S
RN Case Manager, Emergency Department - 40h Days Sign on BONUS!
Sturdy Memorial Hospital
10 hours ago
Full-time
On-site
Attleboro, Massachusetts, United States
Registered Nurse
Scheduled Weekly Hours: 40
-
$20,000 sign on bonus
40 hour position with weekend rotation
Working in collaboration with the patient/family/legal representative, social
workers, physicians, and interdisciplinary team, the RN ED case manager is
accountable for assessing, coordinating and facilitating patient progression
through the continuum of care in an efficient, cost effective manner. The RN ED
Case Manager must achieve this through early assessment of pre-admission level
of care, post hospital discharge needs, review of available resource and timely,
focused communication with the healthcare team and patient/family/legal
representative.
Education/Training:
* Graduate of an accredited school of nursing: BSN/MSN preferred
Licenses/Certification:
• RN with current Massachusetts license required
• CCM (Certified Case Manager) Preferred
• ACMA (Accredited Case Manager) Preferred
Required Qualifications and Skills:
* Minimum 3-5 years of experience in acute care case management, with
demonstrated skills in utilization review
* Demonstrated ability to use critical thinking and problem solving skills in
facilitating safe and timely patient transitions of care
* Excellent communication skills and positive interpersonal dynamic in working
with a variety of stakeholders across the care continuum
* Solid knowledge of all insurance plan regulations including CMS/Medicaid to
ensure compliance with all required processes and documentation
* Ability to garner and utilize information effectively to develop and modify
patient plan of care
* Strong analytical ability to interpret patient-related information, evaluate
appropriateness of continued stay and/or need for ancillary services, and to
reassess discharge planning needs based on daily assessment.
* Ability to successfully utilize industry accepted utilization and or medical
management criteria in patient status decision making
* Self-starter able to function independently within the scope of position and
licensure, as well as department policies and established goals
* Excellent computer skills to accurately document requisite information to
support patient status and medical necessity
Preferred Qualifications and Skills:
* Experience in Cerner a plus
* Denials management a plus
Essential Job Functions:
* Use ED tracking system, medical record, and on-going communication with ED
providers and team to identify potential admissions or alternative
disposition as appropriate.
* Screen all ED patients for potential for admission to ascertain payer source
and appropriate level of care designation.
* Collaborate with providers to determine, assign, and order appropriate level
of care (LOC) designation and ensure medical record documentation.
* Determination of appropriate admission status (observation vs. inpatient)
using standardized criteria; providing resources and education to the
healthcare team.
* Initiate and/or complete initial review
* Communicate LOC and/or length of stay (LOS) concerns to case management team
for follow-up the next morning.
* Consults with and takes referrals from ED providers, nurses, hospitalists,
other care team members, ED patients, and families.
* Reviews all consults placed from ISAR screening tool and assists social
worker with completion of these consults in order to provide patients with
needed home referrals or rehab/SNF placement.
* Responds to outside patient/family calls for follow-up care coordination
questions.
* Uses ED tracking system, medical record, and demographic information to
identify high-risk or any patient needing CM intervention.
* Identify patients with frequent ED visits utilizing the EHR and EDIE
collective medical group notifications.
* Identify patient returning in 48 hours to ED or hospitalization within 30
days.
* Assess ED patients referred and/or identified through case finding for
options other than acute hospital admission when appropriate:
* Screen and refer to acute rehabilitation, long-term acute care hospitals, and
nursing homes for admission directly from the ED.
* Screen and refer patients for whom treatments could be safely rendered at
home with services (i.e., IV antibiotics, low molecular weight heparin
injections, wound care, etc.)
* Consult additional services to complete a safe and effective discharge plan,
including physical therapy, social services, palliative care, interpreters,
homeless advocates, patient financial services, behavioral health, etc.
* Communicate discharge planning information and/or concerns to team for
follow-up the next morning.
* Initiate referral to long term care facilities, per patient/caregiver
requests, following established referral procedures, initiates a PASRR
screen, and ensures appropriate continuity of care information is provided to
facility.
