Inpatient RN Case Manager, Care Coordination (Full Time)

Benefis Hospitals•Great Falls, MT

About The Position

The Inpatient RN Case Manager coordinates and implements case management activities, encompassing the patient’s care needs during their hospital stay. The case manager remains the point of contact for the patient, family, or legal representative until the patient transitions to an outpatient case manager, patient navigator, or another service line. The role works collaboratively with healthcare and multidisciplinary team members to support patient care and treatment. The case manager reviews care and treatment for appropriateness against screening and reimbursement criteria, plans and coordinates necessary care services, and provides patients and their representatives with community and care-related resources. The position organizes and leads care conferences or multidisciplinary discussions, submits referrals to appropriate service lines or community contacts, and monitors and updates care-plan goals, referrals, and resource requests. The role also provides direct and/or indirect patient care related to discharge planning and transitions of care. The position requires the ability to meet deadlines accurately while handling changing situations, pressure, stressful interactions, and conflict. The employee performs assigned duties, follows applicable licensing-board and agency requirements, and complies with Benefis Health System policies and procedures.

Requirements

Graduate of an accredited school of nursing.
Current state registered nurse license.
Current BLS certification.
Thorough knowledge of clinical nursing skills.
Ability to meet deadlines accurately and manage changing situations and pressure.
Ability to interact with a variety of people, manage stressful situations, and handle conflict.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Coordinate and implement case management activities for patients during their hospital stays.
Serve as the point of contact for patients, families, or legal representatives during hospitalization and until transition to another service line.
Collaborate with healthcare and multidisciplinary team members to support coordinated care and treatment.
Review care and treatment for appropriateness against screening and reimbursement criteria and manage appropriate referrals.
Plan and coordinate necessary care services and needs for patients.
Provide patients, families, or legal representatives with community and care-related resources.
Organize and lead care conferences or multidisciplinary care-team discussions as needed.
Send ordered or necessary referrals to patient navigators, outpatient case managers, or community resource contacts for review.
Attend daily care rounds when applicable and communicate clinical changes that may affect transition plans.
Monitor and assess patient care-plan goals and needs, modifying referrals and resource requests as necessary.
Provide direct and/or indirect patient care by identifying, assessing, planning, and evaluating discharge and transition-of-care needs.
Perform assigned duties and comply with licensing, regulatory, agency, and organizational requirements.