RN Case Manager (Hospital)

Highland HospitalRochester, NY
Onsite

About The Position

Highland Hospital is seeking a full time Case Manager to join the team. Hours will be Monday-Friday from 8am-4:30pm. Under general direction, the Clinical Care Coordinator/Case Manager’s role is to coordinate interdisciplinary care planning to achieve timely and safe discharge and/or to coordinate access and utilization management, proactive patient management, care facilitation and treatment planning functions. The Clinical Care Coordinator/Care Manager coordinates care along with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient at discharge to assist in facilitating a patient focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients.

Requirements

  • Fulfilled the educational requirements to be a licensed RN in NYS
  • 3-5 years professional nursing experience
  • Experience working as a member of a multi-disciplinary team is required
  • Current and valid license to practice as an RN in New York State required

Nice To Haves

  • BSN preferred
  • Progressive clinical experience including community health, care management, and/or disease management is preferred
  • Experience in data analysis and chronic illness management preferred
  • PRI certification preferred but not required

Responsibilities

  • Identify patient discharge needs and potential barriers
  • Assists with closing gaps in medical care upon discharge by utilizing community resources
  • Communication with in-network PCP offices to ensure a transition of care to the community setting
  • Identify resources for patient self-management planning and discharge
  • Assist in developing and implementing care plans for medically complex patients
  • Prepares patient for discharge by referring for home care services (skilled nursing, PT, OT, SLP) and DME
  • Complete the Patient Review Instrument
  • Other duties as assigned
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