RN Case Manager

San Juan Regional Medical Center; United States; On-site; USD 75,000 - 100,000; Full time

Job summary

San Juan Regional Medical Center is seeking an experienced RN Case Manager to ensure timely delivery of care and execute discharge plans. The role requires advocacy for patients and coordination with the care team, payers, and community resources to optimize outcomes.

The ideal candidate will hold an active RN license in NM, possess strong communication skills, and have case management and discharge planning experience.

Qualifications

• Must hold a current RN license in the state of New Mexico.
• Excellent communication and coordination with patients, families, and care teams.
• Experience in case management and discharge planning is preferred.

Responsibilities

• Provide and document initial and ongoing transition of care assessments with patient and family.
• Lead multi-disciplinary rounds and collaborate with the healthcare team.
• Identify barriers to discharge and coordinate with social work to develop the plan.
• Educate patients/families on discharge plans, rights, and post-hospital care.
• Monitor utilization of services to support timely, cost-effective outcomes.
• Escalate complex cases and ensure CMS requirements are followed.
• Direct the Case Management Assistant in delegated tasks.
• Maintain SJRMC service standards in daily work.

Skills

Assertive communication skills

Diplomatic communication skills

Self-motivated and accountable

Team-Oriented Nursing experience

Education

Bachelor’s Degree (BSN)

Accredited Case Manager Certification (ACM)

Tools

Cerner

Case Management software

Job description

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. The role of RN Case Manager is to ensure the appropriate and timely delivery of care and the development and execution of the discharge plan to meet the patient’s anticipated discharge needs. Serves as an advocate for the patient and coordinates with the acute care team members, payers and community resources to leverage resources to meet patient’s needs. The RN Case Manager performs this role in a manner to create a sense of urgency as to meet the individuals’ health needs while promoting hospital throughput, quality, and cost-effective outcomes.

Required Behaviors

As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability, and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Required Qualifications

• Current RN license in the state of New Mexico
• Assertive and diplomatic communication skills
• Self-motivated and accountable
• Team-Oriented Nursing experience

Preferred Qualifications

• Acute care experience
• Bachelor’s Degree (BSN)
• Accredited Case Manager Certification (ACM)
• Cerner experience
• Case Management experience

Duties and Responsibilities

• Provide and document initial and daily ongoing transition of care assessments of the patients’ needs for services in collaboration with the patient, family, and healthcare team.
• Lead multi-disciplinary rounds on the unit.
• Know the patient through patient/ family interviews and daily chart review to capture current clinical condition to anticipate progression of care and discharge needs.
• Meet with the patient/family to educate regarding the discharge plan, ensure patient choice and identify barriers to discharge Provide patient/family education to facilitate an understanding of their hospital and post-hospital course, their status assignment and discharge appeal rights and provide advocacy for their care.
• Monitor and evaluate utilization of services to focus on the best treatment and approach for the patient promoting the timely progression of interventions, utilization of resources and expected outcomes within a length of stay consistent with external regulations and standards.
• Observation Management.
• Review cases two (2) times per day to convert patient to in-patient status vs. discharge within twenty-four (24) to thirty-six (36) hours.
• Maintain current knowledge of and follow CMS requirements.
• Responsible for identifying barriers to care progression and escalating cases appropriately.
• Document avoidable days when identified Collaborate with social worker to communicate needs and drive the development of the discharge plan.
• Provide direction to the Case Management Assistant to complete appropriately delegated tasks.
• Each employee is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship.
• Other duties as assigned.

Physical Demands and Environmental Work Conditions

• Prolonged standing/sitting/walking
• Fast-paced environment
• High level of activity with many interruptions
• Possible exposure to communicable disease
• Repetitive motions (i.e., keyboard usage)

Sensory requirements: The caregiver will need to be able to hear: Alarms on equipment/fire alarms/overhead announcements Patients/families verbal discussion Instructions/feedback from other healthcare providers The caregiver will need to be able to see: Focus on close-up and distant objects Have intact: peripheral vision and depth perception

Values Recap

As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

To learn more, visit us at http://www.sanjuanregional.com.