Case Manager RN - Per Diem

WASHOE BARTON MEDICAL CLINIC•Gardnerville, NV

About The Position

The Case Management Registered Nurse coordinates and facilitates patient care across the healthcare continuum, from admission through discharge. Working with patients, families, healthcare providers, and community resources, the RN assesses patient needs, develops and implements care plans, and helps ensure care is delivered in an appropriate, cost-effective setting with resources and support for a safe, timely discharge. The role also participates in quality improvement and evaluation processes related to patient care management. This per diem position provides case management services to a diverse patient population, including patients with complex medical, psychosocial, and financial needs. Per diem employees are offered work on an as-needed basis, with no guaranteed hours or set schedule. The role fills in for employees taking planned or unplanned time off. Availability is required for two days per month, including at least one summer and one winter holiday. The listed hours are 0800 to 1700. In lieu of benefits due to per diem status, 15% is added to the hourly rate.

Requirements

Graduate of an accredited school of nursing.
Associate degree or higher.
Active Nevada RN license.
At least 3 years of clinical nursing experience.
Excellent verbal and written communication skills.
Ability to adapt to changing priorities and regulations.
Basic computer skills.
Professional customer service skills.
Ability to read and communicate in English.
Skills in negotiation, communication, conflict resolution, interdisciplinary collaboration, management, creative problem solving, and critical thinking.
Knowledge of healthcare financing, community and organizational resources, and the patient care process.
Basic knowledge of utilization management as it relates to third-party payers.
Knowledge of post-acute care community resources.
Availability for two days per month, including at least one summer and one winter holiday.

Nice To Haves

At least 1–2 years of experience in case management, discharge planning, or utilization review in a hospital setting is preferred.
Bilingual abilities are preferred.

Responsibilities

Conduct comprehensive assessments of patients’ medical, psychosocial, discharge, and resource needs.
Develop, implement, monitor, and adjust individualized care plans in collaboration with the interdisciplinary healthcare team.
Coordinate care and discharge planning from admission through discharge, including developing a discharge plan early in the admission and anticipating needs and resources for a safe discharge.
Monitor continued-stay goals, patient progress, care setting, plan effectiveness, variances, and outcomes; make changes to plans as necessary.
Develop and maintain a network of services and disciplines needed by patients in the caseload, and collaborate with existing programs and departments to support appropriate resource utilization.
Serve as a liaison among patients, families, healthcare providers, and external agencies to coordinate care and discharge planning.
Facilitate interdisciplinary team meetings, rounds, care conferences, and other meetings about patient needs and care plans.
Use clinical judgment and critical thinking to identify barriers to care, address complex cases, and develop solutions.
Educate and support patients and families about discharge, community resources, and post-hospital care.
Direct, coordinate, and provide case management to patients in the caseload; complete case management assessments and determine plans to address needs and preferred points of service.
Coordinate resources and implement interventions to help patients accomplish established care-plan goals and promote efficient flow of care.
Gather information to monitor plan effectiveness and evaluate whether care plans achieve patient outcomes and goals.
Communicate and collaborate with physicians and other healthcare team members to resolve resource-use, continued-hospitalization, and discharge-planning issues.
Work with Utilization Review to notify appropriate team members about patients at risk of losing insurance coverage and facilitate discharge planning.
Promote appropriate concurrent documentation to support efficient resource use and reimbursement.
Explore and implement strategies to reduce length of stay and resource consumption, and document results.
May assist with post-discharge patient calls to support compliance, understanding of care plans, and readmission reduction.
Participate in quality improvement initiatives, policy development, and implementation of best practices related to case management and discharge planning.
Work within the scope of nursing practice defined by state laws, hospital policies, and professional standards.
Provide availability for two days per month and work at least one summer and one winter holiday; fill in for planned or unplanned staff time off.