Registered Nurse Case Manager BMT Outpatient

Franciscan Health•Carmel, IN

6d•Onsite

About The Position

The Inpatient Care Manager II is critical for working with assigned patients, including assessing, facilitating, planning, and advocating health needs on an individual basis. In this role you will perform admission screening for all patients in a bed for medical necessity, reviews for appropriateness of setting, utilization, care planning quality, and facilitates discharge planning on admission and concurrent basis. Franciscan Health is one of the Midwest's largest Catholic health care systems with 11 ministries and access points across Indiana. We pride ourselves on hiring coworkers who provide compassionate, comprehensive care for our patients and communities. As a BMT Case Manager, you will have professional development opportunities within a faith-based, mission-focused organization. The schedule is Monday-Friday, with no holidays or weekends. You will maintain accurate, concise, and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization. You will act as a liaison and coordinate with the hospital multidisciplinary team, post-discharge providers, and patient/family for the transition of care. Compliance with all accrediting bodies, governmental agencies, and third-party payer requirements related to discharge planning and mandated reporting is essential. You will collaborate with the care team (nursing, provider, social worker, ancillary team members) to individualize treatment plans, addressing patient care needs to achieve defined goals for improved patient outcomes. A key responsibility is completing patient assessments to develop discharge plans, identifying post-discharge needs and targeting appropriate resources for follow-up care. This is done in collaboration with the patient, family, and multidisciplinary care team to ensure a seamless transition upon discharge, minimizing the risk for readmission by integrating insurance, financial resources, clinical picture, functional capacity, and availability of resources to assure a safe and appropriate discharge.

Requirements

Associate's Degree Nursing
Registered Nurse (RN) - State Licensing Board
Certified Case Manager (CCM) - Commission for Case Manager Certification (CCMC)

Nice To Haves

Bachelor's Degree Nursing
2 years Case Management
Oncology experience
5 years Nursing/Patient Care

Responsibilities

Perform admission screening for all patients in a bed for medical necessity, reviews for appropriateness of setting, utilization, care planning quality, and facilitates discharge planning on admission and concurrent basis.
Maintain accurate, concise and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization.
Act as liaison and coordinates with hospital multidisciplinary team, post-discharge providers and patient/family with the transition of care.
Comply with all accrediting bodies, governmental agencies, and third-party payer requirements related to discharge planning and mandated reporting.
Collaborate with the care team (nursing, provider, social worker, ancillary team members) to individualize treatment plans to address any patient care needs in order to achieve defined goals for improved patient outcomes.
Complete patient assessment to develop discharge plans, identifying the post-discharge needs of the patient and target appropriate resources for foll-up care, in collaboration with the patient, family and multidisciplinary care team to make the transition upon discharge seamless as possible for patients' continuum of care, minimizing risk for readmission. Integrating insurance, financial resources, clinical picture, functional capacity, availability of resources to assure a safe appropriate discharge.