Registered Nurse Care Manager

McLaren Health Care; Port Huron (MI); On-site; USD 70,000 - 95,000; Full time

Job summary

McLaren Health Care is seeking a Case Management RN to coordinate and transition patients to appropriate levels of care. The role collaborates with physicians, nursing, and home care teams to reduce readmissions and control costs.

Responsibilities include initial assessments within 24 hours of admission, discharge planning, and coordinating referrals to social services and post-acute care as part of a multidisciplinary team.

Qualifications

• RN licensure is required across the state.
• Bachelor’s degree in nursing or actively pursuing degree to be obtained within five years of accepting position.
• Three years of acute hospital care experience are required.

Responsibilities

• Performs care coordination assessments for initial patient assessment within 24 hours of admission.
• Collaborates with social worker and disciplines to ensure safe, timely transition to next level of care.
• Assesses patient/family needs to reduce barriers and formulate discharge plans.
• Identifies unsigned level of care orders and communicates with utilization management.
• Reviews current DRG/LOS to assess discharge planning needs with providers.
• Assesses readmission risk and initiates interventions to support transition.
• Performs discharge planning coordination/referral to social services and other agencies per SOP.

Skills

Nursing patient care

Care coordination

Interdisciplinary collaboration

Education

Bachelor’s degree in nursing

Pursuing BSN within five years

Tools

Cerner

Job description

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.

Department: Case Management
Daily Work Times: 8:00am-4:00pm
Shift: Days
Scheduled Bi-Weekly Hours: PRN/Casual

Position Summary: Accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the continuum. Impacts key results such as achieving top decile performance in length of stay, cost efficient resource utilization, preventing readmissions and unnecessary emergency room visits. Works collaboratively with physicians, nursing, members of the multidisciplinary team (such as Home Care and PCP offices), as well as other resources internal and external to the organization.

Essential Functions and Responsibilities as Assigned:

• 1. Performs care coordination assessments for initial assessment of patients with 24 hrs. of admission. assessments for readmission and transition planning.
• 2. Works collaboratively with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient’s available resources.
• 3. Assesses patient/family needs to reduce barriers and formulate discharge plans (e.g., LOS barriers to D/C).
• 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.
• 5. Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies which family member is the point of contact.
• 6. Assesses risk of readmission for specified patient populations and initiates assigned interventions that will enhance the patient’s ability to successfully transition along the care continuum.
• 7. Performs discharge planning coordination/referral by making appropriate referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement, and other outside agencies per Standard Operating Procedure (SOP).

Qualifications:

Required

• State licensure as a Registered Nurse (RN)
• Bachelor’s degree in nursing from accredited educational institution, or actively pursuing degree and to be obtained within five years of accepting position.
• Three years of acute hospital care experience

Preferred

• Experience in utilization management/case management, critical care, or patient outcomes/quality management
• Certification in Case Management Certification (ACM or CCM)
• Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)

Additional Information

• Requisition ID: 26011456
• Daily Work Times: 8:00am-4:00pm
• On Call: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

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McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.