RN Case Manager

Overview

Job Description - RN Case Manager )

RN Case Manager -

Ashley Regional Medical Center

Description

This position is responsible for coordinating with physicians, staff, community resources and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.

• Communicates, collaborates, and coordinates with team members, patients, and families to provide quality patient care and to ensure positive patient outcomes.
• Performs utilization reviews using guidelines and policies/procedures to determine appropriate levels of care and readiness for discharge.
• Ensures continuity of care through communication in rounds and written documentation.
• Ensures compliance is maintained according to CMS standards.
• Compliance with state and federal regulatory requirements, The Joint Commission (TJC) accreditation standards, and the Health Insurance Portability and Accountability Act (HIPAA).
• Addresses staff, physician, patient, and family concerns immediately. Initiates immediate steps to correct problems when appropriate.

Making Communities Healthier

We want to create places that:

• People choose to come for Healthcare
• Physicians want to practice
• Employees want to work

Exhibits a positive attitude by:

• Treating everyone with the dignity that they deserve
• Welcoming customers in a friendly manner
• Apologizing for problems and inconveniences
• Avoiding the sharing of personal problems and frustrations with others
• Find out the immediate needs of the customer and asking if there is anything else you can do

Exhibits good communication skills when:

• Answering the telephone
• Providing information
• Smiling, making appropriate eye contact, and giving undivided attention to customers
• Introducing yourself when meeting a patient or customer for the first time
• Smiling and making appropriate eye contact with people
• Offering assistance to patients and visitors
• Calling patients by name
• Communicating in a polite manner using “please” and “thank you”

• Personal appearance is professional
• Dressing is professional, clean and in good taste
• Wearing identification badge appropriately at all times
• Dress is in accordance with hospital and department dress code

• Respects privacy and maintains confidentiality by:
• Knocking before entering a patient’s room
• Providing proper fitting gowns and modestly covering patients
• Closing curtains/doors/window blinds during examinations, procedures, consultations
• Allowing a patient privacy if you are not directly involved in care being rendered
• Following HIPAA regulations
• Sharing protected health information and confidential information on a need to know basis only

• Respects the customers’ time by:
• Acknowledging patients immediately when they come into your area
• Explaining the reasons for any delays and keeping the customer apprised of the situation
• Training patients on the operation of their bed, television, controls, and telephone
• Answering patient call lights promptly with care, courtesy, and respect

• Exhibits a sense of ownership and accountability by:
• Conducting yourself professionally
• Responding in a timely, accurate manner to assignments and requests
• Maintaining fiscal responsibility by utilizing resources wisely, taking care of equipment, and preventing lost charges
• Solving problems, meeting needs, and determining what can I do to make a positive difference
• Adapting to changes in a positive, professional manner
• Attends staff meeting and complete all mandatory training on time
• Does not incur unapproved overtime, arrives on time and leaves on time and has few unscheduled absences

• Supports a healthy work environment by:
• Not spreading gossip or talking about other team members
• Addressing conflicts quickly and appropriately
• Not holding a grudge or acting out against other employees
• Working interdepartmentally through communication, cooperation, understanding and trust

• Acts with integrity by:
• Completing an honest hour of work for each hour of pay
• Refraining from criticizing others
• Upholding the standards of our Code of Conduct
• Doing your part to make this a great hospital

• Must be a licensed RN in the State of Utah
• At least 1 year of hospital based case management preferred
• Certification in Case Management or BS/BSN preferred