Clinical Resource Manager PRN

Trinity Health; Nampa (ID); Vor Ort; USD 55.000 - 83.000; Teilzeit

Zusammenfassung

Trinity Health's Nampa Medical Center seeks a part-time Clinical Resource Manager to oversee hospital case management and discharge planning, coordinating with physicians, social services, and care teams to determine level of care and ensure smooth transitions.

Licensed RN in Idaho or Oregon with 2+ years hospital experience required; Bachelor's degree in nursing or related field, Master's preferred. Emphasis on regulatory compliance, collaboration, and cost-conscious care.

Qualifikationen

• RN license required in primary work state (Idaho or Oregon).
• Bachelor's degree in nursing or related healthcare field required.
• Master's degree preferred.
• Minimum of 2 years of varied hospital clinical experience.
• Experience in case management, home health, and/or insurance industry preferred.

Aufgaben

• Models Mission, Vision and Values in behaviors and decisions.
• Meets care center guidelines and professional conduct expectations.
• Demonstrates skills to care for all age groups as applicable.
• Ensures accuracy of documenting services and supplies.
• Coordinates social services/case management into discharge planning.
• Conducts screenings/assessments to determine transition needs.
• Reassesses and modifies transition plans as needed.
• Assists physicians with transfer and discharge orders.
• Maintains knowledge of regulatory requirements and accreditation standards.
• Educates care team on regulatory requirements.
• Promotes efficient utilization of clinical resources from admission to discharge.
• Documents assessments and interventions in Power Chart.
• Participates in department meetings and sub-teams.

Kenntnisse

RN license

Discharge planning

Case management

Interpersonal communication

Ausbildung

Bachelor's Degree in Nursing or related healthcare field

Master's degree preferred

Jobbeschreibung

CLINICAL RESOURCE MANAGER – NAMPA MEDICAL CENTER PRN

Employment Type: Part time
Shift: Rotating

GENERAL SUMMARY AND PURPOSE

Provides hospital case management and discharge planning collaboratively determining level of care needs beyond acute care, providing decision support to patients/families and physicians, managing patient and family expectations, and ensuring a smooth transition to the next level of care and services. Coordinates the integration of social services into patient care as appropriate/available. Coordinates the hospital activities concerned with case management and discharge planning. Adheres to departmental goals, objectives, standards of practice, and policies and procedures. Ensures quality patient care and adheres to regulatory compliance. Provides concurrent assistance and support to physicians and other clinical members of the health care team in coordinating the delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, the clinical resource manager incorporates real-time contacts with physicians, nursing, and ancillary care givers to establish specific treatment, cost, and transition targets and to facilitate transition planning.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE

• Colleague must have an RN license, as defined by their primary work state (Idaho or Oregon), issued prior to hire date.
• Bachelor's Degree in Nursing or related healthcare field required.
• Master's degree preferred.
• Minimum of 2 years of varied hospital clinical experience required.
• Experience in case management, home health, and/or insurance industry preferre

ESSENTIAL FUNCTIONS

• Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions
• Meets medical center’s Guiding Behaviors and Caring Standards including interpersonal communication and professional conduct expectations.
• Demonstrates knowledge and skills to competently care for all assigned age groups (Neonate, Child, Adolescent, Adult, Geriatric as applicable).
• Revenue Management: ensure the accuracy of documenting services and supplies provided to the patients.
• Coordinates the integration of social services/case management functions into patient care, discharge, and home planning process with other hospital departments, external service organizations, agencies and healthcare facilities.
• Completes a screening/assessment of assigned cases to determine transition needs.
• Reassesses, monitors, and modifies transition needs as appropriate.
• Assists physicians with completing transfer and discharge orders.
• Maintains knowledge of federal, state, and private agency review requirements and regulations.
• Provides education to all health care team members including physicians regarding requirements to meet regulatory standards.
• Promotes effective and efficient utilization of clinical resources from admission to discharge.
• Completes PASRRs for admission to skilled nursing facilities.
• Researches and locates resources for patients for example: assistance in competing medication applications for financial assistance through pharmaceutical companies, works closely with our Patient Financial Advocates in the Medicaid pending process, and works closely with outside facilities to obtain equipment in situations when patients have limited funding available to them.
• Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship.
• Assists physicians to maintain appropriate cost, cases, and desired patient outcomes.
• Introduces self to patient and family and explains clinical resource manager role and the process for patient and family to contact clinical resource manager.
• Serves as a patient advocate.
• Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
• Participates in multidisciplinary patient care rounds and/or conferences as appropriate to review treatment goals, optimize resource utilization, provides family education and identification of post-hospital needs.
• Follows established patient choice policy.
• Documents assessment of primary and back up plans along with communications to patient, family and care team.
• Documents interventions taken to meet the needs of their individual patients in Power Chart.
• Actively participates in department staff meetings and department sub teams.
• Ensures discharge planning compliance with Medicare Conditions of Participation/regulations and Joint Commission standards, Coordinates Swing bed (SWB) admissions both from within the hospital and from other hospitals.
• Communicates and provides education to physician and patients/families regarding criteria.
• Completes and provides appropriate notices to patients/families.

OUR COMMITMENT

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

EMPLOYER INFORMATION

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.