RN Case Manager - FT - Days

Summary

Join us for our upcoming Virtual Hiring Event! Memorial Healthcare System is excited to invite qualified nursing professionals to explore exciting day shift opportunities at Memorial Hospital West and Memorial Hospital Pembroke.

Responsibilities

• Clinically assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual's health needs to facilitate a safe and timely discharge to the next appropriate post acute level of care.
• Conducts an in-depth case management assessment of a patient's needs at the time of admission and throughout the patient's stay.
• Obtains and confirms information necessary for the development of a comprehensive discharge/transition plan of care.
• Addresses system-level issues impeding diagnostic or treatment progress with the healthcare team and reports unresolved opportunities for improvement through the organizational defined escalation process.
• Proactively identifies and resolves barriers to timely discharge/transition and documents avoidable delays information in accordance with health system protocols.
• Performs duties in a manner that promotes quality patient care/satisfaction, while promoting safety, cost efficiency, and a commitment to the continuous quality improvement process.
• Monitors patient and family satisfaction and responds to questions and complaints from patients, family members, and payers regarding care.
• Actively coordinates progress and the patient's care by monitoring the length of stay (LOS) of the patient's hospitalization, leads and facilitates rounds, and proactively works to meet expected length of stay and clinical targets/indicators.
• Performs ongoing chart review to identify actual or potential issues, which may include service delivery, patient outcomes, satisfaction, compliance, cost, and reimbursement.
• Consults with Physicians and multidisciplinary teams regularly to evaluate the patient's status and appropriateness of medical care, including admission, length of stay (LOS), transfer, and discharge.
• Collaborates with the Social Worker to proactively identify the need for team and/or patient and family conferences to facilitate discussion of the patient's condition, discuss prognosis and determine an agreed upon transition of care plan.

Competencies

Accountability, analysis and decision making, clinical policies and standards, customer service, discharge planning clinical effectiveness, patient and family centered care, responding to change, standards of behavior, team work.

Education and Certification Requirements

• Accredited Program: Nursing (Required)
• BLS American Heart E-Card - American Heart Association
• Registered Nurse Compact License - Compact RN Multistate
• Registered Nurse License - State of Florida

Additional Job Information

This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Must be able to provide education and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient transition to the patient/family and health care team.

Required Work Experience

Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare.