RN Case Manager

RIH Rhode Island Hospital; Rhode Island; On-site; USD 90,000 - 147,000; Full time

Job summary

Brown University Health is seeking a Registered Nurse in Rhode Island Hospital to coordinate care and expedite patient services. The role spans from admission through discharge, with involvement in rounds and collaboration across the care team to optimize resource use.

Minimum qualifications include RI RN licensure, a bachelor’s degree, and a preference for Case Management certification and BLS. The work supports Brown’s values and requires strong analytical and interpersonal skills in a

Qualifications

• Licensed RN in Rhode Island with Board of Nursing eligibility or active license.
• Bachelor's degree in a relevant field required; Case Management certification preferred.
• Three years clinical experience with case management or discharge planning preferred.
• AHA BLS provider certification is required.

Responsibilities

• Collaborate with medical staff to facilitate the plan of care across the continuum.
• Identify high-risk patients and initiate care management interventions within one business day.
• Develop and reassess discharge plans; coordinate post hospital referrals.
• Communicate discharge plans to patients and care teams, ensuring safe handoffs.
• Participate in rounds and quality improvement activities and orient new staff.

Skills

Case management

Interpersonal communication

Analytical skills

Collaboration

Education

RN licensure Rhode Island

Bachelor's degree

Tools

Microsoft Office

Outlook calendar

Job description

SUMMARY

Reports to the Manager or Director of Case Management. Provides coordinated care support to facilitate and expedite patient care services. Participates in daily rounds and collaborates with the clinical healthcare team across the patient care continuum to include preadmission and post hospital discharge. As a member of that team, shares responsibility for the implementation of the discharge plan; ensures efficient and effective delivery of patient care services through the appropriate utilization of healthcare resources. Full time, part time per diem and job share schedules available. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate

RESPONSIBILITIES

• Partners with medical staff and other members of the healthcare team in collaboration with the patient/family to facilitate the plan of care for a defined patient population across the continuum of care.
• Identifies a high-risk patient population within the caseload for care management assessment screening and targets interventions in conjunction with the healthcare team within one business day of patient admission
• Participates in daily care rounds to collaborate with members of the patient's healthcare team as well as to evaluate and facilitate development and implementation of the discharge planning process.
• Develops the initial patient discharge plan and reviews with patient, family members and other members of the interdisciplinary team.
• Reassesses the discharge plan daily during collaborative care rounds.
• Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge.
• Delivers Important Message follow-up notices to all Medicare patients according to CMS regulations.
• Follows CMS and DOH regulations in relationship to discharge guidelines and patient rights.
• Coordinates the length of stay with the physician care team and patient.
• Ensures team is informed of insurance qualifiers that may affect the discharge plan.
• Discuss approaching discharge readiness of patients.
• Identify and assess readmitted patients and complex patients in collaboration with members of the healthcare team to coordinate discharge.
• Advocates for the patient and advises the patient regarding financial implications of their discharge plan when coordinating care for the patient.
• Communicates the discharge plan, including post facilitygency acceptance, to patients, families and all members of the care team.
• Documents final discharge disposition in progress notes.
• Develops appropriate patient care reports to ensure safe patient handovers occur as a patient is transferred from one patient care area to the next.
• Provides care plan direction for the advancement of a patient care delivery system which supports managed care strategies and decreases readmission risk.
• Acts as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow-up.
• Demonstrates a fundamental grounding in nursing theory and practice with a clinical background within a defined content area.
• Remains current on the latest concepts techniques and methods relative to his/her service.
• Demonstrates knowledge of federal and state rules and regulations.
• Reviews and acts as a change agent by identifying opportunities to improve patient flow and identifies and reduces service delays through problem resolution and follow-up.
• Identifies and tracks service and discharge patient delays.
• Participates in departmental and/or interdepartmental quality improvement activities as requested: i.e. OpX teams weekly long LOS reviews interdisciplinary rounds readmission reviews.
• Participates in Orienting of New staff as requested.
• Participates in ongoing education-related professional activities and affiliations to maintain an advanced level of knowledge of patient care services third party payer and managed care requirements and case management.

MINIMUM QUALIFICATIONS

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE

Graduate of a School of Nursing with current license to practice as a Registered Nurse in the State of Rhode Island. Bachelor 's Degree Required Certification in Case Management by a nationally recognized organization preferred. AHA BLS Provider Required.

EXPERIENCE

Three years of clinical experience with recent experience in case management, community case management, patient navigation, or discharge planning is strongly preferred. Strong analytical and interpersonal skills are required to provide guidance to and communicate daily with healthcare professionals, patients and families. Must exhibit a collaborative approach and method of communication to interact successfully on as daily basis with a wide and diverse population of both health care providers insurers patients and their families. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes human development stages and cultural patterns in each step of the care process. Must be proficient in the use of Microsoft Office software including email and Outlook calendar and have basic keyboarding skills.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

• General hospital environment with occasional stressful conditions associated with patient care.
• Risk of exposure to blood borne pathogens and disease is minimized and controlled by adherence to Hospital Infection Control policy and procedures.
• Must be able to make hospital rounds through various patient care areas either by walking or through some other mobile means.
• Visual acuity and finger dexterity is needed to review and carry medical records navigate through automated system screens and type on a typical computer terminal keyboard.
• Lifting of up to 10 lbs. may be necessary to transport items from one care unit to the next.

INDEPENDENT ACTION

Responds to individual patient-care situations demonstrating knowledge and skills acquired through education certification and work experience.

SUPERVISORY RESPONSIBILITY

None.

PAY RANGE

Pay Range: $90,417.60-$146,640.00

EQUAL OPPORTUNITY

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

LOCATION

Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type: 8-4:30, rotating weekends and holidays Work Shift: Day Driving Required: No Union: United Nurses And Allied Professional As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England.

ABOUT BROWN UNIVERSITY HEALTH

Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island.

DEFINING DIVERSITY AND INCLUSION

Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself.

COMPANY LOCATION BELONGING AND ENGAGEMENT NURSING OUR MISSION