Registered Nurse Care Manager - Case Management (Onsite)

McLaren Health Care Corporation; Pontiac (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

McLaren Health Care is seeking an experienced RN Care Manager to coordinate patient care transitions and optimize length of stay across the continuum within an onsite Case Management team. You will collaborate with physicians, nurses, social workers, and external agencies to ensure safe, timely discharges and efficient resource utilization.

The role requires RN licensure, a Bachelor’s degree in nursing, and at least three years of acute hospital care experience, with preferred experience in

Qualifications

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

Responsibilities

• Performs care coordination assessments within 24 hours of admission.
• Collaborates with social worker and other disciplines for safe, timely transitions 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 nurse.
• Reviews DRG/LOS in Cerner to plan discharge needs and identify the point of contact.
• Assesses readmission risk and initiates interventions to improve transitions along the care continuum.
• Performs discharge planning coordination/referral to social services, outpatient case management, DME, post-acute placement per SOP.

Skills

RN licensure

Care coordination

Discharge planning

Acute hospital care

Utilization management

Education

Bachelor’s degree in nursing

Pursuing BSN within five years

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.

Registered Nurse Care Manager - Case Management (Onsite)

Department: Case Management
Daily Work Times: 8:00 am - 4:00 pm
Shift: Days
Scheduled Bi-Weekly Hours: 80

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:

• Performs care coordination assessments for initial assessment of patients with 24 hrs. of admission. assessments for readmission and transition planning.
• 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.
• Assesses patient/family needs to reduce barriers and formulate discharge plans (e.g., LOS barriers to D/C).
• Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.
• Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies which family member is the point of contact.
• 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.
• 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

• Schedule: Full-time
• Requisition ID: 26012173
• Daily Work Times: 8AM - 4PM
• 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.

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.