RN Clinical Case Manager

Uconn Health Center; Farmington (CT); On-site; USD 85,000 - 105,000; Full time

Job summary

UConn Health is seeking a highly skilled RN Clinical Case Manager with experience in acute healthcare. This position is located at John Dempsey Hospital and offers a full-time schedule of 40 hours per week, Monday–Friday, 3:00 p.m.

to 11:30 p.m., with rotating weekends and holidays. Minimum qualifications include a Master’s degree in Nursing and RN licensure; a BSN with three years inpatient hospital experience is acceptable as substitution.

Qualifications

• Master's degree in Nursing is required.
• BSN with three years of inpatient hospital experience may substitute for the Master's.
• Current RN licensure is required.

Responsibilities

• Assess patient and family clinical status, needs related to diagnosis, treatment, and discharge planning.
• Facilitate post-acute care referrals (homecare, DME, LTACH, Hospice, SNFs).
• Coordinate hospital transitions and transfers related to bed management and admissions.
• Interpret data and recommend improvements based on utilization trends.
• Document case management interventions and compare with medical-necessity criteria.
• Maintain ongoing dialogue with patient/family to ensure needs are met.

Skills

Case management

Discharge planning

Interdisciplinary collaboration

Communication skills

Prioritization

Information gathering

Supervisory ability

Education

Master's degree in Nursing

BSN with 3 years inpatient hospital experience

Job description

Affirmative Action Employer

The University of Connecticut Health Center is an affirmative action employer, in addition to an EEO and M/F/V/PWD/PV employer.

All employees are subject to adherence to the State Code of Ethics which may be found at www.ethics.state.ct.us .

UConn Health is looking for a highly skilled RN Clinical Case Manager with experience in acute healthcare and a passion for patient experience. This highly desirable position is located at the John Dempsey Hospital.

SCHEDULE: Full tme fourty hours per week, Monday-Friday, 3:00 p.m. to 11:30 p.m rotating weekends and holidays. 30 minute unpaid meal break.

MINIMUM QUALIFICATIONS, KNOWLEDGE, SKILLS, ABILITIES:

• Knowledge of the principles and practices of case management.


• Knowledge of: various disease modalities and expected and adverse outcomes of therapeutic interventions.


• Knowledge of standards of practice for interdisciplinary delivery of patient care,


• Excellent interpersonal and oral and written communication skills.


• Problem solving skills and the ability to establish priorities and manage effectively;


• Ability to elicit relevant information and cooperation of patients and staff, and to adapt teaching methods to individual needs.


• Supervisory ability.

EXPERIENCE AND TRAINING

• GENERAL EXPERIENCE: Master's degree in Nursing


• SUBSTITUITION ALLOWED: Bachelor's degree in nursing with three years' experience in an inpatient hospital setting.

SPECIAL REQUIREMENTS:

Incumbents in this class must maintain licensure as a registered nurse

PREFERRED QUALIFICATIONS:

Minimum 2 years case management experience.

EXAMPLES OF DUTIES:

• Assess patient/family clinical status needs related to medical diagnosis, treatment plan, treatment providers, treatment options, financial resources and discharge planning needs.


• Facilitates and secures all post-acute care referrals for homecare, DME, LTACH, Hospice and skilled nursing facilities.


• Facilitates transitions within the hospital as well as direct admissions and transfers from other facilities as it relates to clinical bed management.


• Interprets critical data and makes recommendations to effect improvement in outcomes based on trends in inappropriate, inefficient or costly utilization.


• Intervenes to suggest creative options for inappropriate admissions; documents case manager intervention and comparison to established criteria for medical necessity.


• Establishes ongoing dialogue with patient/family to determine if patient's needs are being met.


• Monitors critical aspects of care affecting reimbursement.


• Provides point of contact for community physicians, staff, payers and patient regarding plan of care and questions related to discharge and resource utilization.


• Develops collaborative relationships with home care agencies or post-acute facilities to provide appropriate clinical documentation (e.g., PPS) and to support quality patient care.


• Performs other related duties as required.


• Performs a full range of tasks related to discharge planning and utilization review.


• Collects data and performs audits related to discharge planning and utilization review.

WHY UCONN HEALTH

UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow.