Per Diem - Special Programs Case Manager

Brown Medicine•Providence, RI

3d•$39 - $77•Onsite

About The Position

The Per Diem Case Manager provides staffing support to programs in the Case Management Special Programs department, including Surgical Services Case Management, Outpatient High Risk Case Management, Transfer and Access Case Management, and Discharge Review. The role receives training in these programs and may be asked to participate in them. It reports to the Manager of Case Management Special Programs or the Director of Case Management. In Surgical Services Case Management, the Case Manager coordinates care with surgical services, the Total Joint Center, Case Management, and clinical managers across Brown University Health. The work includes reviewing patients for potential post-acute needs, interviewing patients before scheduled surgery, coordinating pre-operative services and post-hospital follow-up, and helping arrange care at system hospitals. The Case Manager also monitors a defined patient population and supports clinical quality improvement efforts aimed at improving care quality and cost effectiveness and preventing readmissions. In Outpatient High Risk Case Management, the Case Manager follows patients enrolled in the Mobile Integrated Health Program and other referred or identified complex patients at high risk for readmission. The role coordinates with inpatient case management when appropriate to support post-acute transitions, meets patients in the community as needed, and works with community providers to connect patients with resources. It also supports data collection and clinical quality improvement. In Transfer and Access Case Management, the Case Manager works with a multidisciplinary team to support capacity management, transfers into and within the Brown University Health system, and repatriation. The role gathers and analyzes clinical information to facilitate appropriate pathways, coordinates with the Capacity Management and Access Center, case management teams, physician administrators, and external organizations, and helps ensure timely access to care and efficient patient flow. Complex cases may be escalated to case management leadership. In Discharge Review, the Case Manager collaborates with the skilled nursing facility committee and care team to evaluate post-acute discharge needs, review the initial discharge plan with patients and families, and reassess plans as needed. Across assigned programs, the Case Manager coordinates services, identifies high-risk patients, supports care planning and discharge readiness, coordinates length of stay with physicians and patients, communicates insurance factors that may affect discharge, and shares discharge recommendations with the care team. The position requires a current Registered Nurse license in Rhode Island and Massachusetts, or applicable licensure under the Nurse Licensure Compact for Rhode Island and Massachusetts practice, and a Bachelor’s degree in Nursing from an accredited NLN program. Three to five years of clinical or case management experience is required. The work is based at The Miriam Hospital in Providence, Rhode Island, with a stated Monday–Friday, 8:00 a.m.–4:30 p.m. schedule and day shift. The role involves a normal office environment with exposure to patient care and hospital rounds, occasional stressful conditions, possible exposure to bloodborne pathogens and communicable disease, and driving required. Pay range: $38.62–$77.22.

Requirements

Current Registered Nurse licensure in Rhode Island and Massachusetts, or applicable licensure under the Nurse Licensure Compact for practice in those states.
Bachelor’s degree in Nursing from an accredited National League of Nursing program.
Three to five years of clinical or case management experience.
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 and maintain 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.
Ability to drive; driving is required.

Nice To Haves

Certification by a recognized national organization in case management.
Clinical or case management experience in acute and/or community settings, particularly with the populations served and utilization management.

Responsibilities

Provide staffing support to Case Management Special Programs, including Surgical Services Case Management, Outpatient High Risk Case Management, Transfer and Access Case Management, and Discharge Review.
Coordinate appropriate patient services with departments and programs across the care continuum.
Complete initial case management assessments for surgical patients before planned procedures, set expectations for anticipated discharge home, and arrange post-acute care when indicated.
Review surgical patients for post-acute needs, conduct pre-surgery interviews, coordinate pre-operative services, and support post-hospital discharge follow-up.
Follow patients enrolled in the Mobile Integrated Health Program and other identified patients at high risk for hospital readmission.
Work with patients and community providers to obtain community resources and support smooth post-acute transitions.
Collect data and facilitate clinical quality improvement efforts to improve quality and cost effectiveness of care and prevent readmissions.
Coordinate transfers into and within the Brown University Health system, obtain repatriation agreements as necessary, and help improve capacity and patient flow.
Gather and analyze clinical information to facilitate appropriate transfer pathways and coordinate with internal teams and external organizations to support timely access to care.
Collaborate with the SNF committee, medical staff, patients, families, and care team members to evaluate and coordinate post-acute discharge plans.
Identify high-risk patients for care management assessment and screening and target interventions in conjunction with the healthcare team within one business day of admission.
Coordinate length of stay and discharge readiness with the physician care team and patient; communicate insurance qualifiers that may affect discharge planning.
Identify and assess readmitted and complex patients in collaboration with the healthcare team and communicate discharge plan recommendations to all care team members.
Role-model Brown University Health’s values of Compassion, Accountability, Respect, and Excellence.