Description Case Manager – PRN
– AdventHealth Redmond Location Address: 501 Redmond Road NW Rome, GA Top Reasons To Work At AdventHealth Redmond Faith based organization Employee Referral Program Located in the foothills of the North Georgia Mountains Co-workers that feel like family Educational Reimbursement Plans Work Hours/Shift: PRN You Will Be Responsible For:
• 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
• Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient’s physician to facilitate a successful care transition
• In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate
• The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified
• Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals
• Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command
• Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states
• 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
• Align patient’s needs with available resources to ensure a safe discharge / transition Qualifications What You Will Need: KNOWLEDGE AND SKILLS REQUIRED:
• Ability to establish and maintain collaborative and effective working relationships
• Ability to communicate effectively in oral, written and electronic formats
• Demonstrates analytical and critical thinking abilities with proactive decision-making and negotiation skills EDUCATION AND EXPERIENCE REQUIRED:
• Three years’ clinical, hospital nursing experience required.
EDUCATION AND EXPERIENCE PREFERRED:
• with preference given to those with 2 years of case management experience or 2 years of critical care experience LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
• RN with current state licensure LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
• BSN preferred
• Certification in case management or u Job Summary: 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.
The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.