RN Case Manager Part Time Days

Location
Louisville, CO
Salary
Competitive
Posted
Aug 30, 2017
Closes
Sep 29, 2017
Specialty
Case Management
Contract Type
Permanent
Hours
Full Time
Located minutes from Boulder, CO, in the charming community of Louisville, Avista Adventist Hospital is a comprehensive medical center that provides a full-range of medical specialties and exceptional health care to residents of Louisville, Broomfield and the surrounding Boulder area communities. With 114-beds, this full-service facility has been honored for excellence in cardiac, mom/baby and emergency care. It is also home to one of the area’s top joint and spine care centers specializing in hip and knee replacement, as well as spine surgery. Avista is proud to be recognized for its award-winning New Life Center, the area's most innovative birth center and large Neonatal Intensive Care Nursery. In 2013, Avista was named among the Top 100 Hospitals for Patient Experience by Women Certified® (womencertified.com) for quality physician communications, nurse/staff responsiveness, superior cleanliness and referrals by other women. With some of the lowest turnover and highest associate satisfaction scores in the industry, Avista Adventist Hospital has an excellent local reputation for its supportive culture, visionary leadership, strong team and daily living of what it means to truly care for the whole person – body, mind and spirit.

Job Description/Job Posting ID: 112632

Recruiter Contact: MandyGray@Centura.org

Clinic/Department: 8675 AAH CASE MANAGEMENT

Hospital: AVISTA ADVENTIST HOSPITAL

Schedule: .70 FTE- Part Time

**This is a .7 Days RN Case Manager position, working most weekends in addition to Monday and/or Friday. This position does a combination of utilization review and discharge planning. **

POSITION SUMMARY

The Case Manager is assigned to specific Hospital Units to facilitate the care plan for the inpatient episode, proactively monitor clinical quality and facilitate timely discharge. Using a collaborative interdisciplinary approach, the Case Manager will confirm the plan of care and focus on anticipation, integration and coordination of clinical care and discharge planning services necessary to meet the needs of patients in order to optimize clinical outcomes and resource utilization.

 

EDUCATION REQUIREMENTS

Graduate of Accredited School of Nursing

 

LICENSE/CERTIFICATIONS

Current Colorado RN License

BLS certification from American Heart Association preferred

 

WORK EXPERIENCE REQUIREMENTS

Minimum of 3 years clinical experience as Registered Nurse

Experience in case management, utilization review, nursing clinical quality or discharge planning preferred

 

OTHER SKILLS

Excellent communication/presentation skills.

Ability to multi-task, set priorities and maintain organization. Computer skills.

 

POSITION DUTIES (ESSENTIAL FUNCTIONS)

ASSESSMENT, DATA COLLECTION, ANALYSIS

Obtains reviews and analyzes information relative to admission in accordance with hospital policy and documents assessment using

ECIN and/or other clinical information system.

Assess/reassess patient’s clinical and psychosocial status, diagnosis, and treatment plan involving and communicating with

physician/physicians as needed.

Facilitates discharge planning using ECIN working with patients, families and treatment team making any needed referrals/arrangements and documenting actions.

Participates in the Performance Improvement process through concurrent chart review and participation on clinical effectiveness teams.

Documents Case Management actions and discharge planning upon initial assessment with updates promptly as patient’s needs

change. The documentation must be complete in Meditech on the day of each patient contact.

Proactively reviews medical records for compliance with Core Measure initiatives and other quality initiatives and confers with nursing staff on actions.

CONFIRMATION OF PATIENT GOALS AND PLANS OF CARE

Confirms treatment goals and anticipated plan of care through discussions with treatment team/review of documentation. Utilizes tools such as guidelines, criteria or clinical pathways to assist in facilitating plan of care and appropriateness. Communicates treatment goals or best practices to treatment team including physician using established criteria/guidelines. Daily communication with nursing staff regarding plans, barriers to discharges.

MONITORING PLAN OF CARE AND CARE COORDINATION

Assess, coordinates and evaluates use of resources and services relative to plan of care and discusses variances on an as needed basis with treatment team.

Communicates modifications in plan of care to treatment team and any needs for further documentation daily and/or as needed. Facilitates Family Conferences meetings on an as needed basis and documents outcome.

Participates and/or leads interdisciplinary rounds to facilitate plan of care and discharge.

Reviews variance in plan of care with Manager/Director as needed.

Assists to streamline the care delivery process to minimize or eliminate unnecessary steps or delays through application of Millman

Guidelines. Facilitates and prioritizes prompt throughput of observation patients.

UTILIZATION MANAGEMENT

Identifies when variances occur in anticipated plan of care, tracks for process improvement, and refers to CMO or PA for peer review as needed.

Uses established criteria/guidelines for suitability of level of care, medical necessity, and continued stay and enlist Physician Advisor involvement as needed.

Performs daily rounds with clinical team to address barriers to discharge and plans of care.

Tracks avoidable days using ECIN.

Monitors length of stay on ongoing basis for case load.

Works with third party payers to satisfy utilization review requests and obtain approval of stays.

Participates in Case Management weekly meetings providing information on outliers for LOS and proactive solutions.

Performs utilization review in accordance with UM Plan to include concurrent/retro reviews and verifying admission/bed status. Assists Case Management Manager/Director with clinical information for denial reversals.

Daily review of all clinic bed, observation, 1 day inpatient stays and same day discharge charts for appropriate status orders, correct status in computer, calculation of obs hours for charging, obtaining appropriate orders for status change or no order on chart, within

24-36 hours.

Proactive management of factors influencing length of stay using critical thinking skills minimizing variance days.Participates in Utilization Review meetings.

Obtains any regulatory documentation that is required.

ACCOUNTABILITY

Completes work with minimal supervision, striving for and achieving optimal outcomes. Meets time commitments on assignments without reminders.

Takes responsibility for own actions.

Recognizes own strengths and weaknesses and seeks/accepts constructive feedback, incorporating it into work. Meets attendance and punctuality guidelines.

Puts the patient, family and customer needs first.

FLEXIBILITY

Adapts to changes in the work environment and appropriately incorporates new information. Effectively deals with pressure and uncertainty.

Deals effectively with a variety of people, personalities, and cultures.

*This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned.

 

Physical Requirements

 

☑ Medium Work - exert/lift up to 50 lbs. force occasionally, and/or up to 20 lbs. frequently, and/or up to 10 lbs. constantly

 

 

 

ZIPJOB

 

INDRN2

 

Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.