Complex Discharge RN Case Manager, 40hr, Days

UMass Memorial Health•Southbridge, MA

12h•Onsite

About The Position

The Care Manager is a licensed health care professional who is responsible for both utilization review and discharge planning. The Care Manager collaborates with physicians, nurses, social workers, and other members of the health-care team. The Care Manager maintains practice patterns consistent with state licensure and Joint Commission Standards. The Care Manager adheres to professional care management ethical standards of practice.

Requirements

Current Massachusetts Nursing License
Graduate of an accredited school of nursing, RN or BSN
Experience in discharge planning and utilization review

Responsibilities

Demonstrates a comprehensive knowledge of case management theory and practices.
Demonstrates ability to effectively plan for patients' continuity of care needs in ambulatory care and emergency care settings.
Clinical documentation in Medhost and Meditech
Demonstrates understanding of the principles of Care Management
Demonstrates accurate understanding of InterQual Criteria
Demonstrates effective communication in a timely fashion with all involved departments concerning the appropriateness of bed status and insurance authorization
Demonstrates effective communication with health plan case managers regarding the policies for the ECC patient.
Demonstrates knowledge of general nursing theory and practices
Demonstrates knowledge of discharge planning rules and regulations
Informs director of any and all discharge planning incidents which are barriers to effective.
Complies with established departmental policies, procedures and objectives.
Attends variety of meetings, conferences, seminars as required or directed.
Demonstrates use of Quality Improvement in daily operations.
Complies with all health and safety regulations and requirements.
Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
Maintains, regular, reliable, and predictable attendance.
Performs other similar and related duties as required or directed.