Clinical Resource Manager PRN

Trinity Health•Nampa, ID

22d•Onsite

About The Position

The Clinical Resource Manager provides hospital case management and discharge planning by collaboratively determining patients’ care needs beyond acute care, supporting patients, families, and physicians in making decisions, managing expectations, and coordinating smooth transitions to subsequent levels of care and services. The role integrates social services into patient care as appropriate and coordinates hospital case management and discharge-planning activities while adhering to departmental standards, policies, quality requirements, and regulatory compliance. The position provides concurrent support to physicians and other clinical team members for a selected group of patients. Through real-time communication with physicians, nursing staff, and ancillary caregivers, the Clinical Resource Manager helps establish treatment, cost, and transition targets and facilitates transition planning. The role also promotes effective use of clinical resources from admission through discharge and supports quality clinical and cost outcomes. The colleague must hold an RN license in their primary work state (Idaho or Oregon) before the hire date and have a bachelor’s degree in nursing or a related healthcare field. A master’s degree is preferred. At least two years of varied hospital clinical experience is required; experience in case management, home health, and/or the insurance industry is preferred.

Requirements

RN license for the colleague’s primary work state (Idaho or Oregon), issued before the hire date.
Bachelor’s degree in nursing or a related healthcare field.
At least 2 years of varied hospital clinical experience.
Knowledge and skills to competently care for assigned age groups, as applicable.
Ability to meet the organization’s guiding behaviors, caring standards, interpersonal communication, and professional conduct expectations.

Nice To Haves

Master’s degree.
Experience in case management, home health, and/or the insurance industry.

Responsibilities

Apply the organization’s mission, vision, and values in work behaviors, practices, and decisions, and meet its guiding behaviors and caring standards.
Provide competent care-related support for assigned age groups, as applicable: neonates, children, adolescents, adults, and geriatric patients.
Ensure accuracy in documentation of services and supplies provided to patients.
Coordinate social services and case management functions with patient care, discharge, and home-planning processes, working with hospital departments, external service organizations, agencies, and healthcare facilities.
Screen and assess assigned cases to determine transition needs; reassess, monitor, and modify those needs as appropriate.
Assist physicians with transfer and discharge orders and maintain knowledge of federal, state, and private agency review requirements and regulations.
Educate healthcare team members, including physicians, about requirements for meeting regulatory standards.
Promote effective and efficient use of clinical resources from admission through discharge.
Complete PASRRs for admissions to skilled nursing facilities.
Research and locate patient resources, including medication financial-assistance applications, Medicaid-pending support, and equipment from outside facilities for patients with limited funding.
Communicate regularly with physicians, build effective working relationships, and help physicians maintain appropriate costs, cases, and desired patient outcomes.
Introduce the Clinical Resource Manager role to patients and families, explain how to make contact, and serve as a patient advocate.
Support patients and families in making informed decisions through collaborative relationships.
Participate in multidisciplinary patient-care rounds or conferences to review treatment goals, optimize resource use, provide family education, and identify post-hospital needs.
Follow the established patient-choice policy and document primary and backup plans and communications with patients, families, and the care team.
Document interventions for individual patients in Power Chart.
Participate in department staff meetings and department subteams.
Ensure discharge-planning compliance with Medicare Conditions of Participation and Joint Commission standards.
Coordinate Swing Bed admissions from within the hospital and from other hospitals; communicate and educate physicians, patients, and families about criteria and complete and provide appropriate notices.