RN-Case Manager-Care Coordination

Yale New Haven Health; Bridgeport (CT); On-site; USD 65,000 - 95,000; Full time

Job summary

An established industry player is seeking a dedicated Case Manager to join their interdisciplinary healthcare team. This role is pivotal in ensuring high-value patient care, coordinating treatment plans, and advocating for patients' needs. As a Case Manager, you will utilize your advanced communication and critical thinking skills to enhance patient outcomes and streamline hospital operations. Join a supportive environment where your contributions will make a significant impact on patient care and community health. If you are passionate about making a difference in healthcare, this opportunity is perfect for you.

Benefits

Flexible scheduling

Health insurance

Retirement plan

Paid time off

Continuing education support

Qualifications

• Minimum of three years of relevant clinical experience.
• Active RN Licensure in Connecticut is required.

Responsibilities

• Coordinates and ensures the implementation of the plan of care.
• Optimizes the efficiency of hospital systems impacting quality.
• Links patients with appropriate resources and advocates for them.

Skills

Advanced communication skills

Critical thinking skills

Leadership skills

Nursing process knowledge

Case management experience

Education

Baccalaureate degree in clinically related field

Active RN Licensure in Connecticut

Tools

Epic

Computer software applications

Job description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We strive to achieve benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients.

The Case Manager is responsible and accountable for ensuring high-value patient care that is coordinated, efficient, and aligned with institutional clinical and financial objectives. In collaboration with the healthcare team, the Case Manager utilizes evidence-based practice to ensure that specific patient outcomes are reliably achieved and that resources are appropriately used within designated fiscal time frames. With our members of the health care team, the Case Manager participates in the ongoing evaluation of practice patterns and supports efforts to improve patient care and enhance the efficiency of operations. The Case Manager interacts with others in the identification of trends and barriers to all aspects of care. Through this interaction, the Case Manager identifies and works toward a resolution as a part of the multidisciplinary team.

EEO/AA/Disability/Veteran
Responsibilities

• 1.As part of the interdisciplinary health care team, coordinates and ensures the implementation of the plan of care, utilizing the principles of case management.
• 1.1Establishes a system for coordinating the care of a patient throughout the continuum of care, linking the inpatient care with outpatient care, services, and case management.
• 2.Optimizes the efficiency of hospital systems which impact quality and/or length of stay
• 2.1Identifies and monitors compliance with documenting variances from established parameters in the clinical pathway or treatment plan.
• 3.Utilizes information obtained from various resources available to:
• 3.1Ensure that each patient meets the clinical needs for admission, treatment, and discharge and initiates appropriate follow through with the health care team.
• 4.Assist clinicians in documenting the appropriateness of admissions and continued stays
• 4.1Responsible for Medicare notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials.
• 5.Ensures that an appropriate discharge plan is developed and implemented with the health care teams members to include:
• 5.1Identifying service, treatment, and funding options;
• 6.Ensures that the discharge plan provides a continuum of care with the appropriate outpatient physician and needed services.
• 7.Ensure that the appropriate outside agencies are contacted and necessary referrals are initiated and followed through.
• 7.1Links patient and family with the appropriate institutional or community resources, advocating on their behalf for scarce resources, and developing new resources where gaps exist in the service continuum.
• 8.Works collaboratively with PSM and unit leadership team to actively involve clinical nurses in the assessment and planning for patient's discharge to facility.
• 9.Along with other members of the health care team, acts as a patient advocate.
• 9.1Exhibits awareness of ethical/legal issues concerning patient care and strives to manage situations to reduce risk.

Qualifications



EDUCATION




Minimum of a Baccalaureate degree in clinically related field. R.N. required




EXPERIENCE




Minimum of three (3) years of relevant clinical experience




LICENSURE




Active RN Licensure in Connecticut




SPECIAL SKILLS




Recent appropriate nursing experience, theoretical knowledge of the nursing process, case management and continuity of care. Advanced communication and interpersonal skills with all levels of internal and external customers. Ability to obtain and interpret information appropriate to patient needs and age. Advanced assessment and teaching skills. Leadership skills in planning and managing patient care as acquired through greater than 3 years of clinical nursing experience in an acute care hospital. Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics.




PHYSICAL DEMAND




50% sedentary; sitting, standing, walking from unit to unit, carrying records, speaking before groups. Must be able to speak and hear in a manner understood by most people. Must be able to communicate effectively by telephone.



Additional Information



Hours: Four 10 hour days/week. Sunday-Wednesday or Wednesday-Saturday with some flexibility.

BSN required, minimum of 3 years of Med Surg RN or Emergency RN experience required. Case Management experience preferred. Epic knowledge a plus!

Excellent communication skills and ability to work well within a team. Critical thinking skills essential as well as the ability to delegate and prioritize workflow.


YNHHS Requisition ID

142044

EDUCATION




Minimum of a Baccalaureate degree in clinically related field. R.N. required




EXPERIENCE




Minimum of three (3) years of relevant clinical experience




LICENSURE




Active RN Licensure in Connecticut




SPECIAL SKILLS




Recent appropriate nursing experience, theoretical knowledge of the nursing process, case management and continuity of care. Advanced communication and interpersonal skills with all levels of internal and external customers. Ability to obtain and interpret information appropriate to patient needs and age. Advanced assessment and teaching skills. Leadership skills in planning and managing patient care as acquired through greater than 3 years of clinical nursing experience in an acute care hospital. Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics.




PHYSICAL DEMAND




50% sedentary; sitting, standing, walking from unit to unit, carrying records, speaking before groups. Must be able to speak and hear in a manner understood by most people. Must be able to communicate effectively by telephone.



• 1.As part of the interdisciplinary health care team, coordinates and ensures the implementation of the plan of care, utilizing the principles of case management.
• 1.1Establishes a system for coordinating the care of a patient throughout the continuum of care, linking the inpatient care with outpatient care, services, and case management.
• 2.Optimizes the efficiency of hospital systems which impact quality and/or length of stay
• 2.1Identifies and monitors compliance with documenting variances from established parameters in the clinical pathway or treatment plan.
• 3.Utilizes information obtained from various resources available to:
• 3.1Ensure that each patient meets the clinical needs for admission, treatment, and discharge and initiates appropriate follow through with the health care team.
• 4.Assist clinicians in documenting the appropriateness of admissions and continued stays
• 4.1Responsible for Medicare notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials.
• 5.Ensures that an appropriate discharge plan is developed and implemented with the health care teams members to include:
• 5.1Identifying service, treatment, and funding options;
• 6.Ensures that the discharge plan provides a continuum of care with the appropriate outpatient physician and needed services.
• 7.Ensure that the appropriate outside agencies are contacted and necessary referrals are initiated and followed through.
• 7.1Links patient and family with the appropriate institutional or community resources, advocating on their behalf for scarce resources, and developing new resources where gaps exist in the service continuum.
• 8.Works collaboratively with PSM and unit leadership team to actively involve clinical nurses in the assessment and planning for patient's discharge to facility.
• 9.Along with other members of the health care team, acts as a patient advocate.
• 9.1Exhibits awareness of ethical/legal issues concerning patient care and strives to manage situations to reduce risk.