Rn - Case Manager- Discharge Planner

Be among the first 25 applicants 4 days ago

Sign-on Bonus and Relocation Reimbursement available!

Receive 17% weekday nights, 26% weekend nights, or 15% weekend day shift differential!

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 a 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 enhance 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/Maximum Offers

Minimum

Offer:

$31.56/hr maximum

Offer:

$50.48/hr.

Compensation is based on factors including but not limited to experience, education, and organizational considerations.

Department: Care Management Services

FTE: 1.00

Shift: Days

Position Summary

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 to achieve quality patient outcomes 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 hospital and departmental policies and procedures. Patient care assignments may include neonate, pediatric, adolescent, adult and geriatric age groups.

Detailed Responsibilities

• PATIENT CENTERED MED – Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice
• IDENTIFICATION – Identify appropriate patients within designated specialty area requiring patient case management interventions
• DATA – Perform assessment, data collection, obtain, review, and analyze information with the patient, family, health care team, and others as appropriate
• ASSESSMENT – Assess the patient’s clinical and psychosocial status and current treatment plans
• NEEDS – Assess needs related to medical diagnosis and treatment; provide treatment options, resources, discharge planning in collaboration with appropriate resources
• ORDERS AND REFERRALS – Obtain necessary orders 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 and community health care agencies to support quality care
• GOALS – Assist patient and family to set patient-centered goals in collaboration with the care team
• PLAN OF CARE – Develop comprehensive multidisciplinary plan of care
• DISCHARGE PLANNING – Conduct timely discharge planning in collaboration with physicians and care team
• VARIANCES – Intervene when variances occur in the treatment plan
• RESOURCES – Coordinate and evaluate resource use to ensure quality outcomes
• INTERVENTIONS – Monitor and evaluate patient responses to interventions with appropriate follow-up
• VARIANCE – Review variance from protocols and implement resolution strategies
• TREATMENT CONFERENCE – Facilitate or participate in conferences for ongoing evaluation
• EDUCATION – Provide instruction to patient and family based on learning needs
• INFO…