CASE MANAGER RN (per diem)

Essential Duties

• Conducts a preliminary risk screening, assesses patients and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
• Performs comprehensive assessments of patients’ medical condition, adjustment, support systems, finances, housing, behavior, cognition, abuse factors, function and abilities, legal, and substance abuse factors to identify issues, which must be addressed prior to discharge.
• Serves as a resource person and provides counseling and intervention related to treatment decisions and end-of-life issues.
• Develops long and short-term plans with the patient/family to address problems identified.
• Provides emotional support to help patients cope with the disruptions and distresses associated with their illness/injury.
• Observes patient’s right to self-determination and confidentiality.
• Intervenes with problems of: Adult Abuse, Suicide, Guardianship, Conservatorship, Durable Power of Attorney, and Mental Illness.
• Care Coordination: Coordinates and facilitates patient care progression throughout the continuum.
• Works collaboratively and maintains active communication with other members of the interdisciplinary team to effect timely and appropriate patient management.
• Proactively identifies and resolves delays and obstacles to discharge.
• Collaborates with the interdisciplinary care team facilitating care for the designated case load; monitors the patient’s progress with the appropriate interventions ensuring a focused plan of care and services are provided while providing high quality cost effective care.
• Facilitates transfers to other facilities as appropriate.
• Provides the appropriate patient follow up in compliance with regulatory agencies and hospital policies and standards.
• Utilization Management: Identifies at-risk populations using approved screening tool and follows established reporting procedures.
• Makes appropriate actions to achieve the continuous improvement in both length of stay and resource utilization.

Job Requirements

• Current Michigan Nursing License
• BLS preferred
• Certification in Case Management preferred
• Minimum three years of nursing experience in an acute care setting.
• Experience in acute care case management, discharge planning, utilization management, performance improvement and managed care reimbursement preferred.
• Graduate of an accredited Nursing program

Specialized Knowledge and Skills

• Maintains an environment that supports and encourages high performance and reliability through caregiver engagement, teamwork, and customer service ensuring safe quality patient-centered care.
• Possess excellent verbal and written communication skills.
• Promotes individual professional growth and development by meeting the requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization.
• Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients and their families.
• Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job.