Providence is calling a Registered Nurse Care Manager (1.0 FTE, Days) to Providence Portland Medical Center in Portland, OR.
Take a peek at what working forProvidence can offer to you:
- Outstanding benefits that start the same day you do
- Competitive salary based on experience
- Generous paid time off; work/life balance
- Education reimbursement opportunities
- Free Annual Tri-Met pass / Free parking
- Vacationdestination and retail discounts
We are seeking an RN Care Manager who will be responsible for facilitating the patient's progress through the hospitalization from pre-admission through discharge and transition to the next care setting. The Care Manager works with patients/families, physicians, nurses, social workers and other health team members to enable each patient to progress towards care goals and be prepared for timely discharge or transfer. They apply clinical expertise and knowledge of utilization management principles to care facilitation and discharge planning. The Care Manager fully partners with and promotes focused programs such as Utilization Management and Clinical Documentation Specialists.
In this position you will have the following responsibilities:
- Conducts clinical assessment of patient within 8 hours of admission in order to identify clinical resources required to achieve optimal patient outcomes in a timely/efficient, quality and cost effective manner and identify potential barriers to safe discharge/transition.
- Identifies high-risk patients and refers to Social Worker for psychosocial assessment and/or Discharge Planning Specialist for proactive discharge planning.
- With UM Coordinator, assigns initial expected length of stay and maintains system for monitoring, reviewing and updating length of stay in a timely manner.
- Discusses estimated length of stay, treatment and discharge plan with the physician, nurses, and other members of the care team as indicated. Initiates discussion with physician(s) to: provide updates; educate on criteria and appropriate level of care; determine and coordinate post-acute needs; initiate referrals and recommendations of consults; documentation requirements and other information to maintain a collaborative relationship with physicians in coordinating patient care to facilitate timely discharge.
- Consults and collaborates with staff nurse(s), charge nurse/nurse manager regarding care plan.
- Manages each patient's (and family) transitions and expectations throughout their stay.
- Coordinate using established criteria, collaborated with Utilization Management to review appropriateness of patient's admission, need for continued stay, information needed for discharge.
- Conducts (daily) interdisciplinary patient rounds and facilitates care conferences as required. Ensures that the interdisciplinary care plan and the discharge plan are consistent with the patient's clinical course, continuing care needs and covered services.
- Develops Discharge Plan
- Assesses, identifies and reviews critical elements of a patient's hospitalization and significant other/family situation, to facilitate achievement of discharge outcomes, post hospitalization recovery, health maintenance and promotion.
- Refers complex discharge planning issues to other members of the care team as directed by referral criteria.
- Educates patients/families regarding available community resources, coverage/non-coverage issues.
- Collect data on variances from quality screening criteria and assures compliance with core measures; reports quality concerns to Quality Management; continually ensures and enhances quality outcomes.
- Utilizes current PHS policies and procedures to document care management goals, interventions, progress and outcomes.
- Effectively manages patient caseload and responsibilities of role, prioritizing tasks and follow-up activities independently. Establishes a system for coordinating/managing the caseload throughout the episode of acute care, utilizing information (diagnosis, M.D., financial classification, etc.) in order to assist in establishing daily priorities.
- Maintains, updates and actively improves care management skills, including case-finding high risk individuals, care coordination, transition planning and implementation, documentation and evaluation of effectiveness, chronic disease interventions and issues, teamwork, physician communication, process improvement, knowledge of community resources.