Community Care Nurse

ChenMed - Detroit, MI

Full-time - Mid Level

Detroit, MI

Ambulatory Health Care Services

About the position

The Community Care Nurse at ChenMed is a pivotal role designed to enhance the quality of patient management and satisfaction. This position is integral to promoting continuity of care and cost-effectiveness through the integration of case management, utilization review, and discharge planning. The Community Care Nurse is responsible for adhering to departmental goals and objectives, maintaining standards of performance, ensuring regulatory compliance, and delivering quality patient care in accordance with established policies and procedures. In this role, the nurse will coordinate the integration of social services and case management functions into patient care, discharge, and home planning processes. This involves collaboration with various departments, external service organizations, agencies, and healthcare facilities. The nurse will conduct concurrent medical record reviews using specific indicators and criteria approved by the medical staff, acting as a patient advocate by investigating and reporting adverse occurrences, and providing staff education related to resource utilization and discharge planning. The Community Care Nurse will also promote effective utilization of clinical resources, mobilizing them to achieve desired clinical outcomes within specific timeframes. Regular communication with physicians throughout hospitalization is essential to develop effective working relationships and assist in maintaining appropriate costs and desired patient outcomes. Additional responsibilities include coordinating social services for patients and families, completing expanded assessments of patient and family needs, and facilitating interdisciplinary patient care rounds to optimize resource utilization and provide family education. This role requires a compassionate and empathetic demeanor, strong organizational and time management skills, and the ability to work both independently and as part of a team. The nurse will also be expected to direct and participate in the development and implementation of patient care policies and protocols, ensuring that special cases or patient needs are handled appropriately. Overall, the Community Care Nurse plays a crucial role in transforming healthcare for seniors, ensuring that they receive the best possible care and support throughout their healthcare journey.

Responsibilities

• Coordinates the integration of social services/case management functions into patient care, discharge, and home planning processes.
• Conducts concurrent medical record reviews using specific indicators and criteria approved by medical staff.
• Acts as a patient advocate by investigating and reporting adverse occurrences and performing staff education related to resource utilization and discharge planning.
• Promotes effective and efficient utilization of clinical resources and mobilizes resources to achieve desired clinical outcomes within specific timeframes.
• Conducts reviews for appropriate utilization of services from admission through discharge.
• Evaluates patient satisfaction and quality of care provided.
• Communicates with physicians at regular intervals throughout hospitalization and develops effective working relationships.
• Assists physicians in maintaining appropriate costs, case management, and desired patient outcomes.
• Coordinates the provision of social services to patients, families, and significant others to help them deal with the impact of illness.
• Completes expanded assessments of patients and family needs at the time of admission and psychosocial assessments.
• Refers cases where patients and/or families would benefit from counseling to social workers for complex discharge planning.
• Facilitates interdisciplinary patient care rounds and/or conferences to review treatment goals and optimize resource utilization.
• Directs and participates in the development and implementation of patient care policies and protocols.

Requirements

• Associate degree in Nursing required.
• Bachelor's Degree in nursing (BSN) or RN with a bachelor's degree in a related clinical field preferred.
• A valid, active Registered Nurse (RN) license in the state of employment required.
• A minimum of 2 years' clinical work experience required.
• A minimum of 1 year of case management experience in community case management highly desired.
• Possession and maintenance of a current, valid driver's license.

Nice-to-haves

• Certified Case Manager certification is preferred.
• Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired.
• Bilingual skills are a plus.

Benefits

• Opportunities for advancement
• Great compensation
• Comprehensive benefits
• Career development and advancement opportunities
• Work-life balance