Peds Case Management, PRN RN Discharge Planner

Montgomery College; Nashville (TN); On-site; USD 70,000 - 95,000; Full time

Job summary

Vanderbilt Health, a leading academic health system, seeks a PRN Case Manager to collaborate with the care team in coordinating patient and family interventions across the continuum of care. You will help establish patient-specific goals and promote efficient use of resources while advocating for safe and equitable care.

The role emphasizes leadership in multidisciplinary settings, adherence to organizational pillars, and active participation in improving clinical quality and financial outcomes.

Qualifications

• Licensure as a Registered Nurse with the state.
• Bachelor's degree in Nursing required.
• 2 years of relevant work experience preferred.

Responsibilities

• Assesses patients with complex clinical needs and coordinates a plan of care.
• Leads healthcare team in outcomes-based practice and coordination.
• Facilitates optimal reimbursement through certification processes.
• Advocates for patients, families, and caregivers to ensure safe, equitable care.
• Participates in continuous improvement and evaluates progress against goals.

Skills

RN Licensure

Education

Bachelor's in Nursing

Job description

Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid‑South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization: MCJCHV Case Mgmt 10

Job Summary: Collaborates with the health care team to coordinate patient and family interventions across the continuum of care, removing barriers and promoting efficient and effective use of resources. Assists patients and families in establishing patient specific goals, both long term and short term. Facilitates appropriate follow up care and/or refers patients (within the designated patient population) to the appropriate next level or site of care. Serves in an advocacy role on behalf of patients, families, and caregivers to ensure safe, equitable healthcare provision. Assists in developing and meeting key Pillar outcomes and system improvement goals including financial, satisfaction, and clinical as the nursing component of the care coordination model. Assists in the nursing component of developing and meeting key Pillar goals including finance, satisfaction, clinical quality of care, innovation, and growth across the continuum of care. Conducts initial and/or concurrent utilization review medical necessity criteria. http://www.vanderbilt.edu/work-at-vanderbilt/requirements/nursing4.pdf

Position Shift: PRN (minimum 4 shifts per six-week schedule) 8 am - 4:30 pm Mon - Fri with weekend rotation

KEY RESPONSIBILITIES

• Assesses and identifies patients with complex clinical needs that require a coordinated plan of care.
• Facilitates optimal reimbursement through certification process.
• Leads health care team in outcomes based practice in accordance with VUMC/PCC/TMO strategic initiatives.
• Develops case management plan that includes strategies or alternative interventions required to attain optimal patient and family specific outcomes.
• Analyzes progress on the plan of care, identifies variances, and intervenes utilizing process improvement methodologies to remove barriers and progress care.
• Participates as an active partner with multidisciplinary team members to ensure that patients receive care timely, according to their plan of care and at the appropriate level of care.
• Consistently demonstrates a sense of urgency in their work, especially related to escalation/removal of barriers, facilitating an appropriate (timely) LOS and reduction in inappropriate and unnecessary admissions and readmissions.
• Demonstrates leadership skills and acts as the key information and education resource for the interdisciplinary team as related to caring for complex needs and securing appropriate services.

TECHNICAL CAPABILITIES

Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing.

Please see our current employee benefits offered:

• Affordable High Quality Health Plan Options
• Dental and /or vision plan
• 403 (b) retirement plan
• Paid Time off (flex PTO)
• Tuition Reimbursement and adoption assistance (maximums applied)
• Short-Long term disability
• Subsidized backup childcare
• And many more...
• Ask us about our current inpatient nursing supplemental Pay Program!
• Achieve the Remarkable: Learn more about VUMC Nursing here.

Core Accountabilities:

Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance.

Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment.

Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area.

Team Interaction: Provides informal guidance and support to team members.

Core Capabilities :

Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.

Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.

Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.

Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.

Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.

Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.

Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.

Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.

Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.

Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.

Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.

Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.

Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.

Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short‑term challenges.

Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Position Qualifications:

• Certifications: LIC-Registered Nurse - Licensure-Others
• Work Experience: Relevant Work Experience
• Experience Level: 2 years
• Education: Bachelor's: Nursing (Required)

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled. PEOPLE ARE AT THE HEART OF ALL WE DO. Great health care takes great people. We’re looking for like‑minded individuals driven to make a difference. We invite you to explore careers at Vanderbilt Health, where we value collaboration, embrace continuous learning and foster an environment where everyone can thrive. We’re the largest private employer in Middle Tennessee, with a growing team and an expanding footprint across towns and communities throughout the region. We employ more than 43,000 people who work in inpatient and outpatient clinical care, research and graduate medical education. Our employees also serve in critical supporting roles in administration, information technology and informatics, finance, legal and community affairs, communications and marketing, fundraising, groundskeeping and facilities, and many other departments. Our growing academic health system has more than 2,100 licensed hospital beds at eight hospitals: Vanderbilt University Hospital Monroe Carell Jr. Children’s Hospital at Vanderbilt Vanderbilt Psychiatric Hospital Vanderbilt Stallworth Rehabilitation Hospital Vanderbilt Bedford Hospital Vanderbilt Clarksville Hospital Vanderbilt Tullahoma‑Harton Hospital Vanderbilt Wilson County Hospital Vanderbilt Health is the Mid‑South's largest provider of specialty care, with hundreds of outpatient clinic and surgical locations throughout the region, and Tennessee’s only National Cancer Institute‑designated Comprehensive Cancer Center for adults and children. We are one of the nation's busiest critical care centers, home to Middle Tennessee’s only Level 1 Trauma Center and Burn Center for adults and children, and Middle Tennessee’s only Level IV Neonatal Intensive Care Unit. We are the nation’s largest transplant center, and last year we performed the most heart transplants than any center worldwide. Vanderbilt Health is an epicenter for biomedical research, winning over $1billion in annual research awards from government, industry, foundations and donors. We are also a national leader in medical training and education, with the largest clinical training center in the Mid‑South and the only training center in Tennessee for many adult and pediatric specialties. We’re honored to be consistently considered among the nation’s best hospitals for quality, safety and patient satisfaction. Three of our hospitals — Vanderbilt University Hospital, Vanderbilt Psychiatric Hospital and Vanderbilt Wilson County Hospital — have been awarded a Five‑Star Quality Rating from Medicare. We support each other and encourage excellence among every member of our workforce. High‑achieving employees stay at Vanderbilt Health for professional growth opportunities, competitive compensation and benefits, and a sense of community and purpose. Join us in advancing health care.

Our vision:

The world leader in advancing personalized health

Our mission:

Personalizing the patient experience through our caring spirit and distinctive capabilities