Registered Nurse - Case Manager

Requirements for submittal: Coversheet, LIC and Certs in hand, Float form if applicable. Schedule Notes: Seeking candidates with recent experience as a Case Manager, Care Manager, or Discharge Planner within an acute care hospital environment. The role involves coordinating care for acutely ill patients with complex medical conditions and discharge planning needs.

2+ years of Care Management or Case Management experience in an acute care setting required.

Required

-Nursing Diploma. OR -ADN or ASN from an accredited school of Nursing. Preferred

-BSN or MSN from an accredited school of Nursing. Required Certifications

-Licensed to practice as a Registered Nurse in the state of North Carolina. Preferred Certifications

-N/A

-Two 2 years of health care experience as a Registered Nurse. -Strong assessment and critical thinking skills. Preferred Skills

-N/A Certificates and Licenses: Description: Job

The purpose of this position is to provide ongoing support and expertise through comprehensive assessment planning implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integrating and functions of case management utilization review and discharge planning.

The Care Manager must be highly organized professional with great attention to detail adaptable to frequent change and compliant with regulatory and departmental guidelines and policies.

• Identify Cases amp Prioritize Day
• Review work list to prioritize patients and identify new admissions. -Conduct and document assessment and a plan of care in Epic™ per departmental guidelines. -Participate in Daily Care Management Touchpoint per established protocols. -Consult to SW per established criteria. -If indicated communicate with Care Management Assistant CMA to share priorities. -CAPP Meeting -Attend and actively participate in CAPP meetings for assigned units to provide and receive information on patients’ progression. -Alert care team to concerns that could impact anticipated discharge of the patient and any care that will assist with discharge readiness. -Modify discharge plan based on information shared at the meeting. -Assist with identification of the expected discharge date EDD. -Complete follow-up from CAPP as appropriate. -As necessary meet with the Utilization Manager UM and SW after the meeting to discuss updates and action items. -Complex Care Meeting -Attend weekly Complex Care Meeting CCM. -Present on patients during CCM and collaborate to problem solve issues with complex patients and identify trends. -Formulate potential solutions with Utilization Manager and Social Worker and continuously monitor cases/follow up on all action items. -Proactively identify high risk cases that need to be escalated to the list that are not scheduled for discussion that week. -Complete CCM follow-up after the meeting as assigned. -Active Consults -Discuss with appropriate members of the multidisciplinary team when there are barriers to discharge and psychosocial concerns impacting progression of care or readmission risk. -Coordinate family meetings as necessary to support the progression of care. -Provide education on community resources support/educational groups and any other appropriate resources to patient family and care team. -Educate and/or coordinate referrals to community resources and post-acute providers as necessary. -Care Progression and Transition Planning -Communicate medical milestones for transition with the patient/family. -Identify patients with barriers to discharge based on experience Communication and Patient Planning CAPP Meetings and/or Complex Care Meeting CCM. -Monitor all observation patients throughout the day to ensure appropriate progression of care. -Identify patient’s readiness to discharge based on discussions with the patient/family/care team on an ongoing basis. -Assess the discharge plan to determine needs post-discharge and communicate to patient/family/care team on an ongoing basis. -Identify required authorization for post-discharge services and refer to the appropriate post-discharge service provider. -Participate in medication resource management for non-resourced patients as needed. -Verify patient’s understanding/agreement of discharge plan. -Refer administrative tasks e.g. faxing form processing to Care Management Assistant. -Consult Social Worker and/or Utilization Manager per established departmental protocol. Weekends Required: NO On Call Required: NO Interview Type: Client OfferProcess Level Department Description: UNC Medical Center---UNCH Care Mgmt
• Medical Center---20
• 25 beds, we cover Cardiology, Nephrology, Trauma surgery, Ortho surgery, Vascular surgery, Neurosurgery, GI Surgery, Urology, Transplant, ICU/Stepdown for those services. Skills around Care Management, EPIC use, Care coordination, Communication with interdisciplinary team, experience with educational/teaching hospitals is very helpful