RN Care Manager (Discharge Planner) Full Time, Days

Holland Hospital; United States; On-site; USD 72,000 - 107,000; Full time

Job summary

Holland Hospital is seeking an RN Care Manager to oversee the continuum of care from admission to discharge. You will proactively intervene and collaborate with nurses, physicians, and ancillary staff to ensure appropriate resource use and positive outcomes.

Work with the UR team to confirm patients receive the most suitable level of care, documenting reviews in the EMR. This role requires the knowledge and skills to provide age-appropriate care for patients served.

Qualifications

• Associate's RN degree required.
• Two years RN clinical experience required.
• Michigan RN license current.
• BLS for Healthcare Provider required within 60 days of hire.
• 5 years of case management experience preferred.
• Experience with third-party reimbursement preferred.

Responsibilities

• Assess and screen patients before and after admission with a collaborative team.
• Develop individualized discharge plans with input from patient and family.
• Facilitate communication among care teams and community resources.
• Advocate for patient options, funding, and appropriate treatment decisions.

Skills

Case management

Communication

Collaboration

Advocacy

Critical thinking

Education

Associate RN degree

Bachelor's/Master's in Nursing preferred

Tools

EMR

BLS

Job description

Job Summary

Serves as a patient advocate/liaison, overseeing the continuum of care for the patient from hospital admission to discharge. The RN care manager will take a proactive role by early intervention and collaborative practice with staff nurses , physicians, ancillary services, payer sources, and outside agencies assuring appropriate use of resources while focusing on positive outcomes. Works with the UR team to assure patient is being treated in the most appropriate level of care; documents these reviews in the EMR. This position must be able to demonstrate the knowledge and skills necessary to provide care and service appropriate to the age of the patients served in their area.

Pay & Working Hours

• Pay Range: $34.43 to $51.64 per hour
• Employment Type: Full Time, 72 hours every 2 weeks.
• Schedule: Day shift, 8am to 4:30pm, every 4th weekend (Saturday and Sunday)

Requirements

• Associate's RN Degree in Nursing required
• Bachelor's or Master's Degree in Nursing preferred
• Two years clinical experience (as RN) required
• Current Michigan RN License required
• Current BLS for the Healthcare Provider completed by 60 days after hire required
• Preferred Experience: 5 years of Case Management experience in a health care setting preferred.
• Experience with 3rd party reimbursement preferred.

Standards of Care

Adheres to the Nursing Process to promote safe, quality, cost-effective care by maintaining the standards of practice for Case Management by adhering to the policies and procedures of Holland Hospital and the Care Management Department. Achieves all initial and ongoing competencies and department specific educational requirements.

Assessment

Assesses/screens patients prior to and after admission utilizing a collaborative effort to determine actual and potential health care needs related to the physical, psychological, social, spiritual, financial, behavioral, cultural and educational requirements. Demonstrates ability to analyze collected data to determine the clients appropriate criteria status in addition to identifying those patients who would require further discharge planning interventions. Effectively and accurately documents and communicates assessment data.

Planning

In a timely manner develops an individualized discharge plan of care based on identified risk factors, by collaborating with other members of the health care team along with the patient and family as appropriate. Demonstrates ability to reassess the discharge plan to accommodate changes in the patient’s medical condition. Effectively and accurately documents the above.

Facilitation

The Care Manager will actively facilitate communication by collaborating with the patient's Primary Care Provider, UR team, other members of the health care team, along with any community resources to ensure informed decision making, while streamlining the patient care delivery process to avoid duplication or fragmentation. Demonstrates critical thinking skills to initiate available educational opportunities to decrease high risk behaviors. Effectively and accurately documents the above.

Advocacy

The Care Manager acts as a patient advocate by supporting the patient/family to encourage self-determination, (realizing that the patients informed decision may not be in their best interest as determined by other health team members). Other Patient Advocate activities would include, early Case Management, MSW, Community Placement Liaison and Hospice, etc. referrals, securing of necessary funding, advocating for appropriate treatment options and alternatives and appealing denials/readmissions on the patient's behalf. Effectively and accurately documents the above.

Equal Opportunity Information

#IND123 Holland Hospital is an Equal Opportunity Employer, please see our EEO policy

Why Holland Hospital?

In a word—caring. Here, we not only strive to provide the best possible care to our patients, but also nurture the continued health and wellness of our most valuable asset: our employees. We believe superior service is only possible with a superior workforce. Our collaborative, can-do culture makes all things possible. And, our family-like feel makes Holland Hospital not only a great place to work, but a career that feels like home.