Case Manager - RN

Stamford Health•Stamford, CT

60d•Onsite

About The Position

Stamford Health is hiring a full-time day shift Nurse Case Manager to join our Case Management Team! Come join a well-established, highly productive and close-knit team of patient-focused Physicians and multiple support staff members! In this role, you will coordinate and develop patient care utilizing the Nursing Process and provide supervision & mentorship for non-RN team members. As a Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent to improve our workforce and support our mission, to that end we offer: Competitive Salary Comprehensive, low-cost health insurance plans available day one Wellness programs Paid Time Off accruals Tax deferred annuity and (403b) pension plan Tuition Reimbursement Free on-site parking and train station shuttle Childcare partnership with Children’s Learning Center

Requirements

Graduate from an accredited School of Nursing.
Valid license as Registered Nurse in Connecticut.
Bachelors prepared Registered Nurse licensed in the state of Connecticut is required.
Minimum of 2 years acute care experience in a hospital setting.

Nice To Haves

Strong clinical experience in an acute care setting with additional experience in home care, long term care and case management is preferred.
Professional certification in case management or clinical specialty is highly desirable.
Professional certification in case management or clinical specialty is highly desirable.
Prior case management, utilization management or discharge planning experience preferred. Experience with multi-aged and multicultural populations.

Responsibilities

The case manager is responsible for coordinating the care delivered to an assigned group of patients.
Assesses, plans, and evaluates the outcomes of care in collaboration with the other members of the health care team.
Guides and directs the care given to the patient by the other nurses, and health care team members from other disciplines to ensure that quality and cost-effective care is given within an appropriate length of stay.
Directs the plan of care within the care continuum with patient/family input.
Assumes responsibility for coordinating patient care within the continuum of care among the interdisciplinary team.
Provides ongoing assessment in case management of patients to ensure an accurate evaluation of patient needs, appropriate level of care, proper resource utilization, quality of care and risk management.
Assures compliance with utilization requirements relative to all payor types and contract requirements.
Interprets and administers Medicare and Medicaid guidelines for acute care.
Assures compliance with federal, state, and local requirements (ADA, Workman’s Compensation, EMTALA).
Maintains ongoing communication regarding patient care with physicians, referral sources, caregivers, patients, families, etc. to facilitate coordination and transitional care. Communication is effective and clear.
Independently initiates assessments of situations, identifies and explores alternatives and chooses appropriate course of action in areas within scope of practice. Evaluates the effectiveness of interventions.
Acts as an advocate for an individual’s health care needs. Identifies barriers and advocates for patient access to care.
Actively participates in the revenue process which includes the appeal/denial process.
Responsible for maintaining a professional relationship with referral sources and community resources and participating in local professional organizations and activities.
Acts as a resource for members of the healthcare team along the continuum of care.