Rn - Case Manager- Discharge Planner

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Join our Amazing team at the University of New Mexico Hospital as a Care Manager! We are seeking passionate individuals who will work in collaboration with clinical teams to achieve quality outcomes for patients within our local communities. As a day shift, full-time, Care Manager and Discharge Planner, you would be working for the only Level I Trauma hospital within Albuquerque, NM.

Overview

As team member you would monitor and coordinate the patient plan of care to ensure continuity throughout all health care settings.

• Conduct timely discharge planning by anticipating patient needs
• Effectively utilize tools and resources when developing a comprehensive multidisciplinary plan of care
• Drive change by identifying areas of performance improvement to improve the delivery of quality patient care

We invite you to join us in this vital role and help us create lasting positive change in our community.

Minimum

Offer:

$31.56/hr

Maximum

Offer:

$50.48/hr

Compensation Disclaimer:
Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

Department:
Care Management Services

FTE: 1.00

Full Time

Shift: Weekend Days

Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances.

Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

• PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
• IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
• DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
• ASSESSMENT - Assess the patient s clinical, psychosocial status and current treatment plans
• NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
• ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
• REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
• COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
• GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
• PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
• DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN s, and other health care team members
• VARIANCES - Intervene when variances occur in patient individualized treatment plan
• RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
• INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
• VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
• TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing…