Registered Nurse - CASE MANAGER - Utilization Management

RNDISCG-3130

JOB DUTIES

Participation in coordination of care for patients that are admitted or in observation status at MMC. Provides leadership for other team members.This Clinical Liaison would be expected to meaningfully impact length of stay, quality of care, and discharge experience by working to develop a multi-disciplinary plan for successful transition to the next level of care and determining appropriate discharge disposition while also driving the elimination of barriers

Round with hospitalists- Complete daily review of length of stay and discharge probability based on clinical presentation and post-acute care needs.Clinical liaison for discharge planning with direct communication and involvement with patients/families, providers, social service discharge planners, Utilization Management team, and clinical services

This position involves strong clinical skills, communication, database analysis, trending and tracking performance measures, as well as independent pursuit, and performing high quality work on a deadline.

This person must work collaboratively with physicians, nurses, agencies, administration, patients and families.

Prioritizes caseload based on length of stay, acuity level, and identified patient needs.

Evaluates and modifies plan of care based on patient responses and attainment of expected outcomes.

Evaluates comprehension of clinical information presented in regards to discharge planning needs and provides additional education as needed.

Ensures timely and accurate documentation and communication of the next steps in the continuum of care to the patient, family, and agencies involved in care.

Provide privacy for interviews/consultations for patients/families whenever possible, and is sensitive to surroundings when identifying and discussing additional support needed to foster self-management of medical needs.

Provides list of available agencies for referrals, as well as information on DNR and advanced directives when appropriate, and facilities discussion with patient/ family and community agency accepting referral as needed.

Is aware of psychosocial status and cognitive abilities of patient, and facilitates follow up with family members or next of kin as needed for discharge planning.

Uses appropriate communication skills for specific ages, education, and cognitive level and is aware of psychosocial status and cognitive abilities of patient when facilitating discussions regarding discharge-planning needs.

Is aware of child and elderly abuse issues and domestic violence, and makes the appropriate referrals.

Identifies potential safety hazards in the home environment and provides contact information for identified community resources in the discharge instructions that may assist in the elimination of such hazards.

Promotes decreased lengths of observation stays or inpatient stays when appropriate.

Identifies appropriate alternative resources and demonstrate creativity in managing each case to fully utilize all available resources.

Performs other duties as assigned.

SPECIFIC JOB DEMANDS

Strength: Sedentary Work- Lifting, Carrying, Pushing, Pulling 10 Lbs. occasionally. Mostly sitting, may involve standing or walking for brief periods of time.

Reaching: Occasionally- Extending hand(s) or arm(s) in any direction.

Handling: Occasionally- Seizing, holding, grasping, turning, or otherwise working with hand or hands. Fingers are involved only to the extent that they are an extension of the hand.

Fingering: Occasionally- Picking, pinching, typing or otherwise working primarily with fingers rather than with the whole hand or arm as in handling.

Talking: Frequently- Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly.

Hearing: Frequently- Perceiving the nature of sounds by ear.

Near Acuity: Frequently- Clarity of vision at 20 inches or less.

Accommodation: Occasionally- Adjustment of lens of eye to bring an object into sharp focus. This factor is required when doing near point work at varying distances from the eye.

Color Vision: Frequently- Ability to identify and distinguish colors.

MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED

Proof of successful completion of education requirements for registered nurse as defined by the state in which the employee is to practice as well as proof of such licensure in good standing.

Preferred have at least 5 years’ experience as a Registered Nurse.

Advanced clinical expertise and extensive knowledge of complex disease processes with a broad clinical experience in an inpatient setting required

Ability to read analyze and interpret documents, reports, technical procedures, governmental regulations and correspondence

BLS required.

WORKING CONDITIONS

Generally, works in a well-lit, clean, temperature regulated office environment. May be required to be in various hospital departments.

DISCLOSURE

MMC commits to review, under the intent of this standard, and in coordination with medical professional opinion’s and physical demands job analysis performed by certified professionals, an individual’s ability to be reasonably accommodated within the role they are responsible and qualified to perform.

MMC is committed to complying with the Americans with Disabilities Act (“ADA”) and providing equal opportunity employment for qualified persons with disabilities. All employment practices and activities are conducted on a nondiscriminatory basis. Meadville Medical Center will follow any state or local law that provides individuals with disabilities greater protection that the ADA.

Every effort has been made to make your job description as complete as possible. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.