Case Manager RN

MyMichigan Health • Alma, MI

72d

About The Position

The Case Manager performs a variety of integrated functions while applying broad professional nursing knowledge. Analyzes and evaluates medical information for quality and appropriateness of care; screens records with variations for peer review; responsible for appropriate and timely intervention and coordination with other members of the Care Management Team to resolve problems related to quality/utilization management activities; provides pertinent clinical data to outside agencies as needed to assure compliance with their requirements; acts as a resource for hospital and medical staff regarding clinical documentation requirements; evaluates patient outcomes through clinical path monitoring.

Requirements

• Registered Nurse (RN) credential required.
• Associates Degree in Nursing required.
• Three to five years of recent clinical experience in the acute care setting required.
• Knowledge of data analysis preferred.
• Bachelor's of Science preferred or a commitment to pursue such degree is preferred.
• Proficient with computer skills and applications.
• Interpersonal skills needed to communicate successfully with individuals and groups.

Responsibilities

• Documents appropriate to patient's needs and documentation requirements.
• Collaborates with staff, patients, and families in coordinating the referral of patients to appropriate community agencies as determined by their individual discharge plan.
• Initiates timely discharge planning screening on all admissions, and assesses further as needed.
• Develops a discharge plan based on needs identified from assessment.
• Operates department within volume adjusted budget.
• Demonstrates ability to communicate effectively with the medical staff to achieve desired outcomes.
• Promotes opportunities for staff education in new employee orientation, department/job specific education, and education for new services provided by the department.
• Sets yearly departmental and personnel goals.
• Assists in education of staff on Case Management policies, procedures, and community resources.
• Assumes responsibility for continuing education/professional development related to area of practice; including job specific professional journals.
• Maintains effective quality management and/or improvement program to measure assess and prove services of the department.
• Markets MyMichigan Medical Center- Gratiot and their subsidiaries, using their services when appropriate to patient/needs/desires.
• Maintains relationships with community agencies to keep current with available resources.
• Facilitates multidisciplinary team meetings as scheduled.
• Implements discharge plan and monitors need for changes in plan to avoid delays in discharge in collaboration with other team members.
• Provides direction with implementation of care pathways.
• Responsible for concurrent review of charts to ensure compliance with core measures and other quality measures as determined.
• As a member of the Utilization Management team, strives to develop and assist with effective utilization management processes.
• Demonstrates competency in Infection Prevention and Control Practices and Policies.
• May be responsible for Utilization Review and Discharge Planning simultaneously or separately based on department and health system needs.
• Other Duties as assigned.

What This Job Offers

• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees