RN Care Management Acute-Care Management
About The Position
The RN Care Manager identifies and assesses patients and families with possible social, psychological and/or environmental needs related to the impact of utilization patterns of care. The Care Manager is also responsible for developing plans for intervention addressing agreed upon priorities, synchronizing supportive services and assisting patients/families in improving or restoring their capacity for social functioning. The patient and family-centric approach to care will be central in the universal care plan development and communication across the care settings. The care manager will be instrumental in identification of patient-driven goals. Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Requirements
- Registered Nurse with a current license to practice in Ohio
- BSN from an accredited school required
Nice To Haves
- Charge Nurse experience
- Nurse Manager experience
- Case Manager experience
- Care Coordinator experience
- Care Manager experience
- Master’s degree
Responsibilities
- Identify and assess patients and families with possible social, psychological and/or environmental needs related to the impact of utilization patterns of care
- Develop plans for intervention addressing agreed upon priorities
- Synchronize supportive services
- Assist patients/families in improving or restoring their capacity for social functioning
- Be instrumental in identification of patient-driven goals
- Pro-active discharge planning
- Review of readmission risk assessment tool, barrier assessment and alleviation
- Facilitation of interdisciplinary huddles and collaboration throughout the work-day
- 1:1 patient and family interviews on moderate and high risk patients
- Evaluation of readmission factors contributing toward inappropriate utilization of services
- Collaboration with physicians, nursing, and ancillary services in development of safe, next-phase planning
- Communication on Care Planning in written and/or verbal format to next level of care
- Facilitate partnership with members across the continuum for aligned outcomes
- Evaluation of high risk diagnosis for utilization patterns and appropriate care
- Identification of care gaps in disease states
- Create customized plan for our moderate and high risk patients as they transition from hospital to next level of care
- Patient and family interaction on regular intervals with specific patient-centric goal setting
- Utilization of motivational interviewing techniques to assist patients toward healthier lifestyle choices
- Follow all Excellence for Life principals and standards of behaviors
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
1,001-5,000 employees
