Registered Nurse Care Manager - Yale VA Clinic

McLaren Health CareYale, MI
83d

About The Position

The Registered Nurse Care Manager at the Yale VA Clinic is accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the continuum. This role impacts key results such as achieving top decile performance in length of stay, cost-efficient resource utilization, preventing readmissions, and unnecessary emergency room visits. The nurse works collaboratively with physicians, nursing staff, members of the multidisciplinary team (such as Home Care and PCP offices), as well as other resources internal and external to the organization.

Requirements

  • State licensure as a Registered Nurse (RN)
  • Bachelor's degree in nursing from an accredited educational institution, or actively pursuing degree to be obtained within five years of accepting position.
  • Three years of acute hospital care experience.

Nice To Haves

  • Experience in utilization management/case management, critical care, or patient outcomes/quality management.
  • Certification in Case Management Certification (ACM or CCM).
  • Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN).

Responsibilities

  • Performs care coordination assessments for initial assessment of patients within 24 hours of admission.
  • Works collaboratively with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, considering the patient's available resources.
  • Assesses patient/family needs to reduce barriers and formulate discharge plans.
  • Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.
  • Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies which family member is the point of contact.
  • Assesses risk of readmission for specified patient populations and initiates assigned interventions to enhance the patient's ability to transition successfully along the care continuum.
  • Performs discharge planning coordination/referral by making appropriate referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement, and other outside agencies per Standard Operating Procedure (SOP).

Benefits

  • 403(b)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

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What This Job Offers

Job Type

Part-time

Career Level

Entry Level

Industry

Nursing and Residential Care Facilities

Education Level

Bachelor's degree

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