RN Case Manager-Per Diem

Cape Fear Valley Health

4d•Onsite

About The Position

The RN Case Manager comprehensively plans services for a targeted population and carries out discharge planning, participates in patient care rounds, coordinates care, and makes referrals to other levels of care. Working with physicians, the interdisciplinary team, and other Case Management team members, the role facilitates clinical guidelines and desired treatment outcomes. The RN Case Manager works collaboratively to ensure patient needs are met and care is coordinated across the continuum at the appropriate level of care. The position reviews records for observation or admission status and clinical appropriateness for continued stay, sets an anticipated discharge date within 24 hours of admission, and interviews patients and families to develop care and service coordination plans. It supports patients and families coping with hospitalization, disability, and chronic or terminal illness; provides education about community resources and post-acute care options; and coordinates discharge arrangements across a range of services and facilities. The role also supports Medicare notice delivery, escalates cases to leadership as needed, proactively addresses barriers to care, consults with Social Work Case Managers, precepts new RN Case Managers when designated, and participates in quality improvement activities.

Requirements

Associate’s degree in Nursing.
Current Registered Nurse licensure in North Carolina or a Compact state.
Three years of experience in an acute care setting.
Proficiency in reading, writing, and speaking English.
Ability to understand placement requirements from local, state, and federal agencies and optimize placements in appropriate settings.
Excellent interpersonal communication and negotiation skills; ability to work effectively with people of diverse social, economic, and cultural backgrounds.
Self-motivated, assertive, and persuasive in interactions with customers, peers, management, and core staff.
Written, telephonic, and electronic communication skills.
Strong organizational and time-management skills, including prioritizing multiple tasks and role components.
Proficiency with Microsoft Office, Midas, ProviderLink, ValleyLink, eHIM, EMSTAT, and SMS.
Flexibility, open-mindedness, adaptability to change, respect, and team-building ability.
Ability to prioritize and process multiple tasks, responsibilities, and work projects; analyze information, plan effective actions, and follow through reliably.
Ability to collaborate with department staff, physicians, and healthcare professionals to achieve goals, improve outcomes, and maintain or exceed applicable Joint Commission standards and state mandates.
Participate in weekend and holiday rotation as required.
Ability to lift 35 pounds; some light carrying and lifting may be required.
Frequent walking may be required to access all areas of the Medical Center.
Ability to communicate orally with patients, family members, personnel, and physicians; near visual acuity to proofread materials; manual ability to use telephones and a computer keyboard; and ability to sit for extended periods while entering data.
RN license/certification through the Board of Nursing.

Nice To Haves

Bachelor's degree in Nursing.
Professional Case Management Certification (CCM or ACM).
One year of Medical/Surgical and/or ICU experience.
One year of Case Management experience.
One year of Home Health/Hospice experience.

Responsibilities

Review patient medical records to verify orders for observation or admission status.
Review charts for clinical appropriateness of continued stay.
Assign an anticipated discharge date within 24 hours of admission.
Conduct initial interviews with patients and families to formulate plans of care and coordinate services.
Assist patients and families in coping with hospitalization, disability, and chronic or terminal illness.
Provide patients and families with information and education about community resources and age-appropriate post-acute care options.
Coordinate discharge planning and arrangements for Home Health, Hospice, Home Infusion, DME, Outpatient Hemodialysis, Rehab, LTAC, Assisted Living, Rest Home, and Skilled Nursing Facility placements.
Deliver the Important Message from Medicare to patients and explain its content.
Refer cases to the Leadership Team for timely escalation to the Physician Advisor as needed.
Anticipate and proactively work to prevent delays and barriers to care delivery.
Serve as a resource for issues involving guardianship, abuse, neglect, power of attorney, healthcare surrogates, advance directives, and involuntary commitments.
Consult with Social Work Case Managers regarding difficult placements, Medicaid and disability eligibility, and Department of Social Service referrals.
Precept new RN Case Managers when designated by the Leadership Team.
Participate in quality improvement activities to improve processes and promote leading practice.
Perform other duties as assigned.