Registered Nurse - Case Manager, Per diem

Job Description

Overview

Responsibilities

• 1. Functioning as a leader for coordinating care efforts, the Case Manager works with payor sources, patients and team members to develop, deliver and monitor the quality of services provided and to improve outcomes through evaluation and revision of those services.
• 2. With the Nurse Manager, efficiently manage the care of the patient to promote optimal length of stay outcomes.
• 3. Case Manager shall manage groups of patients based upon service line designation throughout the continuum of care. This includes pre-hospitalization through post hospitalization
• 4. Case Manager shall evaluate patients referred for home care. Plans and coordinates care for Home Care patients utilizing knowledge of State, Federal and JCAHO regulations. Identifies insurance coverage and communicates coverage to patient/ family. Collects, maintains and reports statistical data on all referrals. Provides ongoing information on home care programs and services.
• 5. Case Manager follows up on complex cases and communicates with the patient/ family so to insure excellent quality of care continues once discharge has occurred.
• 6. The Case Manager uses his/ her skills to incorporate: assessment, planning, implementation, coordination and continuous evaluation of a patient on a daily basis.
• 7. The Case Manager insures that patients have their physical, psychosocial and vocational health needs met along the continuum of care.
• 8. Other duties and responsibilities as requested by Manager, Case Management Review.

Qualifications

EDUCATION

Graduate of an accredited school of nursing and currently licensed by the State of Connecticut. BSN and Masters degree in Nuraing or Health Care Administration preferred.

SPECIAL SKILLS

Recent appropriate nursing experience, theoretical knowledge of the nursing process, case management and continuity of care. Advanced communication and interpersonal skills with all levels of internal and external customers. Ability to obtain and interpret information appropriate to patient needs and age. Advanced assessment and teaching skills. Leadership skills in planning and managing patient care as acquired through greater than 3 years of clinical nursing experience in an acute care hospital. Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics.

PHYSICAL DEMAND

Office, hospital units, on call for weekends required and will be rotated among the nurse case management staff. This may evolve to a part time weekend schedule if patient work load requirements mandate on-site coverage. 50% sedentary; sitting, standing, walking from unit to unit, carrying records, speaking before groups. Must be able to speak and hear in a manner understood by most people. Must be able to communicate effectively by telephone.