* Mandatory reporting to regulatory agencies
* Provide additional community resources and support
Other duties: Please note this job description is not designed to cover or
contain a comprehensive listing of activities, duties or responsibilities that
are required of the employee for this job. Duties, responsibilities and
activities may change at any time with or without notice.
AGE AND DIVERSITY RELATED CRITERIA: Consistently treats patients, colleagues and
visitors with the dignity and respect, while being sensitive to the differing
needs of all age groups, backgrounds, characteristics and cultures.
ABILITY TO FULFILL JOB EXPECTATIONS: Must have the ability to the perform
essential functions of the position, including required work hours, locations
and physical demands, without posing a direct threat to the health and safety of
themselves or other individuals in the work place, and with or without
reasonable accommodation.
PHYSICAL DEMANDS:
* Ability to sit (may be for long periods of time), stand, reach and lift up to
15 pounds
* Ability to readily travel to units/departments across the system as needed.
* Ability to communicate effectively with all stakeholders, in person as well
as via telephone and electronically
* Ability to interact directly with patients, with potential for direct
exposure to patient care activities
* Ability to document and use trackers, analyze charts and coordinate
services within the electronic health record
* Ability to advocate for patients both internally and external to the system
* Ability to attend and participate professionally in meetings with Hospital
leaders, physicians, patients and families
-
Salary Range: $87,015.12-$135,323.52
-
SALARY RANGE DETAILS
The pay range displayed on each job posting reflects the anticipated range for
new hires. A successful candidate’s actual compensation will be determined after
taking factors into consideration such as the candidate’s work history,
experience, skill set, and education. This is not inclusive of the value Sturdy
Health’s benefits package (if applicable), which includes among other benefits,
healthcare/dental/vision and retirement. For annual salaries this is based on
full-time employment.
-
STURDY MEMORIAL HOSPITAL IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THERE IS
NO DISCRIMINATION BECAUSE OF RACE, COLOR, CREED, AGE, GENDER, SEXUAL
ORIENTATION, NATIONAL ORIGIN, VETERAN STATUS OR DISABILITY.
-
$20,000 sign on bonus
40 hour position with weekend rotation
Working in collaboration with the patient/family/legal representative, social
workers, physicians, and interdisciplinary team, the RN ED case manager is
accountable for assessing, coordinating and facilitating patient progression
through the continuum of care in an efficient, cost effective manner. The RN ED
Case Manager must achieve this through early assessment of pre-admission level
of care, post hospital discharge needs, review of available resource and timely,
focused communication with the healthcare team and patient/family/legal
representative.
Education/Training:
* Graduate of an accredited school of nursing: BSN/MSN preferred
Licenses/Certification:
• RN with current Massachusetts license required
• CCM (Certified Case Manager) Preferred
• ACMA (Accredited Case Manager) Preferred
Required Qualifications and Skills:
* Minimum 3-5 years of experience in acute care case management, with
demonstrated skills in utilization review
* Demonstrated ability to use critical thinking and problem solving skills in
facilitating safe and timely patient transitions of care
* Excellent communication skills and positive interpersonal dynamic in working
with a variety of stakeholders across the care continuum
* Solid knowledge of all insurance plan regulations including CMS/Medicaid to
ensure compliance with all required processes and documentation
* Ability to garner and utilize information effectively to develop and modify
patient plan of care
* Strong analytical ability to interpret patient-related information, evaluate
appropriateness of continued stay and/or need for ancillary services, and to
reassess discharge planning needs based on daily assessment.
* Ability to successfully utilize industry accepted utilization and or medical
management criteria in patient status decision making
* Self-starter able to function independently within the scope of position and
licensure, as well as department policies and established goals
* Excellent computer skills to accurately document requisite information to
support patient status and medical necessity
Preferred Qualifications and Skills:
* Experience in Cerner a plus
* Denials management a plus
Essential Job Functions:
* Use ED tracking system, medical record, and on-going communication with ED
providers and team to identify potential admissions or alternative
disposition as appropriate.
