RELOCATION ASSISTANCE AVALIABLE!! FacilityCape Fear Valley Medical CenterLocationFayetteville, North CarolinaDepartmentCoordination of CareJob FamilyNursingWork ShiftDaysSummaryComprehensively plan for services for a targeted population. Carries out activities related to discharge planning, participates in patient care rounds, care coordination and referral to other levels of care.
Works with the physician, interdisciplinary team, and other members of the Case Management team to facilitate clinical guidelines and achievement to desire treatment outcomes. Works collaboratively to ensure patient needs are met and care delivery is coordinated across the continuum at the appropriate level of care. Major Job FunctionsThe following is a summary of the major essential functions of this job.
The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:Reviews patient medical records to verify if patient has orders for observation or admission statusReviews chart for clinical appropriateness for continued stayAssigns anticipated date of discharge for the patient within 24 hours of admissionConducts initial interview with patient/family to formulate plan of care and coordination of servicesAssist patient/family in coping with hospitalization, disability, and chronic/terminal illnessProvides information, education to patient/family on community resources and options for post-acute care appropriate to the age for the patient servedCarries out discharge planning activities including providing arrangements for Home Health, Hospice, Home Infusion, DME, Outpatient Hemodialysis, Rehab, LTAC, Assisted Living, Rest Home, and Skilled Nursing Facility placementsDelivers Important Message from Medicare to patients and explains contentIdentifies and refers cases to the Leadership Team to elevate with Physician Advisor in a timely manner as neededAnticipates and proactively works to prevent delays and barriers to care deliveryServes as a resource for processing issues such as guardianship, abuse, neglect, power of attorney, healthcare surrogate, advance directives, or involuntary commitmentsConsults with Social Work Case Managers for reliable resource information regarding difficult placements, information on when patients qualify for Medicaid and disability, and Department of Social Service ReferralsServes as a preceptor for new RN Case Managers as designated by Leadership TeamParticipates in quality improvement activities to improve processes and promote leading practiceOther duties as assignedMinimum QualificationsThe following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:Education and Formal Training: Associate’s degree in Nursing requiredBachelor's degree in Nursing preferredCurrent Registered Nurse licensure in North Carolina or Compact state licensureProfessional Case Management Certification (CCM or ACM) preferredWork
3 years’ experience in Acute Care setting required1 year Medical/Surgical and/or ICU experience preferred1 year Case Management experience preferred1 year Home Health/Hospice experience preferredKnowledge, Skills, and Abilities Required: Proficiency in reading, writing, and speaking the English languageUnderstands placement intricacies and can interpret requirements from the local, state, and federal agencies to optimize placements of patients in the most appropriate settingExcellent interpersonal communication and negotiation skillsAbility to communicate effectively and work with people of all social, economic, and cultural backgroundSelf-motivated, assertive and persuasive in interactions with customers, peers, management and core staff servedProven written, telephonic, and electronic communication skillsStrong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role componentsProficiency with various computer programs including Microsoft Office, Midas, ProviderLink, ValleyLink, eHIM, EMSTAT, and SMSFlexible, open-minded, and adaptable to changeAbility to demonstrate respect and team buildingAbility to prioritize and process multiple tasks, responsibilities, and work projectsDemonstrated ability to analyze related information, plan effective actions and follow through reliably to meet expectationsAbility to work collaboratively with department staff, physicians, and healthcare professionals at all levels to achieve established goals, improve quality of outcomes, maintain, or exceed Joint Commission standards and state mandates as they apply to the department operationsPhysical
Participate in weekend and holiday rotation as requiredSome light carrying and lifting may be requiredFrequent walking may be required to access all areas of the Medical CenterAbility to effectively communicate orally with patients, family members, personnel, and physiciansNear visual acuity to proofread hand or typewritten materialsManual ability to use telephones and computer keyboardPosition involves sitting for extended periods of time performing data entry into a computerMust be able to lift 35 poundsRequired Licenses and CertificationsRN - Board Of NursingCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity