Case Manager NEX

Atrium Health; Advance (NC); On-site; USD 75,000 - 95,000; Full time

Job summary

Atrium Health in North Carolina seeks a registered nurse to lead case management, screen discharge needs, and coordinate with the care team.

Requires BSN and 5+ years of clinical experience; MSN is preferred. RN licensure is required; case management certification within 2 years is encouraged. You will document in the EMR and work with physicians to optimize patient outcomes.

Qualifications

• Graduate from an accredited school of nursing with BSN; MSN preferred.
• Minimum 5 years of relevant clinical experience; Case Management preferred.
• Current RN licensure in the relevant state; case management certification encouraged within 2 years.

Responsibilities

• Identifies patients who would benefit from Case Management interventions based on an initial screening assessment of discharge needs.
• Assesses all relevant data and interviews patient/family to evaluate needs.
• Develops and implements a Plan of Care with nursing to improve outcomes and coordinate discharge planning.
• Collaborates with multidisciplinary team and community providers to execute the Plan of Care.
• Monitors discharge planning effectiveness and adjusts the Plan of Care as needed with the team.
• Documents Case Management actions in the EMR and communicates with providers and payors.
• Participates in rounds to communicate discharge planning and facilitate patient progression through the system.
• Maintains knowledge of payer and reimbursement practices affecting the plan of care.

Skills

Case management

Interpersonal communication

Documentation skills

EMR systems

Education

BSN

MSN preferred

Tools

EMR systems

Job description

EDUCATION/EXPERIENCE: Graduate from an accredited school of nursing. BSN required. MSN preferred. Minimum 5 years of relevant clinical experience. Previous Case Management experience preferred LICENSURE, CERTIFICATION, and/or REGISTRATION: Current licensure to practice as a Registered Nurse in the State of applicable state. Certification in case management highly recommended within 2 years of employment. ESSENTIAL FUNCTIONS:

• Identifies patients who would benefit from Case Management interventions based on an initial screening assessment of discharge needs.
• Assesses all relevant data and obtains information by interviewing patient/family and performing objective evaluation of patient needs.
• Ensures that a Plan of Care is developed and implemented in conjunction with nursing to enhance client outcomes in a cost efficient manner by defining desired patient outcomes (goals) with other members of team. Collaborates with the patient, caregivers, the multidisciplinary team and community service providers to effectively execute the Plan of Care. Facilitates. The Case Manager coordinates the discharge planning process; ensuring discharge planning needs are completed.
• Evaluates and monitors the effectiveness of the discharge planning by facilitating changes in Plan of Care as needed with all members of the multi-disciplinary team.
• Documents Case Management actions in the Electronic Medical Record and communicates necessary information to providers and payors.
• Participates in multi-disciplinary rounds to communicate discharge planning and be the driver of patient progression through the system. Establishes partnerships with physicians to achieve institutional goals and contribute to excellent patient care by the organization.
• Identifies system issues and suggest interventions to the Supervisor to eliminate duplication in services and documents significant variances. Identifies trends/process barriers and participates in development of plans to ensure a method to move patients effectively through the care continuum.
• Monitors medical necessity of admissions, continued hospitalization, and surgical procedures using criteria approved by the medical staff and evaluates appropriate level of care for patient and notified the Utilization Review staff of necessary changes
• Utilizes principles of quality improvement in every aspect of performance by participating in unit and organizational quality improvement activities to develop strategies to reduce or resolve variations in practice.
• Provides age/developmentally-appropriate patient planning and communication in accordance with Age-Specific Care Guidelines for the specific age groups served.
• Maintains working knowledge of payer and reimbursement practices impacting the plan of care. Demonstrates the ability to guide the patient and family through an evaluation of their options for post discharge care. SKILLS/QUALIFICATIONS: Good interpersonal, communication (verbal, nonverbal and listening skills) and written communication skills. Case Management experience Computer skills (basic) Works in a continually changing work environment WORK ENVIRONMENT: May be exposed to infectious and contagious diseases May be exposed to radiation hazards Contact with patients under wide variety of circumstances Subject to many interruptions Subject to irregular hours PHYSICAL REQUIREMENTS: 0% 35% 65% to to to 35% 65% 100% N/A Activity X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: X 20 lbs. maximum X 50 lbs. maximum X 100 lbs. maximum