Care Transitions RN - Day Shift, Discharge & Care Coordination

Trinity Health; Mason City (IA); On-site; USD 70,000 - 100,000; Full time

Job summary

MercyOne North Iowa Medical Center is seeking a Care Transitions Case Manager to collaborate with physicians, social services, nurses and other team members to plan cost-effective, quality care and ensure seamless patient transitions across care settings.

Responsibilities include coordinating discharge planning, communicating across interdisciplinary rounds, and working with social workers to arrange post-acute care, home care, and responsible handoffs, while upholding HIPAA and the

Qualifications

• Current and valid license to practice as Registered Nurse in Iowa.
• BSN or approved BA is required or willing to obtain within three years of employment.
• Five years Clinical RN experience required.

Responsibilities

• Coordinates/facilitates patient care progression throughout the continuum while advocating for the patients best possible outcome.
• Works collaboratively and maintains active communication through interdisciplinary rounds with physicians, nursing and other members of the multidisciplinary team to effect timely, appropriate patient management.
• Coordinates with social workers to ensure a warm handoff with caregivers at next site of care including but not limited to health coaches, home care agencies, and nursing homes or skilled facilities.
• Proactively identifies, triages, and assists in resolving delays and obstacles to discharge. Responsible for assuring through case management assessment, as well as early and ongoing discharge planning by collaborating with patients, families, physicians, payors, and providers across the continuum of care.
• Conduct face-to-face assessments and document primary and back-up discharge plan on all patients
• Serves as a resource person for families, patients, employees and other health care professionals, needing information on Mercy Medical Center-North Iowa services and community services(communication)
• Assists in creating processes to anticipate and address specific situations within the department, including post-acute resource referral lists, denials, readmissions, and Length of Stay
• Applies quality improvement methods and techniques to improve case management processes to maximize costs and quality benefits for MercyOne North Iowa Medical Center
• Participates in comprehensive team meetings and conferences regarding specific patient needs that affect cost, quality, and length of stay.
• Demonstrates ability to promote collaboration and creativity among members of the health care team.
• Maintains required department confidentiality and abides by HIPPA regulations.
• Provides competent patient care to the above indicated patient populations by obtaining and appropriately interpreting data, making appropriate decisions based on demonstrated knowledge of age-specific growth and development, and appropriately adapting procedures and treatments.
• Takes an active role in enhancing ability to carry out job functions through personal and professional/job-related growth and development, and participates in medical center and/or departmental education programs.
• Communicates with and performs duties following the philosophy of MercyOne North Iowa Medical Center and the Sisters of Mercy reflecting the organization’s Mission, Values, and Guiding Behaviors.
• Supports and abides by all medical center, departmental, and safety policies and procedures. Proactively identifies safety concerns surrounding the work environment.
• Performs other responsibilities as requested by supervisor, director or department head.

Education

RN license in Iowa

BSN or approved BA or willingness to obtain within 3 years

Job description

MercyOne North Iowa Medical Center is seeking a Care Transitions Case Manager to collaborate with physicians, social services, nurses and other team members to plan cost-effective, quality care and ensure seamless patient transitions across care settings.

Responsibilities include coordinating discharge planning, communicating across interdisciplinary rounds, and working with social workers to arrange post-acute care, home care, and responsible handoffs, while upholding HIPAA and the