Clinical Case Manager - Middletown

Penn State Health; Middletown Township (PA); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Tuition Reimbursement

Be Well program

Be Balanced time off

Retirement benefits

Professional development

Job summary

Penn State Health Milton Hershey Medical Center is seeking a Nurse Case Manager to coordinate interdisciplinary patient care, develop individualized plans, and monitor outcomes within clinical pathways and contracts. This full-time, day-shift role emphasizes discharge planning, data collection on care outcomes, and collaboration with families, PCPs, and the care team to improve quality and costs.

Strong communication and Microsoft Office skills are preferred.

Qualifications

• Two years nursing experience.
• Current RN license valid in PA or across compact state.
• BLS certification prior to end of orientation period.

Responsibilities

• Coordinate interdisciplinary professional care of a select patient population.
• Develop, implement, and evaluate treatment plans based on individualized plans of care.
• Coordinate discharge instructions and transition to appropriate level of care.
• Track outcomes and variances to improve quality and cost outcomes.
• Ensure confidentiality and adherence to patient rights and policies.

Skills

Nursing experience

Microsoft Office

Education

RN license (PA)

Tools

Microsoft Office

Job description

Invest in Your Future and Theirs: Full-time Milton S. Hershey Medical Center employees receive a 75% Penn State tuition discount for themselves and eligible dependents through the Grant-in-Aid program.

Penn State Health -Hershey Medical Center

Location: US:PA: Middletown
Work Type:Full Time
FTE:1.00
Shift:Day
Hours:8:00a - 4:30p Monday - Friday
Recruiter Contact:Lindsay E. Erdman at [e-mail]

SUMMARY OF POSITION:

Responsible to coordinate interdisciplinary professional care of a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts. Mobilizes resources and manages the systems to respond to concurrent and respective data analysis, identifying variances. Participates in developing programs to improve clinical quality and fiscal outcomes, maintains knowledge of and responds to clinical system and fiscal data related to specific patient populations.

ESSENTIAL DUTIES -The percentage of time spent performing essential functions is 95%. Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Participates in care conferences and attends nursing report, physician rounds, and inter-professional rounds.
• Contributes to the formulation, implementation, and evaluation of the treatment plan. Care is individualized by discussing expected progress toward recovery, intervening at key points of care upon identification of significant variances, and evaluating discharge readiness and plans to accomplish discharge.
• In consultation with inter-professional team, develops a treatment plan for patients based upon their clinical condition.
• Serves as a catalyst to mobilize resources; assists in designing and evaluating systems that respond to patient, family, and provider needs. Participates in data collection that includes patient care outcomes, resource consumption, and family and staff satisfaction. The data is then used to continually refine / improve quality of care, identify appropriate resource utilization, and promote family and staff satisfaction. Recommends alternative locations of care when appropriate.
• Coordinates discharge instructions to families of all patients on service.
• Assesses problems and intervenes appropriately in conjunction with nursing staff.
• Assures that all critical elements of the plan of care are communicated to the family and PCP and are documented on the inter-professional plan.
• Communicates handoff of care plan to outpatient coordinator. Documents case management activity in the medical record to assure placement in the appropriate level of care by utilizing knowledge of insurance regulation, patient's response to therapy, and cost effective care protocols.
• Negotiates favorable scheduling sequences with ancillary departments for diagnostic tests and therapeutic treatments to avoid duplicative work and delays in care.
• Participates in the inter-professional development of service specific protocols and their application to clinical practice.
• Tracks outcomes and variances providing feedback to inter-professional team on clinical pathways. Evaluates practice issues/outcomes for potential research opportunities, supports current research activities, and incorporates research results into pathway revisions.
• Adheres to hospital and departmental policies and practices regarding confidentiality and patients’ rights.
• Provides peer consultation by assisting other case managers with complex cases

MINIMUM QUALIFICATION(S):

• Two (2) years nursing experience
• Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN license through the interstate Nurse Licensure Compact.
• AHA BLS prior to end of orientation period

PREFERRED QUALIFICATION(S):

• Experience as a case manager, in discharge planning or insurance issues preferred.
• Appropriate certification for specialty area preferred.
• Proficiency in Microsoft Office preferred.
• Motivational interviewing skills preferred.

WHY PENN STATE HEALTH?

Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.

Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

• Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
• Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
• Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
• Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
• Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

WHY PENN STATE HEALTH MILTON HERSHEY MEDICAL CENTER?

Penn State Hershey Medical Center is Central Pennsylvania’s only Academic Medical Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider. As a four-time Magnet-designated hospital, Hershey Medical Center values the hard work and dedication that our employees exhibit every day. Through our core values of Respect, Integrity, Teamwork, and Excellence, our employees are a team committed to compassionate care for our diverse patient population, our community and each other. As a valued team member, we promote continued professional development, specialty certification, continuing education, and career growth.

YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you.

This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract.

Penn State Health is an Equal Opportunity Employerand does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health’s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.