Registered Nurse Care Manager PRN

Mclaren-Health-Care; Lapeer (MI); On-site; USD 70,000 - 90,000; Full time

Job summary

McLaren Health Care seeks a Care Coordination RN to ensure proactive patient transitions to appropriate levels of care across the continuum. You will partner with physicians, nursing and care teams to improve discharge planning while targeting LOS and readmission reductions.

The role emphasizes collaboration with social workers and utilization management to optimize transitions and resource use. A valid RN license and a bachelor’s degree in nursing are required.

Qualifications

• State licensure as a Registered Nurse (RN).
• Bachelor’s degree in nursing from an accredited institution; or actively pursuing and to be obtained within five years of accepting position.
• Three years of acute hospital care experience.
• American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association Case Management Association; maintenance of continuing education requirements.

Responsibilities

• Performs care coordination assessments within 24 hours of admission; conducts readmission and transition planning.
• Collaborates with social workers 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; communicates with utilization management nurse and providers for orders.
• Reviews DRG/LOS to assess discharge planning needs and identifies the primary contact.

Skills

RN licensure

ACM/ CCM certification

BLS certification

Utilization management

Case management

Education

Bachelor’s degree in nursing

Job description

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, 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 centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

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.

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

American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association Case Management Association, and maintenance of continuing education requirements

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: 26004200
• Daily Work Times: Days
• On Call: No

Equal Opportunity Employer

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.