RN Case Manager, Clinical Case Management, Part Time, First Shift

About the Role

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for our community and patients from all over the world. Join our team to develop your skills, grow your career, build relationships with peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is committed to providing an inclusive, equitable, and diverse place of employment. The Case Manager utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care.

Responsibilities

• Patient Population (Clinical Only):
  • Engages in population-appropriate communication.
  • Has knowledge of growth and development milestones and tasks.
  • Gives clear instructions to patients/family regarding treatment.
  • Involves family/guardian in assessment, initial treatment, and continuing care.
  • Identifies physical limitations of the patient and deploys intervention when necessary.
  • Recognizes and responds appropriately to patients/families with behavioral health problems.
  • Interprets population-related data and plans care appropriately.
  • Identifies and responds to unique psychological needs or those associated with religious/cultural norms.
  • Performs treatments, administers medication, or operates equipment safely.
  • Recognizes and responds to signs/symptoms of abuse or neglect.
• Transition of Care Planning:
  • Collaborate with the healthcare team on the plan of care, referrals, and ongoing needs of the patient.
  • Facilitate communication and coordination of the plan of care with residents/attending physicians.
  • Review and assess selected cases within one business day of admission and throughout the patient’s stay.
  • Perform face-to-face brief screen on appropriate patients within one business day of admission to determine discharge barriers.
  • Work to improve quality through reduction in treatment delays.
  • Facilitate timely tests/procedures and obtain lab results; discuss implications for discharge with nursing staff and residents.
  • Evaluate the patient’s response to pharmacological and therapeutic treatment regimens with the team.
  • Collaborate in the preparation of discharge forms/paperwork and prescriptions.
  • Identify actual and potential delays in service and work with appropriate individuals to ensure timely resolution.
  • Participate in daily Care Coordination Rounds.
  • Coordinate patient care conferences based on patient/family needs.
  • Ensure patient/family receives appropriate information and education prior to transition to the next level of care.
  • Identify and solve problems related to discharge needs, implement a plan of care, and coordinate a safe and timely discharge.
  • Arrange for provision of skilled home care (nursing, PT/OT, Dietician, SW, etc.), medical equipment, and supplies.
  • Coordinate preparation, delivery, and scheduling of infusions, enterals, and treatments with hospital care providers.
  • Collaborate with home care providers for benefits and coverage of home care services.
  • Advocate, mediate, and negotiate to formulate a cohesive plan for maintaining or enhancing the patient’s health status.
  • Provide ongoing consultation and training to medical staff on discharge and home care issues.
  • Participate in process improvement activities and identify barriers in service delivery systems.
  • Collaborate with the healthcare team to identify resources available for the patient/family.
  • Coordinate education for patient and family regarding the plan of care and health care needs.
  • Help develop, revise, and evaluate tools needed to facilitate care coordination and patient care standards.
  • Participate in quality improvement and evaluation of patient outcomes for specific patient populations.
  • Collect data on clinical resource management, LOS, readmission less than 30 days, and other identified patient outcomes.
  • Utilize Allscripts/ECIN to make discharge planning arrangements and document interventions.
  • Provide post-discharge phone calls to patients discharged with home care/DME to confirm success of aftercare arrangements.
• Utilization Review:
  • Review assigned patient population to ensure admissions, continued stays, and ancillary services are medically necessary and provided in the appropriate setting.
  • Using the Allscripts/ECIN® work list, determine daily work assignment and perform concurrent chart review.
  • Evaluate initial level of care and patient type for all patients to ensure appropriate use of facility resources.
  • Discuss admission criteria and expected LOS with the care team.
  • Interact with resident and attending physicians to ascertain clinical findings supporting SI/IS criteria, length of stay, and patient care guidelines.
  • Escalate cases to Clinical Manager for review and allocation of appropriate resources when necessary.
• Miscellaneous:
  • Support various quality initiatives under the direction of department leadership.
  • Demonstrate customer-focused interpersonal skills, utilizing problem-solving processes and critical thinking.
  • Communicate and resolve conflict with physicians, healthcare team members, community agencies, clients, and families with diverse opinions, values, and religious/cultural ideas.
  • Perform other duties as assigned, such as participation in planning sessions for departmental activities.
• Professional Development:
  • Attend appropriate clinical and professional organizations, workshops, and meetings.
  • Stay abreast of community resources available to facilitate safe patient transitions of care.
  • Remain current on clinical advancements related to the primary patient population.
  • Proactively seek to understand areas/roles outside of immediate area/role within the department.

Qualifications

• Registered Nurse from an accredited school of Nursing, College, or University required.
• Bachelor of Science in Nursing (BSN) preferred.
• Current RN License in Ohio.
• Certification in Case Management or Certified Professional in Healthcare Quality (CPHQ) encouraged.
• Three years of Home Health, Discharge Planning, and/or Case Management experience.

Location

West Chester, OH, United States