RN Inpatient Case Manager

Within the inpatient setting to assess and address patient and family needs related to effective and efficient movement through the hospital system and beyond.

• Per department documentation standards:
  • Completes initial screening, and comprehensive assessment as indicated
  • Identifies discharge goals with patient/family early in hospital stay
  • Provides and documents patient choice
  • Initiates and follows up on referrals to outside agencies for appropriate transition of care
  • Identifies and documents delays (when patient is ready, but not discharging)
  • Completes documentation on all patients being followed by Case Management at discharge
• Appropriately identifies need for UAI and Level II assessments and communicates need in a timely manner
• Actively participates in patient identification and problem-solving for clinical high risk or complex patients, and escalates cases to leadership
• Coordinates with payors, as needed, to arrange care at transition
• Proactively identifies patient needs
• Identifies resources, both internal and external to support patient transition
• Acts as a resource for patient/family, interdisciplinary team and Case Management colleagues
• Demonstrates ability to adapt to changing patient needs

• Shares knowledge within team and with colleagues
• Actively participates in department operations
  • Attend meetings
  • Review minutes and provide feedback
  • Help with pre-work or follow-up work

• Participates in continuing education offerings
  • Staff meetings
  • Conferences
• Maintains knowledge in specialty clinical area
• Seeks experiences and/or mentorship to develop skills and advance knowledge, abilities in practice or role performance

• Adheres to departmental documentation guidelines
• Incorporates evidence-based standard work into practice
• Understands organizational priorities, department outcome metrics
• Articulates and supports department and organizational improvement initiatives and coaches others in understanding of data
• Demonstrates and/or verbalizes a sense of responsibility for patient outcomes
• Actively engages in readmission prevention efforts
• Supports timely discharges

• Demonstrates competent use of multiple electronic platforms and serves as a resource for others
• Demonstrates openness to change by actively seeking knowledge and information needed to adopt change
• Offers suggestions for improved outcomes

• Practices stress management by identifying own risk factors and utilizing coping mechanisms
• Identifies strategies to prioritize daily work activities

• Educates interdisciplinary team on case management role
• Demonstrates respectful verbal and non-verbal communication with all member of the team and addresses colleague behavior which does not support a respectful environment
• Participates in inter-professional collaboration and communicates the plan of care to team members
• Seeks and offers help to teammates

• Provides culturally sensitive care using resources to meet needs of the patient
• Includes patient and family in planning of care
• Maintains professional boundaries
• Exhibits non-judgmental and empathetic behavior
• Keeps patient/family informed of progression/transition of care
• Provides education regarding transition needs and option base on learning needs
• Maintains open communication with patient, family and interdisciplinary team
• Advocates for patient and family

Education:

Graduate of accredited nursing program. Bachelor's of Science in Nursing degree required within 5 years of hire or transfer into Case…