Registered Nurse Inpatient Care Manager-Mount Pleasant

Advocate Aurora Health; Mount Pleasant (WI); On-site; USD 45,000 - 75,000; Part time

Job summary

Join a forward-thinking healthcare organization as a Case Manager, where your expertise in nursing will play a crucial role in patient care and discharge planning. This part-time position involves conducting comprehensive assessments, collaborating with multidisciplinary teams, and ensuring smooth transitions for patients. You will utilize your strong communication and critical thinking skills to address various healthcare needs, while also maintaining relationships with community agencies. If you are passionate about making a difference in patient outcomes and thrive in a dynamic environment, this opportunity is perfect for you.

Benefits

Health Insurance

Flexible Scheduling

Professional Development

Paid Time Off

Qualifications

• Registered Nurse License and Bachelor's Degree in Nursing required.
• Minimum 2 years of clinical nursing experience needed.

Responsibilities

• Conduct assessments and develop care plans in collaboration with patients and families.
• Ensure continuity of care and compliance with regulatory standards.

Skills

Prioritization and Organization

Strong Communication

Critical Thinking

Electronic Health Records Navigation

MS Office Proficiency

Medicare Guidelines Knowledge

Utilization Management Principles

Education

Registered Nurse License

Bachelor’s Degree in Nursing

Tools

Electronic Health Records

MS Office

Job description

Job Description: Case Manager (Part-Time)

Department: 11200 AMC Mount Pleasant - Case Management

Status: Part time

Benefits Eligible: Yes

Hours Per Week: 24

Schedule Details/Additional Information: 0.6 FTE Rotating schedule including Saturdays. Normal business hours 0800-1630.

Major Responsibilities

1. Conduct comprehensive assessments, develop appropriate plans, and initiate interventions within specified timeframes. Collaborate effectively with patients, families, and the healthcare team to achieve patient and organizational goals related to care, discharge planning, and patient satisfaction. Utilize patient and family strengths in problem-solving and involve them in decision-making from admission through hospital stay.
2. Ensure continuity of care and discharge planning in compliance with regulatory standards by providing coordinated options and services based on assessed needs. Facilitate smooth transitions for patients, families, and staff during transfers.
3. Provide case management services across various healthcare levels, addressing issues like finances, housing, family discord, or illness adjustment. Manage family dynamics and crises professionally, using community resources and educating families about service access.
4. Initiate internal and external referrals to promote timely care progression and document all discharge planning and utilization review activities accurately and promptly, including performing reviews based on established criteria.
5. Communicate effectively with the healthcare team, partnering with social workers and support staff to establish and implement safe care plans. Participate actively in multidisciplinary teams to identify and resolve barriers to discharge, expedite care, and report on care coordination and utilization activities.
6. Collaborate with management, physicians, and other stakeholders to address issues related to physician practices and care plans. Refer cases to physician advisors as needed to ensure care progression and compliance.
7. Maintain current knowledge of healthcare regulations, reimbursement, and community resources. Complete utilization management activities, including providing updates to payers, collecting data, and managing delays, within regulatory timeframes.
8. Build and maintain relationships with community agencies, representing Advocate Aurora Health Care positively and working collaboratively to meet patient needs. Coordinate with related departments to achieve common goals.
9. Serve as an educator and resource for hospital staff regarding admission status, regulatory requirements, and care coordination.
10. Provide age-appropriate care, demonstrating understanding of growth and development principles, and assess patient data to meet individual needs, as per departmental policies.

Qualifications

• Registered Nurse License issued by the practicing state.
• Bachelor’s Degree in Nursing.
• Minimum 2 years of clinical nursing experience.

Knowledge, Skills, and Abilities

• Ability to prioritize and organize work effectively.
• Strong communication skills.
• Critical thinking and timely decision-making abilities.
• Proficiency in navigating Electronic Health Records and MS Office.
• Knowledge of Medicare A and B guidelines and Managed Care programs.
• Ability to apply utilization management principles.

Physical Requirements

• Ability to sit for up to 50% of the workday; stand and walk for extended periods.
• Lift up to 10 lbs. continuously, 20 lbs. frequently, and 50 lbs. occasionally.
• Manual dexterity for operating computers and calculators.
• Visual and auditory acuity for reviewing documents, medical records, and effective communication.
• Ability to operate necessary equipment safely.

This description provides a general overview of the role. Additional duties may be assigned as needed.