Clinical Resource Manager PRN

Trinity Health•Nampa, ID

23d

About The Position

The Clinical Resource Manager at Nampa Medical Center provides hospital case management and discharge planning. Working collaboratively with patients, families, physicians, and other members of the healthcare team, the role determines care needs beyond the acute setting, supports informed decisions, manages expectations, and coordinates smooth transitions to the next level of care and services. The manager coordinates social services as appropriate and available and supports hospital case management and discharge-planning activities while adhering to departmental standards, policies, quality requirements, and regulatory requirements. The role provides concurrent support to physicians and clinical team members for a select group of patients. Through real-time communication with physicians, nursing, and ancillary caregivers, the Clinical Resource Manager helps establish treatment, cost, and transition targets and facilitates transition planning. The position also promotes effective use of clinical resources from admission through discharge.

Requirements

An RN license for the primary work state of 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.

Nice To Haves

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

Responsibilities

Coordinate case management, discharge planning, and integration of social services into patient care with hospital departments, external organizations, agencies, and healthcare facilities.
Screen and assess assigned cases to determine transition needs, then reassess, monitor, and modify those needs as appropriate.
Assist physicians with transfer and discharge orders and maintain knowledge of applicable 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 utilization of clinical resources from admission to discharge.
Complete PASRRs for admissions to skilled nursing facilities.
Research and locate patient resources, including medication financial-assistance applications, Medicaid-pending support, and equipment through outside facilities for patients with limited funding.
Communicate regularly with physicians and develop effective working relationships to support appropriate costs, cases, and patient outcomes.
Introduce the Clinical Resource Manager role and explain how patients and families can make contact.
Serve as a patient advocate and support patients and families in making informed decisions.
Participate in multidisciplinary rounds and conferences as appropriate to review treatment goals, optimize resource use, educate families, and identify post-hospital needs.
Follow the established patient choice policy.
Document primary and backup plans, communications with patients, families, and care teams, and interventions in Power Chart.
Participate in department staff meetings and subteams.
Ensure discharge planning complies with Medicare Conditions of Participation, regulations, and Joint Commission standards.
Coordinate Swing Bed admissions from within the hospital and from other hospitals; communicate criteria and provide education to physicians, patients, and families; complete and provide appropriate notices.