PRN RN Case Manager - Penn Presbyterian Medical Center

Penn Medicine; Philadelphia (Philadelphia County); On-site; USD 65,000 - 95,000; Part time

Job summary

An established industry player is seeking a dedicated PRN RN Case Manager to join a top-tier medical center in Philadelphia. This role offers the opportunity to work alongside leading healthcare professionals, focusing on patient-centered care and innovative practices. You'll be responsible for coordinating discharge plans, managing utilization activities, and ensuring quality improvement through effective communication. With a commitment to employee growth, this position promises a fulfilling career path in a supportive environment. If you're passionate about making a difference in patients' lives, this role is for you.

Benefits

Prepaid Tuition Assistance

Comprehensive Benefits Program

Health and Wellness Programs

Qualifications

• Active RN PA license in good standing required.
• 2+ years of clinical experience preferred.

Responsibilities

• Monitor resource use and coordinate care with interdisciplinary teams.
• Educate patients on healthcare benefits and discharge plans.
• Document assessments and care plans accurately in patient records.

Skills

Utilization Management

Patient Education

Discharge Planning

Risk Management

Communication Skills

Education

Bachelor's Degree in Nursing

2+ years Clinical Experience

Tools

Canopy

MedView

On Base

SafetyNet

Sunrise

Job description

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical, and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Penn Presbyterian Medical Center (PPMC) has an outstanding opportunity for a PRN RN Case Manager to join the Case Management team and work alongside some of the best medical providers in Philadelphia.

PPMC, the Philadelphia region’s top Level 1 Trauma Center, has an outstanding record of medical accomplishments, placing our patients at the core of everything we do. The “how” is important to us – how we treat our patients and each other, how we raise the bar every day to achieve excellence, and how we contribute to the health of the community around us. PPMC has a community feel but is also part of the larger academic and research-based institution that is Penn Medicine. By joining PPMC, you get the best of both worlds and a genuine commitment to your professional growth and development.

Summary:

• Monitors appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor, with timely coordination of home care, DME, placements, hospice, community resources, transportation, and quality data collection and risk management referral.

Responsibilities:

• Utilization management activities:
  Monitor appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor
  Discharge planning activities: timely coordination of home care, DME, placements, hospice, community resources, transportation
  Quality data collection and risk management referral
  Works with patient and family to assure provision of choice in post hospital setting
  Educates patient / customers regarding scope and limitations of health care / insurance benefits
  Respects each patient’s / customer’s personal dignity, right to privacy and confidentiality
  Communicates expected discharge time frame
  Keeps current with new providers, new technologies and treatment modalities, and new resources using internet and other sources
  Recognizes and provides care based on the unique chronological issues and needs of the older adult.
  Interacts with the patient and family in a developmentally appropriate manner.
• Discharge Planning:
  Completes timely and detailed assessment of patient and family social, emotional and/or discharge needs and health care benefits
  Develops and facilitates specific plan to address problems and/or concerns identified by patients, families and health care team
  Identifies and consistently documents delays; elevates issues appropriately
  Effectively communicates discharge plan with patients, families and health care team
  Documents ongoing assessments and plan of care in patient record (Canopy)
  Successfully assists patient in moving to the next level of care with transfers to home, agencies, and facilities and with referral to appropriate community resources
  Participates and drives accountability in daily interdisciplinary meetings
• Utilization Management:
  Adheres to guidelines to satisfy 3rd party payer requirements
  Educates team in appropriate documentation to reflect Intensity of service (IS) / Severity of Illness (SI) and plan of care
  Proactively addresses level of care issues to ensure appropriate care settings and timely patient flow; elevates issues appropriately
  Enters all review activity in Canopy concurrently
  Accounts for all patient days accurately in Canopy
  Enters review indicating “pending” status of case if outcome not determined and accounts for all cases assigned on a daily basis
  Collects and submits data as indicated
  Completes readmission screen as indicated
• Quality Improvement and Risk Management:
  Collects and submits data as indicated
  Communicates with service line / clinical effectiveness team members
  Identifies and appropriately communicates risk management issues
  Works with department leadership to develop and implement solutions to issues identified by the Case Management and Social Work Department
• New Technology / Computer Systems:
  Keeps current with new systems (MedView, On Base, SafetyNet, Sunrise, etc.)
  Incorporates technology into daily assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet)

Credentials:

• Active RN PA license in good standing required

Education or Equivalent Experience:

• Bachelor's Degree in Nursing required
• 2+ years Clinical Experience preferred

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, or any other status protected by applicable law.