STAFF NURSE (TEMP): Central Staffing Resources Specialty Cluster, Care Management

Improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by Strategic Principles and has three critical components: patient care, education, and research that together enhance our contribution to society.

About the Role

This opening is for four Temporary Float RN positions within the Central Staffing Resource Department (CSR) and Care Management. The RN Case Manager assesses, develops, implements, coordinates, and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker, and all members of the interdisciplinary team in inpatient and emergency department patient care areas. This role uniquely combines clinical and quality considerations with regulatory, financial, and utilization review demands to balance individual clinical needs with efficient, cost-effective resource utilization while promoting quality outcomes. The RN Case Manager reports directly to the Manager of Care Management and works closely with the unit-based MPLAN team to achieve goals related to length of stay, care transitions, readmissions, and other quality initiatives.

In the emergency departments, the RN Case Manager collaborates with the interdisciplinary team to develop and implement a comprehensive, integrated discharge plan. They recommend and document patient classification for all admissions using established criteria.

Responsibilities

• Within 24 hours of admission, interview each patient/family for anticipated needs post-hospitalization.
• Develop a "plan for the day" and "plan for the stay" with providers, patient, and nursing staff.
• Lead daily care coordination rounds to update the plan and facilitate implementation.
• Initiate discharge planning, including early referrals to homecare, DME, and infusion services.
• Prepare patient/family for discharge.
• In collaboration with social workers, follow standards for routine patient/family conferences.
• Ensure patient handovers to the next level of care; work closely with Care Navigators in clinics, complex care Case Managers, homecare, and sub-acute liaisons.
• Support the nursing Model of Care by working closely with nursing managers and staff to achieve Patient Family Centered Care goals: respect and dignity, information sharing, participation, and collaboration.
• Facilitate increased volume of cases discharged by noon to improve capacity management.
• Collect "avoidable days" information; report findings in care management software, such as Allscripts.
• Participate in venues to reduce barriers to discharge.
• For RN Case Managers staffed in the emergency departments:
  • Identify patients in need of Case Management services through case finding and collaboration with the multidisciplinary team in the ED.
  • Provide clinical and financial pre-admission screening of all unscheduled patients using UMHS clinical standards and financial guidelines, in accordance with federal, state, and payer guidelines.
  • Act as a patient advocate and communication link with other healthcare departments and community resources, both internally and externally.
  • Ensure patients not meeting skilled care requirements but unable to return to prior living situations are discharged to an appropriate level of care from the ED with clear financial information for patients/families.
  • Support all EDs and AMOU during evening and night shifts, including unanticipated urgent needs in inpatient areas.
• Conduct utilization review on admission and every 3 days or as requested by the payer.
• Determine patient classification with the provider and ensure all patients placed in "observation" classification are notified; for "inpatient" to "observation" cases, ensure Condition Code 44 billing requirements are met.
• Communicate with third-party payers to obtain necessary authorization for reimbursement of services.
• Obtain anticipated length of stay (LOS) from the provider and ensure the patient and multidisciplinary team are aware.
• Refer defined cases for medical secondary review and share findings with providers.
• Provide advice to Revenue Cycle/HIM regarding RAC decisions to appeal denials; input into appeals; share findings with providers.
• Review all cases with readmission within 30 days; report findings in Care Management software such as Allscripts.
• Identify opportunities for cost reduction and participate in appropriate utilization management venues.
• Conduct referrals and consultations with the Physician Advisor.

Requirements

• Current Michigan licensure as a Registered Nurse in the State of Michigan.
• Two (2) or more years of recent Care Management experience.
• Current AHA BLS provider certification.
• Bachelor's Degree in Nursing or Associate's/diploma in Nursing and a Master's Degree in Nursing.
• Resume required for both internal and external applicants.

Desired Qualifications

• Demonstrated flexibility.
• Ability to work effectively with an interdisciplinary healthcare team.
• Positive verbal and written communication skills.
• Positive attitude and team player skills.
• Accountability and dependability.
• Expertise in communication and problem-solving skills within all levels of the healthcare team, as evidenced by interviews, documentation, writing skills, and references.
• Ability to work in a team atmosphere utilizing effective delegation skills.
• Demonstrated problem-solving skills.
• Accountability and dependability as evidenced by completion of mandatories and unit-based competencies within an established time frame.
• Experience floating to multiple units.
• Knowledge of University of Michigan Hospital nursing policies and practices.
• Participation in continuous quality improvement processes with documented results.
• Experience with family-centered care philosophy.
• Initiative in seeking professional growth.
• Experience with Inter-Qual and AllScripts.

Pay

Base rate: $55.00/hour. Additional differentials:

• Evening Shift: $5.00 per hour for 3p–7p, $4.00 per hour for 7p–11p.
• Night Shift: $3.00 per hour.
• Weekend: $5.00 per hour.

Schedule

• Commitment of 32 hours per 4-week scheduling period, excluding coverage of incremental PTO.
• Day, evening, and night shifts available; 8, 10, and 12-hour blocks.
• No weekend requirement, but weekends may be scheduled.
• Variable shifts; shifts can and sometimes will be canceled.
• Expected to float to like units where competent and qualified during times of decreased activity.
• Inability to work for three (3) consecutive months will lead to automatic termination.
• No guarantee of work at any time.

Additional Information

• These temporary positions may meet eligibility requirements for healthcare benefits.
• Positions are not covered under the collective bargaining agreement between U-M and the Michigan Nurses Association or the U-M Professional Nurse Council union.
• All CSR employees are required to attend an annual educational Blitz to complete required UM mandatories and competencies (e.g., BCLS every 2 years, Cardiac Arrest, and maintain all other applicable certifications).
• Temporary Float Nurses are expected to work all shifts requested unless no work is available.
• Temporary Nurses should work 24 hours per 4-week schedule block.
• Temporary Nurses will participate in a streamlined onboarding/orientation program, with progression dependent on clinical competency, staffing needs, and hours worked.
• Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer.