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PURPOSE OF THIS POSITION
The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized inpatient case management service for pediatric and adult hospitalized patients under the direction of the attending provider. The RN Case Manager will assist in identifying and addressing the physical and psychosocial needs of patients to achieve an optimal level of health, both during hospitalization and after discharge.
JOB DUTIES/RESPONSIBILITIES
Duty 1: The RN Case Manager collaborates with the interdisciplinary team to assess patient needs, confers with patients and families to determine an effective plan of care, and documents the physical and psychosocial needs and plan in the electronic medical record.
Duty 2: The RN Case Manager actively participates in interdisciplinary rounds to identify and communicates physical and psychosocial needs that will require intervention during and after hospitalization. The RN Case Manager communicates identified patient needs with associates, physicians, and outside referral services to enhance continuity of care and documents psychosocial assessment in the electronic medical record.
Duty 3: The RN Case Manager, as assigned, participates in various committees and meetings to contribute information regarding transitions of care and utilization of care resources for the purpose of improving patient care and outcomes.
Duty 4: The RN Case Manager addresses the safety of patients by reporting suspicions of abuse and neglect to Protective Services.
Duty 5: The RN Case Manager confers with patients and families as indicated to present options toward enhancing the patient's well-being.
Duty 6: The RN Case Manager, on an ongoing basis, helps to maintain accurate information about provider agencies and community resources to better assist with appropriate linkages of patients and families to these services.
Duty 7: The RN Case Manager, develops, evaluates and updates clinical care protocols/clinical pathways and leads process improvement to continually enhance quality of services provided.
Duty 8: The RN Case Manager ensures after hour coverage for emergent care plan needs and provides a handoff of their cases to ensure that all members of the interdisciplinary team are aware of the care plan during hours that the RN Case Manager is not providing coverage.
Duty 9: The RN Case Manager directly communicates ongoing needs of their patients with the receiving party (family, facility or agency) and hands off the care to that party to ensure safe, smooth and sustainable transitions of care.
Duty 10: When it is not possible to hand off care to a receiving party, the RN Case Manager follows up with patients who have left the acute care setting who are identified as high risk to ensure the transitional plan of care was success
Duty 11: Collects, monitors and analyzes dashboard data related to patient populations i.e. length of stay, readmission rates, cost per case information, protocol utilization, and pathway variance information. Utilizes data findings for performance improvement planning, and to evaluate effectiveness of case management program.
Duty 12: Assists in the development, implementation, monitory and evaluation of the total joint program and stroke program.
Duty 13: Serves as a clinical resource/consultant to physician and ancillary staff to optimize communication and effective utilization of health care resources.
REQUIRED QUALIFICATIONS
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