RN - Case Manager

RN Case Manager

Profession: Nursing Specialty: Case Management Duration: 13 Weeks Shift: Day Hours per Shift: 8 Experience: Required - Previous clinical experience in an acute care setting or home health setting assessing skilled care needs and equipment and health maintenance resource needs License: Active RN License Certifications: CRASE training required Must-Have: Graduate of an accredited school of nursing or related medical occupation Previous experience with coordinating community resources for post-acute hospitalization care is preferred Bilingual and/or English-Spanish speaking preferred

Description: Assesses, develops, implements, and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient and family in internal and external settings. Comprehensively assesses patients' goals as well as their biophysical, psychosocial, environmental, functional, and financial status. Procures services and serves as advocate on behalf of patients and families for scarce resources. Directs families to arrange for services that require patient/family decision and participation. Acts as liaison to post-hospital care providers and community health resources. Communicates continually with patients, families, medical staff, caregivers, and post-hospital resources. Facilitates or provides necessary patient and family education prior to admission, during hospital stay, and after discharge as indicated. Develops and maintains a positive work climate and positive working relationships with patients, families, medical staff, post-hospital care providers, and community agencies. Evaluates medical necessity for treatments, procedures, and hospital stays. Collaborates with insurance companies to obtain authorizations. Monitors length of stay and identifies potential discharge barriers. Ensures appropriate use of healthcare resources. Advocates for patients' needs and preferences with the healthcare team. Educates patients and families about diagnoses, treatments, and self-care. Addresses barriers to care, including financial, social, and logistical issues. Regularly reviews and updates plans based on client progress. Facilitates referrals to specialized services. Advocates for clients with service providers and systems. Maintains accurate and thorough case management records. Documents assessments, interventions, and outcomes. Tracks quality metrics and patient outcomes. Participates in interdisciplinary care conferences. Consults with specialists regarding complex patient needs. Coordinates care plan implementation across disciplines. Ensures clients receive entitled benefits and services. Supports the hospital mission, vision, values, policies, and procedures. Participates in required education for relevant programs as applicable to position. Performs other related duties as assigned.

Personal Traits, Qualities, and Aptitudes: Presents self positively on the phone and in person. Conveys empathy and compassion in conversation. Works independently and completes assignments as scheduled or communicates barriers to timely completion. Recognizes the rights and responsibility of patient confidentiality and handles information appropriately. Communicates effectively with people from a variety of socio-economic backgrounds. Relates well to children, adolescents, adults, and geriatrics.

Physical Requirements: Requires auditory ability to detect and respond to various sounds, including patient alarms and verbal communication. Clear and effective communication is essential, as is the ability to interact with patients, families, and healthcare team members. Visual acuity is necessary for observing patient conditions, reading documentation and monitors, and distinguishing colors for clinical purposes. Motor coordination is required for reaching, grasping, handling, and performing fine motor tasks necessary for the use of medical equipment and procedures. The position involves occasional stooping, kneeling, crouching, or crawling when assisting patients. Walking and standing are typically continuous throughout the shift. The role requires the ability to lift up to 50 pounds independently. May require frequent pushing, pulling, carrying, or repositioning of patients weighing up to 25 pounds. There may also be occasional lifting or transferring of individuals weighing over 100 pounds, ensuring safety protocols are followed.

Working Conditions: This position is performed primarily in an indoor healthcare environment such as a hospital, clinic, or long-term care facility. While the work setting is protected from outdoor weather conditions, it may be subject to variable indoor temperatures. The role involves frequent exposure to infectious and contagious diseases, hazardous materials, and medical equipment, with the expectation that all staff follow appropriate safety protocols. The healthcare environment can be fast-paced and unpredictable, requiring the ability to respond quickly to changing circumstances, including high-pressure or emergency situations. The work setting involves multiple simultaneous demands and varying levels of noise due to medical equipment, staff activity, and patient needs.