Case Manager

Creating Life Better Here Starts With You

At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.

The role of RN Case Manager is to ensure the appropriate and timely delivery of care and the development and execution of the discharge plan to meet the patients anticipated discharge needs. Serves as an advocate for the patient and coordinates with the acute care team members, payers and community resources to leverage resources to meet patients needs. The RN Case Manager performs this role in a manner to create a sense of urgency as to meet the individuals health needs while promoting hospital throughput, quality, and cost-effective outcomes.

Required Behaviors:

• As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability, and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Required Qualifications:

• Current RN license in the state of New Mexico
• Assertive and diplomatic communication skills
• Self-motivated and accountable
• Team-Oriented
• Nursing experience

Preferred Qualifications:

• Acute care experience
• Bachelors Degree (BSN)
• Accredited Case Manager Certification (ACM)
• Cerner experience
• Case Management experience

Duties and Responsibilities:

• Provide and document initial and daily ongoing transition of care assessments of the patients needs for services in collaboration with the patient, family, and healthcare team.
• Lead multi-disciplinary rounds on the unit. Know the patient through patient/ family interviews and daily chart review to capture current clinical condition to anticipate progression of care and discharge needs.
• Meet with the patient/family to educate regarding the discharge plan, ensure patient choice and identify barriers to discharge
• Provide patient/family education to facilitate an understanding of their hospital and post-hospital course, their status assignment and discharge appeal rights and provide advocacy for their care.
• Monitor and evaluate utilization of services to focus on the best treatment and approach for the patient promoting the timely progression of interventions, utilization of resources and expected outcomes within a length of stay consistent with external regulations and standards.
• Observation Management. Review cases two (2) times per day to convert patient to in-patient status vs. discharge within twenty-four (24) to thirty-six (36) hours.
• Maintain current knowledge of and follow CMS requirements.
• Responsible for identifying barriers to care progression and escalating cases appropriately.
• Document avoidable days when identified
• Collaborate with social worker to communicate needs and drive the development of the discharge plan
• Provide direction to the Case Management Assistant to complete appropriately delegated tasks
• Each employee is responsible for implementing SJRMCs Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
• Other duties as assigned

Physical Demands and Environmental Work Conditions:

• Prolonged standing/sitting/walking
• Fast-paced environment
• High level of activity with many interruptions
• Possible exposure to communicable disease
• Repetitive motions (i.e., keyboard usage)

Sensory requirements:

The caregiver will need to be able to hear:

• Alarms on equipment/fire alarms/overhead announcements
• Patients/families verbal discussion
• Instructions/feedback from other healthcare providers

The caregiver will need to be able to see:

• Focus on close-up and distant objects
• Have intact: peripheral vision and depth perception