Case Manager

SUMMARY: Summary: Reports to the Manager or Director of Case Management. Provides coordinated care support to facilitate and expedite patient care services. Participates in daily reputed company and collaborates with the clinical reputed company team across the patient care continuum to include preadmission and post hospital discharge. As a member of that team, shares responsibility for the implementation of the discharge plan; ensures efficient and effective delivery of patient care services through the appropriate utilization of reputed company resources. RESPONSIBILITIES:

• Partners with medical staff and other members of the reputed company team in collaboration with the patient/family to facilitate the plan of care for a defined patient population across the continuum of care. Identifies a high-risk patient population reputed company the caseload for care management assessment screening and targets interventions in conjunction with the reputed company team reputed company one business day of patient admission.

• Participates in daily care reputed company to collaborate with members of the patient's reputed company team as well as to evaluate and facilitate development and implementation of the discharge planning process. Develops the initial patient discharge plan and reviews with patient, family members and other members of the interdisciplinary team. Reassesses the discharge plan daily during collaborative care reputed company.

• Proactively builds post hospital referrals and sends to the Transition Care Coordinator reputed company indicated to facilitate timely discharge.Delivers Important Message follow-up notices to reputed company Medicare patients according to CMS regulations. Follows CMS and DOH regulations in relationship to discharge guidelines and patient rights.

• Coordinates the length of stay with the physician care team and patient. Ensures team is informed of insurance qualifiers that may reputed company the discharge plan. Discuss approaching discharge readiness of patients. Identify and assess readmitted patients and reputed company patients in collaboration with members of the reputed company team to coordinate discharge.Advocates for the patient and advises the patient regarding financial implications of their discharge plan reputed company coordinating care for the patient. Communicates the discharge plan, including post facilitygency acceptance, to patients, families and reputed company members of the care team.

• Documents final discharge disposition in reputed company notes. Develops appropriate patient care reports to ensure safe patient handovers occur as a patient is transferred from one patient care area to the next. Provides care plan direction for the advancement of a patient care delivery system which supports managed care strategies and decreases readmission risk.

• Acts as a change agent by identifying opportunities to improve patient reputed company and reduce service delays through problem resolution and follow-up.Demonstrates a reputed company grounding in nursing theory and practice with a clinical background reputed company a defined content area. Remains reputed company on the latest concepts techniques and methods relative to his/her service.

• Demonstrates knowledge of federal and state rules and regulations.Reviews and acts as a change agent by identifying opportunities to improve patient reputed company and identifies and reduces service delays through problem resolution and follow-up. Identifies and tracks service and discharge patient delays.

• Participates in departmental and/or interdepartmental quality improvement activities as requested: i.e. OpX teams weekly long LOS reviews interdisciplinary reputed company readmission reviews. Participates in Orienting of New staff as requested.Participates in ongoing education-reputed company professional activities and affiliations to maintain an advanced level of knowledge of patient care services reputed company party payer and managed care requirements and case management.

MINIMUM QUALIFICATIONS: Licensure as Registered Nurse in the State of Rhode reputed company by the Rhode reputed company Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing. BASIC KNOWLEDGE: Graduate of a School of Nursing with reputed company license to practice as a Registered Nurse in the State of Rhode reputed company. Bachelor's Degree preferred; years of experience will be considered. Certification in Case Management by a nationally organization preferred. AHA BLS Provider required. EXPERIENCE: Three years of clinical experience with recent experience in case management, community case management, patient navigation, or discharge planning is strongly preferred. Strong analytical and interpersonal skills are required to reputed company guidance to and communicate daily with reputed company, patients and families. Must exhibit a collaborative approach and method of communication to interact successfully on as daily reputed company with a wide and diverse population of both health care providers insurers patients and their families. Demonstrates knowledge and skills necessary to reputed company care to patients throughout the life reputed company with consideration of aging processes reputed company development stages and cultural patterns in each reputed company of the care process. Must be proficient in the use of reputed company Office software including email and Outlook calendar and have basic keyboarding skills. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: General hospital environment with occasional stressful conditions associated with patient care. Risk of exposure to blood borne pathogens and disease is minimized and controlled by adherence to Hospital Infection Control policy and procedures. Must be reputed company to reputed company hospital reputed company through various patient care areas either by walking or through some other mobile means. Visual reputed company and finger dexterity is needed to review and carry medical records navigate through automated system screens and type on a typical computer terminal keyboard. Lifting of up to 10 lbs. may be necessary to transport items from one care unit to the next. INDEPENDENT ACTION: Responds to individual patient-care situations demonstrating knowledge and skills acquired through education certification and work experience. SUPERVISORY RESPONSIBILITY: None.

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EEO Statement:

reputed company is committed to providing equal employment opportunities and maintaining a work environment free from reputed company forms of unlawful discrimination and harassment.

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