RN Case Management Cardiology - Congestive Heart Failure Clinic

Trinity Health • Muskegon, MI

2d

About The Position

Coordinates the plan of care across the care continuum for patients. Facilitates appropriate resource utilization and review as medically necessary. Ensures efficient patient progression across the continuum of healthcare, resulting in the highest quality and most cost-effective care. Assesses plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient's health status. Integrates evidence-based clinical guidelines, preventive guidelines, and protocols in the development of individualized care plans that are patient-centric

Requirements

• BSN; or ADN, with BSN to be obtained within 4 years of hire; or ADN only, if nationally certified in Case Management.
• Current RN license in the State of Michigan.
• Two to five years of medical/surgery or chronic disease management experience.
• Current clinical competence within the RN scope of nursing practice as identified within the ANA Scope of Practice and the State of Michigan.
• Strong leadership skills including time management, verbal and written communications skills, listening skills, problem solving, critical thinking, analysis skills and decision-making, priority setting, work delegation, and work organization.
• Ability to mentor other Case Managers.
• Knowledge of chronic conditions, evidence-based guidelines, prevention, wellness, health risk assessment, and patient education.
• Knowledge of preventive standards and population health.
• General understanding of patient insurance benefit plan designs and coverage levels.
• Strong customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary healthcare team, community agencies, patients, and families with diverse opinions, values, and religious and cultural beliefs.
• Evaluates the plan of care being implemented to ensure desired outcomes and goals are being achieved.
• Ability to influence and negotiate individual and group decision making.
• Ability to function effectively in a rapidly changing environment.
• Ability to develop, longitudinal relationships and set appropriate boundaries with patients/families.
• Excellent assessment and triage skills.
• Ability to complete a needs assessment beyond medical issues to encompass financial, psychosocial, spiritual, vocational and other issues.
• Knowledge and ability to perform Motivational Interviewing.
• Ability to demonstrate assessment skills, independent thinking and decision-making.
• Good organizational skills in order to work under time constraints and be able to adapt to medical situations.
• Ability to handle patient and organizational information in a confidential manner.
• Ability to navigate through electronic health records.
• General knowledge of pharmaceutical formularies.
• Familiarity with standard desktop and windows-based computer system, including email, e-learning, intranet and computer navigation.
• Ability to use other software required to perform essential functions.
• Constant reaching, standing, walking, lifting and bending at waist.
• Ability to transport objects weighing up to 35 lbs.
• Ability to physically operate sate patient movement equipment in compliance with Safe Patient Movement Policy

Nice To Haves

• Certification in Case Management or other related professional certification.
• Previous case management experience, experience as a participant in continuous quality improvement, completion of self-management support training.

Responsibilities

• Coordinates the plan of care across the care continuum for patients.
• Facilitates appropriate resource utilization and review as medically necessary.
• Ensures efficient patient progression across the continuum of healthcare, resulting in the highest quality and most cost-effective care.
• Assesses plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient's health status.
• Integrates evidence-based clinical guidelines, preventive guidelines, and protocols in the development of individualized care plans that are patient-centric
• Focuses on the transitions of care, which includes a complete transfer within the healthcare delivery system while minimizing fragmentation of care.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level