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*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.*
POSITION SUMMARY:
The Case Management Registered Nurse (RN) is responsible for coordinating and facilitating patient care across the healthcare continuum, from admission to discharge. The Case Management RN works closely with patients, families, healthcare providers, and community resources to ensure that patients receive the appropriate level of care in a cost-effective manner. This role involves assessing patient needs, developing and implementing care plans, and ensuring that patients have the resources and support they need for a safe and timely discharge.. Participates in quality improvement and evaluation processes related to the management of patient care.
POSITION REQUIREMENTS:
- Graduate of an accredited school of nursing.
- Associate Degree or higher.
License Required:
- RN with active Nevada License.
- Minimum of 3 years of clinical nursing experience, with at least 1-2 years in case management, discharge planning, or utilization review in a hospital setting preferred.
- Excellent verbal and written communication skills required.
- Demonstrates flexibility via an ability to adapt to changing priorities and regulations.
- Basic computer skills required.
- Ability to read and communicate in English, bilingual abilities preferred.
POSITION ESSENTIAL FUNCTIONS:
Patient Assessment and Care Planning
- Conduct comprehensive assessments of patients’ medical, psychosocial, and discharge needs.
- Develop and implement individualized care plans in collaboration with the interdisciplinary healthcare team to ensure appropriate level of care and resource utilization.
- Monitor patient progress and adjust care plans as needed to ensure optimal outcomes and timely discharge.
- Develops and maintains a network of the usual services and disciplines required by the typical patients within the caseload.
- Collaborates with already existing programs and departments to ensure appropriate resource utilization by all patients being followed in a caseload.
- Demonstrated skills in the areas of negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking.
- Knowledge of healthcare financing, community and organizational resources, and patient care process.
- Basic knowledge of utilization management as it relates to third-party payers.
- Knowledge of post -acute care community resources.
- Serve as the primary liaison between patients, families, healthcare providers, and external agencies to coordinate patient care and discharge planning.
- Facilitate interdisciplinary team meetings, rounds, and care conferences to discuss patient status, care plans, and discharge needs.
- Utilize clinical judgment and critical thinking skills to assess patient needs, identify potential barriers to care, and develop solutions.
- Evaluate the effectiveness of care plans and adjust based on patient response and changes in condition.
- Collaborate with the healthcare team to address complex cases and ensure that patients receive appropriate care in the most appropriate setting.
- Provide education and support to patients and families regarding the discharge process, community resources, and post-hospital care.
- Directs, coordinates, and provides care management to patients in caseload.
- Assesses the patients within the caseload to identify needs, issues, resources, and care goals.
- Through proper reporting mechanisms, completes case management assessment, reviews admitting, diagnoses/problem(s), determines plan to address client's needs, and optional/preferred points of service.
- Develops a discharge plan early on in admission.
- Completes a case management assessment on admission and develops a discharge