Supports timely discharges
Within the emergency room setting to assess and address patient and family needs related to effective and efficient movement through the hospital system and beyond.
- Perform initial screening on identified patients as available to the case manager. Begin discharge planning process on patients.
- Ensure that the patient transitions through their stay without barriers or delays in care delivery and discharges to appropriate level of care.
- Work closely with interdisciplinary team to proactively identify discharge needs.
- Coordinate discharges to the next level of care, working to facilitate safe transitions with the goal of preventing avoidable readmissions.
Expert Caring
- Per department documentation standards:
- Completes initial screening, and comprehensive assessment as indicated
- Identifies discharge goals with patient/family early in hospital stay
- Provides and documents patient choice
- Initiates and follows up on referrals to outside agencies for appropriate transition of care
- Identifies and documents delays (when patient is ready, but not discharging)
- Completes documentation on all patients being followed by Case Management at discharge
- Appropriately identifies need for UAI and Level II assessments and communicates need in a timely manner
- Actively participates in patient identification and problem-solving for clinical high risk or complex patients, and escalates cases to leadership
- Coordinates with payors, as needed, to arrange care at transition
- Proactively identifies patient needs
- Identifies resources, both internal and external to support patient transition
- Acts as a resource for patient/family, interdisciplinary team and Case Management colleagues
- Demonstrates ability to adapt to changing patient needs
Empowered Leaders
- Shares knowledge within team and with colleagues
- Actively participates in department operations
- Attend meetings
- Review minutes and provide feedback
- Help with pre-work or follow-up work
Lifelong Learning
- Participates in continuing education offerings
- Staff meetings
- Conferences
- Maintains knowledge in specialty clinical area
- Seeks experiences and/or mentorship to develop skills and advance knowledge, abilities in practice or role performance
Quality Achievement
- Adheres to departmental documentation guidelines
- Incorporates evidence-based standard work into practice
- Understands organizational priorities, department outcome metrics
- Articulates and supports department and organizational improvement initiatives and coaches others in understanding of data
- Demonstrates and/or verbalizes a sense of responsibility for patient outcomes
- Actively engages in readmission prevention efforts
- Supports timely discharges
Innovation
- Demonstrates competent use of multiple electronic platforms and serves as a resource for others
- Demonstrates openness to change by actively seeking knowledge and information needed to adopt change
- Offers suggestions for improved outcomes
Relationship Based Care: Self
- Practices stress management by identifying own risk factors and utilizing coping mechanisms
- Identifies strategies to prioritize daily work activities
Relationship Based Care: Colleagues
- Educates interdisciplinary team on case management role
- Demonstrates respectful verbal and non-verbal communication with all member of the team and addresses colleague behavior which does not support a respectful environment
- Participates in inter-professional collaboration and communicates the plan of care to team members
- Seeks and offers help to teammates
Relationship Based Care: Patient/Family
- Provides culturally sensitive care using resources to meet needs of the patient
- Includes patient and family in planning of care
- Maintains professional boundaries
- Exhibits non-judgmental and empathetic behavior
- Keeps patient/family informed of progression/transition of care
- Provides education regarding transition needs and option base on learning needs
- Maintains open communication with patient, family and interdisciplinary team
- Advocates for patient and family
Minimum Requirements
- Education: Graduate of accredited nursing program. Bachelor’s of Science in Nursing degree required within 5 years of hire or transfer into Case Management role.
- Experience: 2 years of relevant experience required
- Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required.
PHYSICAL DEMANDS
Job requires standing for prolonged periods, frequently walking, bending/stooping. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20-50 lbs. May be exposed to chemicals, blood/body fluids, and infectious disease.
Benefits
- Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
- Paid Time Off, Long-term and Short-term Disability, Retirement Savings
- Health Saving Plans, and Flexible Spending Accounts
- Certification and education support
- Generous Paid Time Off
The starting base rate for this role is $39.10 hourly. Individual compensation will be determined by the selected candidate’s qualifications, previous work experience, and/or education.
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities.