/S, CC, ECC Geriatric (65+ years) - M/S, CC, ES.
• Serves as a patient and family advocate.
• Contributes to organizational targets for length of stay reductions overall and for Hospital Medicine.
• Builds relationships within the organization serves as a resource to the healthcare team related to discharge planning.
• Collaborates and facilities multidisciplinary rounds and care with physicians and all other members of the team including the patient and their family to:
  Ensure continuity, timeliness, and appropriateness of care for designated case load.
• Monitors the patients progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
• Ensures timely completion and reporting of diagnostic testing, initiation, and completion of treatment plan and all required documentation.
• Facilitate and coordinate transfers of patients to other facilities Reviews cases for quality or risk management issues and intervenes when indicated.
• Involved in the process of presenting notices of non-coverage Maintains an understanding of reimbursement methods and monitors cost-effective care, therefore, preventing duplication or…