Nurse Care Manager
About The Position
As our Care Management Professional, you will be a pivotal coordinator and advocate, guiding patients through complex healthcare journeys to optimize outcomes and well-being. Every day, you will assess patient needs, develop individualized care plans, facilitate seamless transitions, and coordinate resources. You'll educate patients and collaborate with multidisciplinary teams to ensure continuity of care and prevent readmissions. To be successful in this role, you will possess exceptional assessment and coordination skills, strong communication, and a deep understanding of healthcare systems, with an empathetic approach to patient advocacy.
Requirements
- Bachelors Of Nursing or Masters in Social Work from an accredited university and job related experience
- Registered Nurse: AZ or Licensed Clinical Social Worker: AZ or Social Worker: AZ
- Four years experience as a Case Manager or Social Worker in an inpatient rehabilitation setting
Nice To Haves
- Certified Rehabilitation Registered Nurse (CRRN)
Responsibilities
- Completes psycho-social assessments to gather pertinent information for the team regarding patient adjustment, family support, financial resources, housing, understanding of disability and barriers to discharge
- Incorporates patient's psychosocial status and diagnosis in evaluating treatment plan for appropriateness, in collaboration with the physiatrist and interdisciplinary team.
- Ensures that patient-centered goals are collaboratively established within the interdisciplinary team
- Provides team with pertinent financial information to facilitate decision making through the following processes: Intake; Evaluation; Planning: the Provision of Services; Discharge/Transition Planning; and Long Term Follow-up to ensure appropriate use of patient care resources and their financial impact on the service line and that resource utilization is congruent with life-planning of the individual
- Monitors patient and family goal attainment relative to the interdisciplinary treatment plan and addresses the appropriateness of the level of care during Team Rounds.
- Intervenes when variances occur in a patient's individualized treatment plan
- Facilitates Team Rounds and interdisciplinary documentation.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
