Registered Nurse Case Manager

Patterson Health Center•Anthony, KS

14d

About The Position

The Case Manager coordinates patient care planning, discharge planning, referrals, and patient and family needs from pre-admission through discharge. The role includes patient assessment and advocacy, care coordination, utilization review, and swingbed compliance. The Case Manager works with Hospital District #6 (HD6) departments, outside providers, and other facilities to ensure appropriate levels of care and continuity of services, including opportunities for patients to return to HD6 for additional services. The position requires ethical conduct, protection of confidential information, support of HD6’s mission, vision, and values, and effective work with patients, families, and healthcare professionals. The Case Manager works within the scope of licensure as an LCSW, LMSW, or RN Case Manager, as applicable, and may provide direct patient care as assigned.

Requirements

Licensed as a Registered Nurse in the State of Kansas, Licensed Master Social Worker, or Licensed Clinical Social Worker.

Nice To Haves

1–3 years of experience in the medical field preferred.

Responsibilities

Maintain strict confidentiality of protected health information, medical records, and proprietary HD6 information.
Verify that advance directive documents, including powers of attorney, guardianships, living wills, and DNR declarations, are available in the medical record; educate and counsel patients and families about advance directives and related decisions.
Collaborate with providers, nursing staff, HD6 Rural Health Clinics, outside providers, Insurance, and other facilities to assess patient needs, establish care plans, coordinate referrals and appointments, and ensure appropriate levels of care throughout hospitalization.
Coordinate discharge planning, transfers, and continuity of care, including communicating with other facilities and following up on opportunities for patients to return to HD6 for additional services.
Interview and counsel patients and families, provide patient advocacy, and assist with care decisions, including transfers to nursing homes, long-term care placement, and hospice services.
Provide financial counseling and connect patients and families with community resources and social services as needed.
Provide medical staff with records needed to determine patient admission eligibility.
Ensure patients and families understand swingbed documentation and stay requirements; assist nursing staff with electronic medical record procedures and documentation; and monitor swingbed compliance.
Ensure utilization review activities comply with applicable laws and regulations; establish and conduct admission certification and continued-stay reviews addressing overutilization, underutilization, and inefficient resource use.
Assist with patient admission, transfer, and discharge procedures, including coordinating care assessments for nursing home and long-term care patients.
Coordinate weekly interdisciplinary team meetings with nursing, providers, case management, clinical liaisons, and ancillary services.
Maintain compliance with departmental policies and procedures, quality improvement initiatives, safety requirements, environmental standards, infection control practices, and HD6’s mission, vision, and values.
Work collaboratively with nursing staff and perform duties within the scope of licensure; provide direct patient care as assigned and within the scope of licensure.