* Screen all ED patients for potential for admission to ascertain payer source
and appropriate level of care designation.
* Collaborate with providers to determine, assign, and order appropriate level
of care (LOC) designation and ensure medical record documentation.
* Determination of appropriate admission status (observation vs. inpatient)
using standardized criteria; providing resources and education to the
healthcare team.
* Initiate and/or complete initial review
* Communicate LOC and/or length of stay (LOS) concerns to case management team
for follow-up the next morning.
* Consults with and takes referrals from ED providers, nurses, hospitalists,
other care team members, ED patients, and families.
* Reviews all consults placed from ISAR screening tool and assists social
worker with completion of these consults in order to provide patients with
needed home referrals or rehab/SNF placement.
* Responds to outside patient/family calls for follow-up care coordination
questions.
* Uses ED tracking system, medical record, and demographic information to
identify high-risk or any patient needing CM intervention.
* Identify patients with frequent ED visits utilizing the EHR and EDIE
collective medical group notifications.
* Identify patient returning in 48 hours to ED or hospitalization within 30
days.
* Assess ED patients referred and/or identified through case finding for
options other than acute hospital admission when appropriate:
* Screen and refer to acute rehabilitation, long-term acute care hospitals, and
nursing homes for admission directly from the ED.
* Screen and refer patients for whom treatments could be safely rendered at
home with services (i.e., IV antibiotics, low molecular weight heparin
injections, wound care, etc.)
* Consult additional services to complete a safe and effective discharge plan,
including physical therapy, social services, palliative care, interpreters,
homeless advocates, patient financial services, behavioral health, etc.
* Communicate discharge planning information and/or concerns to team for
follow-up the next morning.
* Initiate referral to long term care facilities, per patient/caregiver
requests, following established referral procedures, initiates a PASRR
screen, and ensures appropriate continuity of care information is provided to
facility.
* Mandatory reporting to regulatory agencies
* Provide additional community resources and support
Other duties: Please note this job description is not designed to cover or
contain a comprehensive listing of activities, duties or responsibilities that
are required of the employee for this job. Duties, responsibilities and
activities may change at any time with or without notice.
AGE AND DIVERSITY RELATED CRITERIA: Consistently treats patients, colleagues and
visitors with the dignity and respect, while being sensitive to the differing
needs of all age groups, backgrounds, characteristics and cultures.
ABILITY TO FULFILL JOB EXPECTATIONS: Must have the ability to the perform
essential functions of the position, including required work hours, locations
and physical demands, without posing a direct threat to the health and safety of
themselves or other individuals in the work place, and with or without
reasonable accommodation.
PHYSICAL DEMANDS:
* Ability to sit (may be for long periods of time), stand, reach and lift up to
15 pounds
* Ability to readily travel to units/departments across the system as needed.
* Ability to communicate effectively with all stakeholders, in person as well
as via telephone and electronically
* Ability to interact directly with patients, with potential for direct
exposure to patient care activities
* Ability to document and use trackers, analyze charts and coordinate
services within the electronic health record
* Ability to advocate for patients both internally and external to the system
* Ability to attend and participate professionally in meetings with Hospital
leaders, physicians, patients and families
-
Salary Range: $87,015.12-$135,323.52
-
SALARY RANGE DETAILS
The pay range displayed on each job posting reflects the anticipated range for
new hires. A successful candidate’s actual compensation will be determined after
taking factors into consideration such as the candidate’s work history,
experience, skill set, and education. This is not inclusive of the value Sturdy
Health’s benefits package (if applicable), which includes among other benefits,
healthcare/dental/vision and retirement. For annual salaries this is based on
full-time employment.
-
STURDY MEMORIAL HOSPITAL IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THERE IS
NO DISCRIMINATION BECAUSE OF RACE, COLOR, CREED, AGE, GENDER, SEXUAL
ORIENTATION, NATIONAL ORIGIN, VETERAN STATUS OR DISABILITY.