Case Manager Registered Nurse (RN), Per Diem, Days, Case Management Department

Day Kimball Healthcare • Putnam, CT

15h

About The Position

As an RN Case Manager, you will be a vital member of a collaborative, interdisciplinary team responsible for identifying and addressing case management needs in partnership with patients, significant others, payors, and the healthcare team. The RN Case Manager assesses patient needs, develops and implements care plans, and evaluates post-discharge requirements to support patients across the continuum of care. This role is responsible for managing resources to ensure the delivery of high-quality, cost-effective care in the most appropriate setting. Responsibilities include negotiating, coordinating, monitoring, and procuring services and resources throughout an episode of care. The RN Case Manager assists with transfers to acute care and rehabilitation facilities, coordinates outpatient services, and conducts utilization reviews to ensure appropriate documentation and level-of-care criteria are met. Overall care planning focuses on optimizing outcomes and maximizing the patient’s quality of life.

Requirements

• Graduate of an accredited school of nursing required (BSN preferred).
• Current CT State license required.
• Minimum of three years nursing experience in either a hospital or homecare setting required.
• Current AHA Healthcare Provider CPR certification or equivalent within 3 months of hire required.
• Clinically oriented professional utilizes the nursing process and applies the principles of case management well.
• Demonstrates ability to function under stress.
• Identify problems and make decisions based on your experience and judgment, as well as on established facts, such as budget locations and legal requirements/ insurance guidelines.
• Capable of coordinating multiple tasks simultaneously and able to change activities frequently.
• Remain flexible in work schedule in order to provide the most effective and efficient support for the department and hospital mission.
• Understand legal and ethical issues pertaining to confidentiality and understands restrictions on the release of confidential information.

Nice To Haves

• CCM preferred.
• Membership and participation in professional organizations preferred.

Responsibilities

• Assesses patients’ continuum-of-care needs by conducting comprehensive chart reviews to identify medical and social factors, and by interviewing patients and significant others to determine home care needs and existing services.
• Plans continuum of care to meet identified needs in collaboration with the healthcare team, with comprehensive knowledge of community resources and services.
• Implements care plans and coordinates resources to achieve identified goals, including referring patients to appropriate providers, serving as a liaison between patients, the healthcare team, and external partners, and assisting patients in navigating the healthcare system.
• Monitors and evaluates the effectiveness of the continuum of care plan by collecting data for outcome measurements such as readmission rates.
• Performs utilization management functions such as reviewing all admissions and continued stay of all patients to assure medical appropriateness of level of care and length of stay.

Benefits

• Sick Time Accrual
• Pay-for-Performance Opportunities
• Shift Differentials – Additional pay for evening, night, or weekend shifts (where applicable)
• 401(k) Retirement Plan – With eligible employer contribution
• Pet Insurance

What This Job Offers

• Career Level: Mid Level