RN Case Manager PRN

Job Summary and Qualifications

The RN CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team.

Performance Expectations

• Provides case management services for both inpatient and observation patients as assigned
• Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another
• Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family
• Reassesses the patient’s clinical condition as indicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources
• Collaborates with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition
• Ensures the post-acute medical needs and level of care are appropriate
• Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency
• Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
• Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies
• Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources
• Participates in performance improvement activities including, but not limited to, identifying, documenting and intervening when avoidable days occur
• Adheres to established policy and procedure and standards of care; escalates issues through the established chain of command timely
• Serves as an advocate for patient's rights, needs, and values; ensuring that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned

Position Requirements

• Licensure/Certification/Registration: Current licensure in the State of Colorado as a Registered Nurse, or current active multistate Registered Nurse license
• Education: Graduate of an accredited School of Nursing. Bachelor of Science Nursing preferred. Certification in case management or utilization review preferred
• Experience: Three years’ clinical, hospital nursing experience required with preference given to those with 2 years of case management experience or 2 years of critical care experience. InterQual experience preferred