Case Management Special Programs - Per Diem Case Manager

Brown Medicine•Providence, RI

4d•$39 - $77•Onsite

About The Position

The Case Management Special Programs Case Manager provides coordinated care support to Surgical Services, the Total Joint Center, Case Management, and clinical managers across the Brown University Health system. The role reviews patients for potential post-acute needs, interviews patients before scheduled surgery, and coordinates care at the system’s hospitals. The Case Manager collaborates with the clinical healthcare team across the care continuum, including pre-operative service coordination and post-hospital discharge follow-up, and supports oversight of a defined patient population. The role also collects data and facilitates clinical quality improvement teams to improve care quality and cost effectiveness and prevent readmissions. The Surgical Services Case Manager works with surgical teams and case management to promote continuity of care and improved patient outcomes. Individual Case Managers may be cross-trained in other Case Management Special Programs, including Transfer and Access Case Manager and Outpatient High Risk Case Manager. The position reports to the Manager of Case Management Care Navigation or the Director of Case Management.

Requirements

Current Registered Nurse licensure in Rhode Island or licensure under the Nurse Licensure Compact.
Bachelor’s degree in Nursing from an accredited National League of Nursing program.
Three to five years of clinical or case management experience, preferably in acute and/or community settings, with emphasis on the populations served and utilization management.
Knowledge and skills to provide patient care and develop or administer care management services with consideration of human development stages and cultural patterns.
Analytical skills to evaluate patients, programs, and procedures.
Ability to exercise independent judgment and refer complex problems to the Manager of Case Management or designee when policy or procedure clarification is needed.
Interpersonal skills to establish effective working relationships and coordinate case management activities.
Ability to lift and carry up to 10 pounds.
Ability to make hospital rounds by walking or another mobile means.
Visual acuity and finger dexterity to review medical records, use automated systems, and type on a computer keyboard.
Must be able to meet the physical and workplace requirements described, including working in a hospital environment with exposure to patient care and potential exposure to blood-borne pathogens and communicable disease.

Nice To Haves

Certification by a recognized national organization in case management.

Responsibilities

Collaborate with surgeons’ offices to determine patient needs and home safety.
Complete initial patient assessments before scheduled procedures.
Partner with medical staff and the healthcare team, in collaboration with patients and families, to facilitate care plans for a defined patient population across the continuum, including after hospitalization.
Build post-hospital referrals proactively and coordinate post-acute services before surgery.
Deliver Important Message follow-up notices to Medicare patients in accordance with CMS regulations.
Collaborate with the patient’s healthcare team to develop and implement discharge planning; develop an initial discharge plan and review it with the patient, family, and interdisciplinary team as appropriate.
Provide care plan direction to support managed care strategies and reduce readmission risk.
Identify opportunities to improve patient flow and reduce service delays through problem resolution and follow-up.
Promote patient satisfaction by facilitating participation in education programs and post-discharge services as needed.
Collect data and facilitate clinical quality improvement teams.
May be cross-trained in other Case Management Special Programs, including Transfer and Access Case Manager and Outpatient High Risk Case Manager.
Perform other duties as assigned.
Role-model Brown University Health values of Compassion, Accountability, Respect, and Excellence.