RN Care Manager - Case Coordination

Hartford HealthCare • Torrington, CT

106d

About The Position

Care Management is a collaborative practice model including patients, nurses, social workers, physicians, healthcare team members, caregivers and the community. The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of the Care Management Team include the achievement of optimal health, access to care and appropriate utilization of resources balanced with the patient's right to self-determination. Incumbents of this position are professional Registered Nurses that utilize the nursing process (assessment, planning, intervention, documentation, and evaluation) to determine and facilitate the most appropriate level of care and identification of discharge needs. Collaborates with physician to ascertain medical treatment plan and with nursing, other health care team members and health plans to fulfill the treatment plan in the highest quality, cost effective manner. Responsible for ensuring customer satisfaction (patient, family, physician, others), maintaining patient confidentiality and being sensitive to the age and cultural specific patient needs for comfort, privacy and generalized care.

Requirements

• Strong Communication and Interpersonal Skills
• Knowledge of the Nursing Process
• Ability to manage multiple priorities and projects from initiation to completion within prescribed schedules and utilization of resources.
• Ability to effectively utilize a variety of Microsoft Office, Outlook and Meditech HCIS software, Morrisey and Web based programs required.
• Skilled in Motivational Interviewing
• Ability and willingness to follow the mission and values of the Charlotte Hungerford Hospital on a daily basis.
• Maintains current license as a Registered Nurse in the State of Connecticut.

Nice To Haves

• Bachelor's degree in Nursing preferred.
• Care Management experience preferred.
• Case Management certification ACM or CCM Strongly preferred.

Responsibilities

• Displays and upholds CHH core values of dignity, compassion, service excellence, community and integrity.
• Strives to gain the respect and maintain the dignity of patients / family members, visitors and all Charlotte Hungerford Hospital Personnel.
• Responsible for complete and thorough patient and family assessments for initial and on-going care and discharge planning.
• Identifies and communicates appropriate information gathered from patient, family, chart, community agencies and colleagues to other members of the multidisciplinary health care team.
• Actively coordinates patient care including the sequencing and scheduling of tests, procedures, and consultations.
• Ensures patient and family understand the diagnosis and planned course of treatment and determines and communicates discharge needs.
• Identifies gaps / barriers to care and facilitates interdepartmental communications to expedite appropriate changes.
• Assists Social Worker Care Managers with highly clinical complex patient needs.
• Responds expeditiously to emergency needs of patient and families in crisis by providing appropriate interventions necessary to support and stabilize.
• Formulates and implements a discharge plan to address assessed needs and patient/family concerns.
• Refers patients to a variety of resources including Visiting Nurse Agency, Skilled Nursing facility, Long Term Care Hospital, Rehab Facility, Hospice Care, Durable Medical and Respiratory Care providers.
• Assures Follow-up care with Providers has been arranged with confirmation of the patient's ability to access the scheduled appointment.
• Telephone Contact to patient's who are at a high risk for readmission within 48 hours of discharge.
• Pro-actively advocates for patient care issues to ensure that overall quality and type of care is sensitive to each specific patient/family's needs.
• Analyzes patient care trends and actively seeks out and collaborates with the care team to improve overall quality and efficiency of care.
• Seeks out and/or provides peer consultation about cases that are presenting problems.
• Participates in quality improvement and evaluation processes related to the Care Management function.
• Meets required job specific competencies for assigned unit, including mandatory educational requirements.

Benefits

• Competitive benefits program designed to ensure work/life balance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: Bachelor's degree