RN Case Manager

San Juan Regional Medical Center•Farmington, NM

42d

About The Position

The RN Case Manager ensures the appropriate and timely delivery of care and develops and executes discharge plans that meet patients’ anticipated discharge needs. The role advocates for patients and coordinates with acute care team members, payers, and community resources to leverage resources and meet patient needs. The RN Case Manager promotes urgency in addressing health needs while supporting hospital throughput, quality, and cost-effective outcomes. The position includes assessing and coordinating transitions of care, leading multidisciplinary rounds, educating patients and families, monitoring utilization of services, managing observation cases, identifying and escalating barriers to care progression, and collaborating with social workers and other team members. The role is expected to embody San Juan Regional Medical Center’s values and service standards.

Requirements

Current RN license in the state of New Mexico.
Assertive and diplomatic communication skills.
Self-motivated and accountable.
Team-oriented.
Nursing experience.

Nice To Haves

Acute care experience.
Bachelor’s degree (BSN).
Accredited Case Manager Certification (ACM).
Cerner experience.
Case Management experience.

Responsibilities

Provide and document initial and daily ongoing transition-of-care assessments of patients’ service needs in collaboration with the patient, family, and healthcare team.
Lead multidisciplinary rounds on the unit; understand each patient’s clinical condition through patient and family interviews and daily chart review, and anticipate care progression and discharge needs.
Meet with patients and families to explain the discharge plan, ensure patient choice, and identify barriers to discharge.
Educate patients and families to support understanding of their hospital and post-hospital course, status assignment, and discharge appeal rights, and advocate for their care.
Monitor and evaluate utilization of services to promote timely progression of interventions, appropriate resource use, and expected outcomes within a length of stay consistent with external regulations and standards.
Review observation cases twice per day to determine whether the patient should be converted to inpatient status or discharged within 24 to 36 hours.
Maintain current knowledge of and follow CMS requirements.
Identify barriers to care progression and escalate cases appropriately.
Document avoidable days when identified.
Collaborate with the social worker to communicate needs and drive development of the discharge plan.
Direct the Case Management Assistant in completing appropriately delegated tasks.
Implement SJRMC’s Service Standards—Safety, Courtesy, Effectiveness, and Stewardship—in daily work.
Perform other duties as assigned.