Nurse Case Manager, 40 hours, Days
About The Position
Nurse Case Management is a department of 60 Nurse Case Managers (NCMs) who are responsible for coordinating the discharge planning for BIDMC inpatients. They employ Interqual criteria as a tool for utilization review in determining patients’ levels of care. NCMs partner with physician leaders, take daily calls, consult in challenging situations, and problem-solve with the medical staff. The medical center's case management program is staffed seven days a week, and includes dedicated coverage in the emergency department. The BIDMC Nursing Mission is to build on a legacy of nursing excellence by caring with compassion, advancing the art and science of nursing, and advocating for the health of patients, families, and communities. The Nurse Case Manager provides utilization management, care coordination and discharge planning for an assigned patient case load. This role is patient-focused, outcome-oriented and based on a general and speciality professional standards, and functions within a multidisciplinary practice model. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department.
Requirements
- Associate's degree in Nursing required.
- License Registered Nurse required.
- 1-3 years related work experience required.
- Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications.
- May produce complex documents, perform analysis and maintain databases.
Nice To Haves
- Bachelor's degree in Nursing preferred.
- Certified Case Manager.
- Previous clinical nursing experience and/or case management experience.
Responsibilities
- Conducts concurrent daily chart review, investigating patient history, symptoms, clinical status, and treatment utilizing Interqual ISD criteria as a tool to determine a patient's severity of illness and the intensity of service.
- Works with multidisciplinary team to develop treatment plans, including contingency plans.
- Leads daily case management rounds on assigned unit.
- Participates in house staff rounds.
- Provides necessary information to appropriate organization to obtain continued stay certification; assesses payers' and referring physicians' needs in regard to content and frequency of communications.
- Facilitates early referrals to social work, rehab services, patient advocacy, and quality management as needed.
- Refers cases as appropriate to the Utilization Review Physician for review and determination of need for continued stay or alternate healthcare setting.
- Identifies clinical issues and lapses in standards of care and notifies appropriate parties.
Benefits
- Vaccinated against influenza (flu)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
