ChristianaCare Hospital in Newark, DE, is seeking an RN Case Manager with experience in Discharge Planning in an Acute Care Hospital Setting. The RN Case Manager will coordinate care and drive patient progression to establish a discharge plan. This includes functioning as an interdisciplinary team member, creating, implementing, and developing all aspects of discharge planning to establish appropriate, timely, and effective transitions throughout the care continuum. The Care Management Triad Team Model is a collaboration between the RN Case Manager (manages patient care, drives patient progression, and establishes a discharge plan), a Social Worker (resolves psycho-social barriers and supports discharge needs), and Utilization Management (reviews patient status for appropriateness and anticipated payer coverage). The role involves identifying patients who have post-acute care, placement, and complex discharge planning needs based on a comprehensive assessment that includes physical, as well as psycho-social factors/needs. The RN Case Manager will anticipate, initiate, and establish a discharge plan for patients with post-acute care needs, collaborating with the physician, nurse, and other health care providers, the patient, their family/primary caregiver(s), third-party payers, and employer, following established clinical guidelines, standards, and pathways. They will review the admission assessment and collaborate with the primary nurse and other health care providers to ensure a multidisciplinary care plan is in place to meet identified patient care needs and desired outcomes. Additionally, the role involves identifying system issues that serve as barriers to care and participating in the development and implementation of strategies to remove these obstacles and facilitate patient progression.
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Job Type
Full-time
Career Level
Senior