Inpatient RN Case Manager, Care Coordination (Full Time)

Benefis Health System•Great Falls, MT

About The Position

The Inpatient RN Case Manager coordinates and implements case management activities for patients receiving care in the hospital. The role encompasses patients’ care needs during hospitalization and serves as the point of contact for the patient, family, or legal representative until transition to an outpatient case manager, patient navigator, or another service line. Working collaboratively with the healthcare and multidisciplinary team, the case manager reviews care and treatment for appropriateness against screening and reimbursement criteria, plans and coordinates necessary care services, and provides information about community and care resources. The role may include direct and indirect patient care, care conferences, daily rounds, referrals, and ongoing assessment of care-plan goals and transition needs. The case manager communicates changes in clinical condition that may affect transitional planning and adjusts referrals and resource requests as needed. The position requires the ability to meet deadlines accurately while handling changing situations, interacting with a variety of people, and managing stress and conflict. The employee must perform assigned duties, comply with applicable licensing-board or agency requirements, and follow 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 constantly changing situations.
Ability to work with a variety of people and handle stressful situations and conflict.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Coordinate and implement case management activities for patients during their hospital stay.
Serve as the point of contact for patients, families, or legal representatives until transition to another service line, an outpatient case manager, or a patient navigator.
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 patient care services and needs.
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 the transitional care plan.
Continually monitor and assess 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 care-transition needs.
Perform assigned duties and comply with licensing requirements and Benefis Health System policies and procedures.