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RN - CASE MANAGER- DISCHARGE PLANNER

UNM HOSPITALS
Full-time
On-site
Albuquerque, New Mexico, United States
Case Manager RN
Sign-on Bonus and Relocation Reimbursement available!

Receive 17% weekday nights, 26% weekend nights, or 15% weekend day shift differentials!

Join our Amazing team at the University of New Mexico Hospital as a Care Manager! We are seeking passionate individuals who will work in collaboration with clinical teams to achieve quality outcomes for patients within our local communities.

As a day shift, full‑time, Care Manager and Discharge Planner, you would be working for the only Level I Trauma hospital within Albuquerque, NM.

OVERVIEW
As team member you would monitor and coordinate the patient plan of care to ensure continuity throughout all health care settings.

RESPONSIBILITIES

Conduct timely discharge planning by anticipating patient needs

Effectively utilize tools and resources when developing a comprehensive multidisciplinary plan of care

Drive change by identifying areas of performance improvement to improve the delivery of quality patient care

We invite you to join us in this vital role and help us create lasting positive change in our community.

COMPENSATION
Minimum Offer: $31.56/hr.

Maximum Offer: $50.48/hr.

Compensation Disclaimer

Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

POSITION SUMMARY
Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost‑effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary.

DETAILED RESPONSIBILITIES

Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable

Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral

Assess the patient's clinical, psychosocial status and current treatment plans

Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources

Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment

Maintain computer‑based tracking system and compile required reports and records

Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities

Assist the patient, family, significant others to set patient‑centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members

Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources

Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members

Intervene when variances occur in patient individualized treatment plan

Coordinate and evaluate the use of resources and services in a quality‑conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes

Monitor and evaluate short‑term and long‑term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow‑up as necessary

Review variance from standardized protocols of care with health care team members and implement resolution strategies

Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management

Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control

Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team

Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others

Participate in team meetings when indicated or as directed

Incorporate recommendations and/or services of interdisciplinary team members in the care plan

Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction

Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner

Participate in orientation, continuing education of staff RN's and other health care team members as appropriate

Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation

Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor

Enhance professional growth and development through participation in educational programs, reading current literature, attending in‑services, meetings and workshops

Follow patient safety‑related policies, procedures and protocols

Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes

Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk

Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner

Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may 'not seem right'

Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings

Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

QUALIFICATIONS
Education: Program Graduate (Essential). Bachelor’s Degree (Nonessential). Nationally Accredited Nursing Graduate (Essential). Nursing (Nonessential).

Experience: 1 year directly related experience (Essential). Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo (Nonessential).

Credentials: RN in NM or as allowed by reciprocal agreement by NM (Essential). CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days (Essential).

Physical Conditions: Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

Working conditions: Minor Hazard - physical risks, dirt, dust, fumes, noise. Tuberculosis testing is completed upon hire and additionally as required.

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