Case Management Supv Observation Patient Coordinator
About The Position
Reports to the Director of Case Management or designee. Provides coordinated care support to facilitate and expedite discharges of observation patients. Participates in daily observation rounds and collaborates with the clinical healthcare team across the patient care continuum. As a member of the team, shares responsibility for implementing discharge plans and ensuring efficient, effective delivery of patient care services through appropriate use of healthcare resources. The role provides clinical supervision and work direction to case management staff as needed, supports timely and coordinated discharge planning, and participates in system-wide coverage for clinical and scheduling issues. It also contributes to quality improvement, staff orientation, and ongoing professional education. The position is based at The Miriam Hospital in Providence, Rhode Island, in a general hospital environment, with a day shift schedule of 7:30 AM to 4:00 PM and eight hours daily.
Requirements
- Current Registered Nurse licensure in Rhode Island or licensure under the Nurse Licensure Compact.
- Graduate of a School of Nursing.
- Bachelor’s degree required.
- BLS certification required.
- Analytical skills to evaluate patients, programs, and procedures.
- Administrative and supervisory skills to address case management staff functions.
- Ability to exercise independent judgment and refer complex problems to the Manager or Director of Case Management or designee when policy clarification is needed.
- Interpersonal skills to establish effective working relationships and supervise and coordinate care management activities.
- Strong analytical and interpersonal skills to guide and communicate with healthcare professionals, patients, and families.
- Ability to collaborate and communicate effectively with a diverse range of healthcare providers, insurers, patients, and families.
- Knowledge and skills to provide care across the lifespan, considering aging processes, developmental stages, and cultural patterns.
- Proficiency in Microsoft Office software, including email and Outlook calendar, and basic keyboarding skills.
- Reliable transportation.
- Ability to make hospital rounds by walking or another mobile means.
- Visual acuity and finger dexterity to review and carry medical records, navigate automated systems, and type on a computer keyboard.
- Ability to lift up to 10 pounds as needed.
Nice To Haves
- Nationally recognized Case Management certification, preferred or to be obtained within one year of hire.
- Three years of clinical experience, with recent experience in case management, community case management, patient navigation, or discharge planning strongly preferred.
Responsibilities
- Partner with medical staff, case managers, utilization managers, and other healthcare team members, along with patients and families, to facilitate care plans for observation patients.
- Identify high-risk observation patients and assist case management with timely discharge planning.
- Collaborate with utilization management to support communication between case management and utilization management teams.
- Participate in daily observation rounds to evaluate and facilitate development and implementation of discharge plans.
- Provide clinical supervision and work direction to case management staff as needed.
- Participate in system-wide 24/7 coverage for clinical and/or scheduling issues.
- Keep the team informed about insurance qualifiers that may affect discharge plans and discuss patients’ approaching discharge readiness.
- Identify and assess readmitted and complex patients with the healthcare team to coordinate discharge.
- Advocate for patients and advise them about financial implications of discharge plans.
- Communicate discharge plans, including post-facility agency acceptance, to patients, families, and care team members.
- Provide care plan direction to support managed care strategies and reduce readmission risk.
- Apply knowledge of federal and state rules and regulations.
- Identify opportunities to improve patient flow, resolve and follow up on service delays, and track service and discharge delays.
- Participate in department, affiliate, and system improvement activities, such as long length-of-stay reviews, interdisciplinary rounds, readmission reviews, and length-of-stay initiatives.
- Participate in orientation of new staff as requested.
- Participate in ongoing educational and professional activities to maintain advanced knowledge of patient care services, third-party payer and managed care requirements, and case management.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
