RN - CASE MANAGER SUPERVISOR

Sign-On Bonus Available

Relocation Assistance Available

Minimum Offer

$ 39.07 / hr.

Maximum Offer

$ 52.50 / 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.

Department : Utilization Management - UH

FTE : 1.00

Full Time

Shift : Days

Position Summary :

Responsible for the initial review, triage and assignment of patients to case managers and for the coordination of all systems and services required for an organized, multidisciplinary, patient centered care team approach. Assure quality, cost effective care for the identified patient population. Supervise staff in the department. Act as a resource and role model for staff. The incumbent also functions as a contact person for the patient, family, health care team members, community resources and employees. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.

Detailed responsibilities :

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

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

SUPERVISION - Develop efficient organizational structure. Supervise employees and select, terminate, train, educate, correct deficiencies, perform appraisals, issue discipline, counsel, schedule work assignments; encourage staff teamwork and growth initiatives

DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate

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

NEEDS - 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

COLLABORATION - 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

ASSIGNMENT - Oversee and assign case loads and staff hours to best suit Hospitals needs

COVERAGE - Organize case coverage during absence of staff

PERFORMANCE - Assist in developing standards of performance, evaluation of performance, and initiates or makes recommendations for personnel actions

LEADERSHIP - Provide leadership through identification of problems and opportunities for improvement, program planning, implementation, and evaluation

GOALS - 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

PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources

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

VARIANCES - Intervene when variances occur in patient individualized treatment plan

RESOURCES - 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

INTERVENTIONS - 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

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

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

EDUCATION - 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

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

CONTINUITY OF CARE - 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

MEETINGS - Participate in team meetings when indicated or as directed

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

COMMUNICATION - 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

DOCUMENTATION - 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

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

RELATED WORK - Perform related duties and responsibilities as required

ADMINISTRATION - Perform various administrative functions such as monitoring expenditures and preparing reports and correspondence; may participate in a variety of research projects to develop service plans; may propose changes to program policies and procedures

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

STAFF - Assist in interviewing, hiring, orienting, training, coaching, evaluating, counseling, and supervising staff

PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols

PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes

PATIENT SAFETY 3 - Identify and report / correct environmental conditions and / or situations that may put a patient at undue risk

PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and / or near misses in a timely manner

PATIENT SAFETY 5 - 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"

Qualifications

Education : Essential :

Bachelor's Degree

Nonessential : Master's Degree

Bachelor's Degree

Education specialization :

Essential :

Related Discipline

Nonessential : Master's Degree

Nursing

Experience : Essential :

3 years directly related experience

Nonessential : Master's Degree

Credentials : Essential :

RN in NM or as allowed by reciprocal agreement by NM

CPR for Healthcare / BLS Prov or Prof Rescuers w / in 30 days

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 (Constantly : activity or condition exists 2 / 3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. 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 : Essential :

Sig Hazard : Chemicals, Bio Hazardous Materials req PPE

Subject to an annual contract and performance appraisal

Tuberculosis testing is completed upon hire and additionally as required

Department : Registered Nurse