RN Case Manager Liaison Nurse - Inpatient Discharge Planning 0.6 FTE (Onsite Prov Everett) Eve[...]

Health eCareers; Everett (WA); On-site; USD 65,000 - 95,000; Full time

Job summary

An established industry player is seeking a dedicated RN Case Manager Liaison Nurse to join their team in a dynamic role focused on inpatient discharge planning. This position offers a unique opportunity to work across multiple settings, ensuring that patients receive the highest quality of care while managing their health outcomes effectively. With a focus on collaboration with primary care teams and specialty providers, you will play a crucial role in developing patient-centered care plans, advocating for patients, and coordinating necessary services. Join a forward-thinking organization that values your expertise and offers a competitive sign-on bonus, along with a comprehensive benefits package. If you're passionate about making a difference in patient care and thrive in a collaborative environment, this is the perfect opportunity for you.

Benefits

Sign-on Bonus

Health Insurance

Retirement Plan

Paid Time Off

Continuing Education Support

Qualifications

• 3+ years of RN experience in medical/surgical settings.
• Registered Nurse License required in Washington.

Responsibilities

• Plan and coordinate discharge and follow-up care for patients.
• Collaborate with care teams to ensure optimal patient outcomes.

Skills

Patient Care Management

Clinical Judgment

Care Coordination

Chronic Disease Management

Communication Skills

Education

Bachelor's Degree in Nursing

Tools

Electronic Health Records (EHR)

Job description

RN CASE MANAGER LIAISON NURSE - INPATIENT DISCHARGE PLANNING - ONSITE: PROVIDENCE - EVERETT

** SIGN-ON BONUS OF $5,000 APPLIES TO ELIGIBLE EXTERNAL HIRES! **

VARIABLE MON-FRI - 8AM-4:30PM - EVERY OTHER WEEKEND ROTATION - ROTATING HOLIDAYS

BENEFITS ELIGIBLE POSITION!

Job Summary:

The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the Kaiser Foundation Health Plan of Washington medical centers. Some weekends and holidays are required, and scheduled days of the week are variable. Primary responsibility is to focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care resources. Working closely with primary care teams, specialty care teams and medical providers, the Liaison Nurse will establish a collaborative plan of care to assure adherence to the medical plan, improvement in functional status, and improved ability to self-manage. Serves as the liaison across the internal KFHPW care continuum and between KFHPW and all externally contracted providers, facilities, and resources and provides feedback to the organization regarding the service and quality of contracted services. The Liaison Nurse collects data and provides input to leadership regarding issues or concerns related to utilization, cost, quality, service and care delivery to patients.

Essential Responsibilities:

• Ensures patients referred to case management meet established case management criteria.


• Assess all patients referred for case management to determine physical, mental, financial, psychosocial status, utilizing comprehensive, standardized criteria to identify existing and potential needs.


• Develop patient centered case management plan based on assessments and including patient goals, objectives, and outcomes with specific time frames (long/short term).


• Evaluate ability and availability of designated caregiver(s) to provide patient support.


• Coordinate and implement interventions using evidence-based guidelines.


• Recommend additional services to PCP as determined in the case management plan.


• Conduct ongoing assessment of progress against original goals.


• Continuously update needed services.


• Maintain ongoing communication with patient/family and care team.


• Acts as an advocate for patient care needs.


• Documents all responses of patient to case management interventions.


• Collaborates with other health care professionals regarding the plan of care, variances in plan implementation, achieved outcomes or expected outcomes.


• Monitor and evaluate short- and long-term patient responses to therapeutic interventions and analyze patterns of variance from clinical information and outcomes.


• Recommend alternative settings for care based on health care needs and appropriate utilization of health care resources.


• Document interventions and interactions with patients or caregivers according to KFHPW and Care Management policy and procedure.


• Participate in the measurement of the effectiveness of the case management program.


• Directs and guides the plan of care to result in a seamless continuum of care.


• Facilitates as needed, referrals for home health care, long term care, hospice, and other care facilities or services.


• Participation in care conferences to provide problem solving for patients with complex care needs (limited basis).


• Collects needed data needed to evaluate the effects of care coordination on quality outcomes, fiscal parameters, patient satisfaction and systems improvement.


• Understands and utilizes health plan requirements and patient benefits in making care management decisions.


• Assists patient to understand and comply with their medical treatment plan.


• Supports patient education and activation through referral to specific chronic illness classes, group visits or community resources.

Basic Qualifications:

Experience

• Minimum three (3) years of recent RN medical/surgical/ambulatory clinical experience required.

Education

• Bachelors degree or bachelors of science.

License, Certification, Registration

• Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire

• Case Manager Certificate within 24 months of hire

• Basic Life Support required at hire

Additional Requirements:

• Effective, independent nursing judgment and skills, and use of evidence based clinical decision making criteria.


• Knowledge in management of chronic disease process, nursing process and collaborative care planning.


• Demonstrated skill and experience in effectively collaborating with care team members.

Preferred Qualifications:

• Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management.


• Bachelors of science in nursing.