Registered Nurse (RN) Case Manager

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 a related field required; Master’s degree preferred.

EXPERIENCE:  Eight (8) years of infection control experience in an acute care setting required.

LICENSURE OR CERTIFICATION:  Certification by the National Board of Infection Control (CIC) preferred.

KNOWLEDGE, SKILLS AND ABILITIES: 

·         Knowledge of infectious diseases, OSHA, CDC, and CMS requirements, microbiology and surveillance practices for infection control.

·         Skill in evaluating performance and recommending improvements.

·         Skill in managing and training staff.

·         Skill in strategic planning and developing staffing plans to meet not only current needs but future needs.

·         Skill in coordinating risk assessments and communicating protocol to follow.

·         Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

·         Ability to write reports, business correspondence, and procedure manuals.

·         Ability to effectively present information and respond to inquiries or complaints from employees, patients and/or their representatives, and the general public. 

·         Ability to comprehend and apply principles of statistical theory.

·         Ability to define problems, collect data, establish facts, and draw valid conclusions.

·         Ability to interpret and deal with several abstract and concrete variables.