RN Case Manager

McLeod Health

Full-time

Hospitals

About the position

The RN Case Manager is responsible for coordinating and facilitating patient care throughout the continuum of care, ensuring that services provided are patient-focused, high quality, efficient, and cost-effective. This role involves direct interaction with patients and their families to assess needs and develop individualized care plans in collaboration with physicians. The RN Case Manager also monitors resource use and length of stay, communicates with the Utilization Management team, and ensures effective communication among all members of the healthcare team.

Responsibilities

• Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers.
• Coordinates/facilitates patient care progression throughout the continuum of care.
• Assures the plan of care and services provided are patient focused, high quality, efficient and cost effective.
• Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with the physician.
• Monitors length of stay and ancillary resource use on an ongoing basis and takes actions to achieve continuous improvement in both areas.
• Communicates information to the Utilization Management team to aid in appropriate level of care determination and reimbursement by third party payors.
• Communicates identified issues affecting quality of care, risk management, patient satisfaction and or physician opportunities to the quality team using the Improve the Process form.
• Ensures that all elements critical to the plan of care have been communicated to the patient/family as well as members of the healthcare team.
• Ability to cover various populations across the organization, including the Emergency Department.
• Performs all other duties as requested by Case Manager Supervisor and/or Director.

Requirements

• 1-2 years of recent acute care hospital experience required
• Data entry/computer experience required