Registered Nurse Care Manager Transition of Care SCH MSC SJC

Salary : 72,618.00-108,927.00 USDFacility : Sisters of Charity HospitalShift : Shift 1Status : Full Time FTE : 1.000000Bargaining Unit : ACE AssociatesExempt from Overtime : Exempt : YesWork Schedule : Days and Evenings with Weekend and Holiday RotationHours : 8am - 4pm and 10am - 6pmSummary : The Registered Nurse (RN) Care Manager-Transition of Care, as an active member of the Care Management and interdisciplinary care team, provides comprehensive case management and discharge services to patients and families in the hospital setting utilizing foundational case management and discharge planning principles, the RN Care Manager engages the patient / patient representative in developing and implementing a post hospital plan that best meets their health and / or psychosocial needs.

The RN Care Manager-Transition of Care serves as a resource for education of patient, families, peers, staff and physicians.

The RN Care Manager works collaboratively with the interdisciplinary health care team and key stake holders.The RN Care Manager- Transition of Care collaborates with the interdisciplinary team to maintain ensure safe transition through the care continuum and identifies and removes barriers for delays of discharge.

The RN Care Manager -Transition of Care link patients and families with post hospital services ,screening / referral for post-acute levels of care utilizing established criteria and meeting local, state, and federal regulatory requirements.

Establishes a professional, resource based relationship with all concerned, demonstrating the mission, values, and vision of Catholic Health.

Responsibilities : EDUCATIONBSN degree or RN with BSW, BS Education, or BS in Health related fieldRegistered Nurse, licensed (unrestricted) in New York StateNew York State PRI & Screen certification hospital and community obtained within 6 monthsNational Certification in Case Management preferredEXPERIENCETwo (2) years acute care and / or community health nursingPreferred prior insurance / managed care / utilization review experience in the role of a Case Manager or Disease Manager, Population Health, Discharge Planning or Chronic Care ManagerKNOWLEDGE, SKILL AND ABILITYPossesses case management skills critical to working on an interdisciplinary teamHas a good understanding of the Social Determinants of Health (SDOH)Has good knowledge of services within the immediate community and ability to use various methods to locate those not easily identifiableHas a good ability to organize, prioritize and manage work in a busy hospital environmentPossess the ability to make independent decisions when circumstances warrant such action, deal tactfully with personnel / patients, family members, visitors, etc.

and seek out new methods and principles and be willing to incorporate them into existing practicesPossess the ability to conduct a comprehensive discharge planning evaluation and create patient centered care plansPossesses ability to effectively and efficiently utilize technology within daily work with the care team and ability to quickly learn and adapt to new technology tools and softwareWORKING CONDITIONSWillingness to work beyond normal working hours, and in other positions temporarily, and / or at other locations when necessaryVariable schedule which may include weekends and holidays.

May be requested to travel to multiple hospital and community sitesENVIRONMENTNormal heat, light space, and safe working environment;

typical of most office jobsMinimum physical effort required, typical of most office workSignificant amount of walking within the acute care facilityREQNUMBER : 29997