RN Inpatient Care Manager

Franciscan Alliance•Dyer, IN

3d•Onsite

About The Position

The Inpatient Care Manager II is responsible for working with assigned patients, including assessing, facilitating, planning, and advocating health needs on an individual basis. This position, also, performs admission screening for all patients in a bed for medical necessity, reviews for appropriateness of setting, utilization, care planning quality, and facilitates discharge planning on admission and concurrent basis. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Schedule: Monday - Friday, 8am - 4:30pm with a weekend rotation (approximately every 4 weekends according to staffing and holiday coverage by the department) Maintain accurate, concise and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization. Act as liaison, and coordinate with hospital multidisciplinary team, post-discharge providers and patient/family with the transition of care. Comply with all accrediting bodies, governmental agencies, and third-party payer requirements related to discharge planning and mandated reporting. Review admissions, level of care, and continued stay while utilizing nationally recognized criteria with respect to medical necessity, appropriateness of care, and quality concerns. Provide clinical coordination of care, including chronic care conditions. Work with quality department to improve the quality of care in acute and ambulatory settings.

Requirements

Associate degree in Nursing
Indiana Registered Nurse (RN)
5 years of Nursing/Patient Care experience

Nice To Haves

Bachelor's Degree in Nursing preferred
Certified Case Manager (CCM) preferred
2 years of Case Management experience preferred

Responsibilities

Assessing, facilitating, planning, and advocating health needs on an individual basis
Performs admission screening for all patients in a bed for medical necessity
Reviews for appropriateness of setting, utilization, care planning quality
Facilitates discharge planning on admission and concurrent basis
Maintain accurate, concise and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization.
Act as liaison, and coordinate with hospital multidisciplinary team, post-discharge providers and patient/family with the transition of care.
Comply with all accrediting bodies, governmental agencies, and third-party payer requirements related to discharge planning and mandated reporting.
Review admissions, level of care, and continued stay while utilizing nationally recognized criteria with respect to medical necessity, appropriateness of care, and quality concerns.
Provide clinical coordination of care, including chronic care conditions.
Work with quality department to improve the quality of care in acute and ambulatory settings.