Case Manager RN - Sign-0n Bonus 7,500

Position Summary

The Case Manager is responsible for assessing patient / family psychosocial needs, planning, implementing, and evaluating care for patients across the health care episode. Ensuring delivery of cost-effective quality care within an appropriate length of stay. Managing patient care to prevent fragmentation and duplication of services. Working in collaborative practice with the physician and other health care team members to meet patient-specific and age-related patient needs, linking cost resource management and quality to patient care. Other related duties as assigned.

Job Specific Responsibilities

General Responsibilities :

• Maintains PHI and HIPAA for each patient in accordance with hospital policy and federal regulations.
• Promotes safety in the workplace and a safe patient environment at all times
• Practices “minimum information necessary” when performing UR, case management, and discharge functions
• Acts as a patient advocate for all facility patients
• Adheres to all company and professional, ethical, legal, and accreditation / regulatory standards
• Respects and promotes individual patient privacy and confidentiality
• Demonstrates knowledge and support of the organization's mission, vision, values, and strategic initiatives.
• Demonstrates an understanding of and upholds the organization’s Quality, Risk, and Continuum of Care program philosophy.
• Role requires fluency in Spanish.

CASE MANAGEMENT RESPONSIBILITIES (75% of time performing duty)

Works in coordination with the multidisciplinary team to initiate a treatment plan, identify goals and interventions and establish discharge plans appropriate to medical, legal, and social issues present in accordance with patient / family needs.

Participates in weekly UM meetings to review all DRG outlier cases for appropriateness of admission and discharge and need for continued stay. Barriers are identified, and appropriate physician intervention is obtained when necessary.

Consults assists and intervenes regarding the end of life for patients

Education

POSITION QUALIFICATIONS :

Experience

Licensure / Certification