Care Management Registered Nurse

Benefits

Additional Information

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Pay Range: $50.47 - $50.47 Position Overview SUMMARY (Basic Purpose of the Job) Conducts a timely and accurate assessment of the patient's clinical, social, functional and continuing care needs through direct observation, data analysis and interviews in order to evaluate the need for intervention. Determines the appropriate level of care, anticipates discharge needs and initiates the discharge planning process. Contributes to the development of a goal directed, age appropriate plan of care through multidisciplinary team processes. MINIMUM REQUIREMENTS Education: Associate's degree required. BSN, CCM preferred. Experience: Hospital or healthcare experience in case management field including utilization review, discharge planning, outcomes management, assessment care planning and care coordination, related experience or training preferred. Other Credentials: Registered Nurse - NJ 4 hours of Stroke related Continuing Education contact hours annually if assigned to: Critical Care, Intermediate Care Unit, Emergency Department, Neuro Units, Cardiology Inpatient at Hopewell, Peds ED, PACU, Interventional Radiology, CNI, Observation CPR Requirements: BLS Knowledge and Skills: Word processing and spreadsheet software. Ability to use electronic mail, and other Case Management software and patient information software. Reasoning ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. Excellent communication, conflict management, organizational and planning skills Special Training:Clinical training in a medical/clinical environment; knowledge of spreadsheet and word processing software, case management and patient information systems. Familiar with hospital and post -acute resources for discharge planning. Knowledge of social determinants of health and how to access resources to reduce health disparities. Mental, Behavioral and Emotional Abilities:Must be comfortable working with diverse age ranges and populations. Usual Work Day:8 Hours Reporting Relationships Does this position formally supervise employees? No If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. ESSENTIAL FUNCTIONS Assesses patients on assigned units based on policy. Assessments to include review of the treatment plan, determination of the appropriate level of care, assessment of discharge needs and initiation of the discharge plan process. Collaborates with the social worker regarding patients complex social and discharge needs. Develops and implements a discharge plan proactively through collaboration with physicians, patients, families, multidisciplinary team members and other external caregivers as applicable, to facilitate a seamless transition from one level of care to another across the health care continuum. Attends daily rounds on assigned unit with team members to ensure that the multidisciplinary plan of care is consistent with the patient's clinical course, continuing care needs and covered services as evidenced by documentation of care needs and interventions. Reassesses continually the plan of care and discharge needs of the patient and collaborates with the members of the multidisciplinary team to modify the plans as needed based on the patient's changing needs as evidenced by weekly documentation in the progress notes. Maintains a working knowledge of behavioral responses to illnesses and other areas (community resources, payer requirements) to facilitate the patient's movement along the health care continuum. Maintains appropriate documentation in the medical record and in computer systems as required by policy or departmental practice. Makes all appropriate referrals needed to implement the discharge plan, which include LTACH, post acute facilities