RN Case Manager (Part Time, Days) Abington-Jefferson

Jefferson Health Plans • Abington Township, PA

23h • Onsite

About The Position

The Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient population to facilitate patients through the continuum of care. Coordinates all aspects of discharge planning and establishes a safe discharge plan for assigned patients.

Requirements

• Bachelor's of Nursing
• RN - Licensed Registered Nurse - PA - State of Pennsylvania
• Minimum 3 years RN experience
• Demonstrates effective use of conflict resolution skills as necessary to ensure timely resolution of issues.

Nice To Haves

• RN Case Management or Discharge Planning Experience

Responsibilities

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Advocates for the patient and family throughout the entire episode of care.
• Functions as a resource to facilitate communication among the healthcare team and patient/family.
• Facilitates patient progression throughout the patient’s hospital stay.
• Reviews patient length of stay/barriers data to facilitate patients’ progression during Multidisciplinary Rounds and Escalation/Outlier meetings.
• May facilitate daily patient Plan of Care Huddle Rounds functioning as the Patient Progression Leader or supports the identified Patient Progression Leader.
• Escalates unresolved barriers to Department Leadership.
• Applies initial DRG for all inpatients and document in the Care Advance (applicable hospitals).
• Completes an initial assessment to assess patient’s needs and resources for discharge planning.
• Establishes discharge plan including homecare services, transportation, post-acute facility placements.
• Ensures all Post-Acute authorizations are secured for patients discharge.
• Precept and mentor new staff members to their role and department.
• Meets with patient/family to assess needs to complete an initial Case Management Assessment per Department policy and procedure, then develops an initial discharge plan.
• Refers appropriate cases for Social Work intervention and involvement.
• Documents all relevant information in the Medical Record according to Department policies and procedures.
• Facilitates patient transfers to other acute care hospitals.
• Communicates with identified Department staff to initiate and facilitate referrals and authorizations for post-acute care services and any medical necessity issues.
• Refers cases and identified issues to the Physician Advisor in compliance with departmental procedures and follows up as indicated.
• Keeps supervisor informed of any issues.
• Confirms patients continues medical stability for pre-arranged discharges for the respective weekend day.
• Performs discharge planning assessment and develops relevant interventions specifically trauma patients.
• Facilitate and coordinate discharge plans for patients identified to leave on the weekend, including homecare/hospice services; transportation; post-acute facility placement.
• Obtain relevant post-authorizations.
• Completes patient assessments so that weekend discharges can be facilitated.
• Manages Livanta appeal determinations and if necessary addresses alternate discharge plans.
• Provides updates to post-acute facility liaisons regarding possible weekend discharges.
• Provides updates for week day staff, per departmental procedures.
• Identified patients using the appropriate patient identifiers.
• Utilizes interdisciplinary collaborative team approach to patient care planning and discharge coordination.
• Ensures patient medical information is properly communicated to external providers/facilities.
• Communications discharge plan to patient, family and members of multidisciplinary team.
• Ensures information is transferred to external providers/facilities.
• Understands the impact of developmental stage on adjustment to illness/trauma.
• Demonstrates ability to identify adolescent behaviors concerning body image, independence, sexual identity, interference with ability to establish identity, tendency to deny or minimize severity of illness.
• Allows adult patient to maintain control and involves family in decision-making.
• Assesses and anticipates discharge planning needs to ensure a safe and effective transition to the next level of care for the patient (home, rehab or skilled facility).
• Involves family/patient/guardian in the decision-making process related to discharge planning.
• Exhibits effective communication skills while working with neonate, infant, adolescent, adult, and geriatric patient.
• Demonstrates ability to recognize the signs of physical and/or emotional abuse or neglect to help identify victims.
• Follows appropriate policy and procedures for reporting of abuse.
• Demonstrates the ability to identify hearing and sight deficiencies.
• Additional duties as assigned.

Benefits

• medical (including prescription)
• supplemental insurance
• dental
• vision
• life and AD&D insurance
• short- and long-term disability
• flexible spending accounts
• retirement plans
• tuition assistance
• voluntary benefits
• tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.

What This Job Offers

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