Overview Join to apply for the Case Manager role at Brown University Health .
Summary: Reports to the Manager or Director of Case Management. Provides coordinated care support to facilitate and expedite patient care services. Participates in daily rounds and collaborates with the clinical healthcare team across the patient care continuum to include preadmission and post hospital discharge. As a member of that team, shares responsibility for the implementation of the discharge plan; ensures efficient and effective delivery of patient care services through the appropriate utilization of healthcare resources. Full time, part time per diem and job share schedules available.
Brown University Health employees are expected to successfully role model the organization\'s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate.
Responsibilities
Partners with medical staff and other members of the healthcare team in collaboration with the patient/family to facilitate the plan of care for a defined patient population across the continuum of care.
Identifies a high-risk patient population within the caseload for care management assessment, screening, and targets interventions in conjunction with the healthcare team within one business day of patient admission.
Participates in daily care rounds to collaborate with the patient\'s healthcare team and to evaluate and facilitate development and implementation of the discharge planning process.
Develops the initial patient discharge plan and reviews with patient, family members and other members of the interdisciplinary team. Reassesses the discharge plan daily during collaborative care rounds.
Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge.
Delivers Important Message follow-up notices to all Medicare patients according to CMS regulations.
Follows CMS and DOH regulations in relation to discharge guidelines and patient rights.
Coordinates the length of stay with the physician care team and patient. Ensures team is informed of insurance qualifiers that may affect the discharge plan.
Discusses approaching discharge readiness of patients. Identifies and assesses readmitted patients and complex patients to coordinate discharge in collaboration with the healthcare team.
Advocates for the patient and advises the patient regarding financial implications of their discharge plan when coordinating care.
Communicates the discharge plan, including post facility acceptance, to patients, families and all members of the care team. Documents final discharge disposition in progress notes.
Develops appropriate patient care reports to ensure safe patient handovers during transfers between care areas.
Provides care plan direction for the advancement of a patient care delivery system which supports managed care strategies and decreases readmission risk.
Acts as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow-up.
Maintains grounding in nursing theory and practice with a clinical background within a defined content area. Remains current on the latest concepts and methods relevant to the service. Demonstrates knowledge of federal and state rules and regulations.
Reviews and acts as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow-up. Identifies and tracks service and discharge patient delays.
Participates in departmental and/or interdepartmental quality improvement activities as requested (e.g., OpX teams, weekly long LOS reviews, interdisciplinary rounds, readmission reviews). Participates in orientation of new staff as requested and ongoing education-related professional activities to maintain advanced knowledge of patient care services, third-party payer, and managed care requirements and case management.
Minimum Qualifications
Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
Graduate of a School of Nursing with current license to practice as a Registered Nurse in Rhode Island. Bachelor\'s Degree preferred; years of experience will be considered.
Certification in Case Management by a nationally recognized organization preferred or to be obtained within 1 year of hire.
AHA BLS Provider required.
Three years of clinical experience with recent experience in case management, community case management, patient navigation, or discharge planning is strongly preferred.
Strong analytical and interpersonal skills; ability to guide and communicate with healthcare professionals, patients and families daily. Collaborative approach to interaction with a diverse population of providers, insurers, patients and families.
Proficient in Microsoft Office (including email and Outlook) and basic keyboarding skills.
Work Environment and Physical Requirements
General hospital environment with occasional stressful conditions associated with patient care. Risk of exposure to blood borne pathogens minimized by infection control policies.
Ability to make hospital rounds through various patient care areas either by walking or other mobility means. Visual acuity and finger dexterity to review and carry medical records, navigate systems, and type on a computer terminal.
Lifting up to 10 lbs may be necessary to transport items between care units.
Pay Range
$78,748.80-$157,476.80
Location
The Miriam Hospital - 164 Summit Ave Providence, Rhode Island 02906
Work Type
8-4:30, 4 days per week, rotating weekends and holidays
Work Shift
Day
Daily Hours
8 hours
Eeo/Additional Information
Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran status, or marital status. Brown University Health is a VEVRAA Federal Contractor.
Note
Location details and other job postings may continue to appear for regional relevance.