RN Case Manager - TCI-Cure and Beyond-PT with Benefits Days

Hackensack Meridian Health•Hackensack, NJ

About The Position

The RN Case Manager oversees and directs patient care activities for a specific group of patients. The role revises plans of care based on population-specific guidelines and protocols and oversees the multidisciplinary team’s direct delivery of care to patients from infancy through geriatrics. The position coordinates care across the continuum, supports communication and collaboration among patients, families, physicians, nursing staff, and other multidisciplinary team members, and monitors documentation and outcomes. It also contributes to guideline development, education, research, resource utilization, and continuous process improvement.

Requirements

Graduate of an NLN/AACN-accredited nursing program.
Bachelor's degree.
Two years of experience as a registered nurse.
New Jersey State Professional Registered Nurse License.
Certification in the area of specialty.

Responsibilities

Collaborate with physicians, nursing staff, and the multidisciplinary team to assess, plan, implement, and evaluate care for selected patients and their families.
Serve as a clinical resource for nursing staff, physicians, and the multidisciplinary team to identify problems and develop solutions that achieve measurable outcomes.
Develop and maintain a communication system to ensure comprehensive, timely information sharing with physicians, nursing staff, and the multidisciplinary team.
Revise plans of care with the patient, family, physician, nursing staff, and other multidisciplinary staff to achieve desired outcomes.
Monitor medical record documentation to ensure patient outcomes are achieved and maintained according to established standards of care.
Coordinate patient care across the continuum and across the geographic areas where care is provided.
Communicate and collaborate with the multidisciplinary team involved in patient care and conduct patient conferences.
Identify and implement strategies for appropriate resource utilization and measurable outcomes.
Collect, analyze, and share data to assess compliance with guidelines and protocols intended to support positive patient outcomes.
Educate the multidisciplinary team on compliance with established guidelines and protocols.
Manage patient transition logs across the continuum and facilitate referrals to appropriate healthcare providers or settings when applicable.
Participate in developing guidelines and protocols for planning care and monitoring patient outcomes.
Participate in professional activities and continuing education, organize seminars, and support professional development for self and multidisciplinary team members.
Identify potential research areas and collaborate with the multidisciplinary team on appropriate research projects.
Participate in continuous process improvement to improve outcomes, ensure appropriate resource utilization, and increase patient satisfaction.
Follow established patient charging systems and work with registrars, billing coordinators, and the Admission Center to ensure appropriate access to specialty care.
Identify the needs of the patient population and adapt care for age, culture, language, hearing, vision, developmental, educational, and literacy needs; communicate at the appropriate level with patients, parents, and primary caregivers.
Adhere to the standards identified in the Medical Center's Organizational Competencies.