Case Management Nurse - ED - Per Diem

Case Management Nurse

Under supportive supervision, the Case Management Nurse supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, transitions of care, and discharge planning functions.

The Case Management Nurse is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources.

Core Competencies

Adheres to policies, procedures, and standards of practice to deliver safe and optimal care Complies with Joint Commission's national patient safety goals Complies with organizational quality dashboard/benchmarking goals Maintains regulatory compliance consistent with quality standards and ethical obligations of the profession Participates in activities in alignment with the Magnet Model Participates in organizational committees, task forces and/or projects including presentation of project reports, committee recommendations, and task force activities at the unit level.

Participates in Peer Review Participates in professional development activities Provides patient and family education throughout the care of patient Performs as a preceptor in an active and engaged manner Provides age specific and culturally competent discharge planning to all patients. Utilizes resources in an economical manner

Department Specific Competencies

Manages all aspects of discharge planning for assigned patients as follows:
Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with the physician. Determines appropriate post-hospitalization facilities (home versus supervised living situation, board and care facility, extended –care facility, or rehabilitation facility), durable medical equipment, post-discharge nursing and/or therapist interventions, social service involvement, and need for assistance with activities of daily living. Interviews patients, family members and/or care givers, interface with responsible physicians, and reviews medical records.

Identifies and resolves delays and obstacles in collaboration with the RN Case Managers, nursing and the attending physicians Attends interdisciplinary conferences/team meetings where appropriate to discuss patient's home situation, level of independence and activities of daily living, home management and environment, and anticipated discharge needs for continuum of care. Develops and maintains cooperative relationships with hospital personnel, physicians, suppliers and insurance case managers.

Enters data including referral for managed care patients, into Home Health System. Monitors activity of observation cases to see that the patient is appropriately discharged in a timely manner.

Education

Associates - Nursing

License / Certification Requirements

Registered Nurse License BCLS or ACLS Certification

Compensation Range: $70.62 / Hour