Case Manager Per Diem - TMC Rincon

SUMMARY:

Works with physicians and multidisciplinary team members to develop plan of care for each assigned patient from admission through discharge.  Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and/or evaluation.  Assesses and responds to patient/family needs by coordinating efforts of other team members.  Identifies and resolves barriers that hinder effective patient care. Improves quality and completeness of documentation.

ESSENTIAL FUNCTIONS:

Assesses, creates, implements evaluates and modifies timely discharge plans.

Collaborates with patients, families, nurse, physician and other members of the team, creating consensus around issues of discharge planning.

Documents in a clear, complete, concise, and organized manner.

Monitors clinically high risk and complicated cases and institutes necessary actions to promote quality care and appropriate integration.

Accepts referrals and identifies patients who meet the criteria for case management.

Coordinates cases between health care providers and insurance company.

Determines appropriate level of care according to InterQual criteria, and facilitate movement of patients in a timely manner.

Facilitates staffing and care conferences when indicated.

Develops treatment plan and discuss proposed course of treatment with patient’s attending physician, patient, family and other members of the team.

Ensures patient/family/staff concerns are appropriately resolved in a timely manner.

Analyzes current operations, policies, systems, procedures, and develops and implements necessary and innovative changes.

Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff.

Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. 

Assists with program planning, development, and evaluation.

Adheres to TMC organizational and department-specific safety, confidentiality, values policies and standards.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:  Bachelor's degree in nursing or Associate’s Degree in Nursing with 5 years of nursing experience.

EXPERIENCE:  Two (2) years of nursing or case management experience.

LICENSURE OR CERTIFICATION: Current RN licensure permitting work in state of Arizona and basic life support (BLS) required. Some departments may also require current CPR instructor certification, Neonatal Resuscitation Provider (NRP) certification.