UNM Hospital
RN - CASE MANAGER- DISCHARGE PLANNER -
UNM Hospital, Albuquerque, New Mexico, United States, 87101
Overview
RN - Case Manager - Discharge Planner role at UNM Hospital. Day shift, full-time, in the only Level I Trauma hospital in Albuquerque, NM. Sign-on bonus and relocation reimbursement available. Receive shift differentials: 17% weekday nights, 26% weekend nights, or 15% weekend day shift. Join our team as a Care Manager and work in collaboration with clinical teams to achieve quality outcomes for patients within local communities. Position Summary
Coordinate all systems/services required for an organized, multidisciplinary, patient-centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff to ensure quality patient outcomes within established timeframes and efficient use of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, resource utilization, and analysis of variances. Act as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to hospital and departmental policies and procedures. Patient care assignments may include neonate, pediatric, adolescent, adult and geriatric age groups. Responsibilities
Conduct timely discharge planning by anticipating patient needs Effectively utilize tools and resources when developing a comprehensive multidisciplinary plan of care Drive change by identifying areas of performance improvement to improve the delivery of quality patient care Detailed Responsibilities: PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RNs, and other health care team members VARIANCES - Intervene when variances occur in patient individualized treatment plan RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others MEETINGS - Participate in team meetings when indicated or as directed CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner ORIENTATION - Participate in orientation, continuing education of staff RNs and other health care team members as appropriate QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don\'t understand or may "not seem right" MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions Qualifications
Education: Essential: Program Graduate; Nationally Accredited Nursing Graduate; Nonessential: Bachelor\'s Degree; Nursing; Education specialization: Nationally Accredited Nursing Graduate; Nonessential: Nursing Experience: Essential: 1 year directly related experience; Nonessential: Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo Credentials: Essential: RN in NM or as allowed by reciprocal agreement by NM; CPR for Healthcare/BLS Prov or Prof Rescuers within 30 days Physical Conditions: Light Work: Exerting up to 20 pounds of force occasionally, etc. Working conditions: Minor Hazard - physical risks, dirt, dust, fumes, noise; TB testing is completed upon hire and additionally as required Job Details
FTE: 1.00 Department: Care Management Services Full Time Shift: Weekend Days
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RN - Case Manager - Discharge Planner role at UNM Hospital. Day shift, full-time, in the only Level I Trauma hospital in Albuquerque, NM. Sign-on bonus and relocation reimbursement available. Receive shift differentials: 17% weekday nights, 26% weekend nights, or 15% weekend day shift. Join our team as a Care Manager and work in collaboration with clinical teams to achieve quality outcomes for patients within local communities. Position Summary
Coordinate all systems/services required for an organized, multidisciplinary, patient-centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff to ensure quality patient outcomes within established timeframes and efficient use of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, resource utilization, and analysis of variances. Act as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to hospital and departmental policies and procedures. Patient care assignments may include neonate, pediatric, adolescent, adult and geriatric age groups. Responsibilities
Conduct timely discharge planning by anticipating patient needs Effectively utilize tools and resources when developing a comprehensive multidisciplinary plan of care Drive change by identifying areas of performance improvement to improve the delivery of quality patient care Detailed Responsibilities: PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RNs, and other health care team members VARIANCES - Intervene when variances occur in patient individualized treatment plan RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others MEETINGS - Participate in team meetings when indicated or as directed CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner ORIENTATION - Participate in orientation, continuing education of staff RNs and other health care team members as appropriate QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don\'t understand or may "not seem right" MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions Qualifications
Education: Essential: Program Graduate; Nationally Accredited Nursing Graduate; Nonessential: Bachelor\'s Degree; Nursing; Education specialization: Nationally Accredited Nursing Graduate; Nonessential: Nursing Experience: Essential: 1 year directly related experience; Nonessential: Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo Credentials: Essential: RN in NM or as allowed by reciprocal agreement by NM; CPR for Healthcare/BLS Prov or Prof Rescuers within 30 days Physical Conditions: Light Work: Exerting up to 20 pounds of force occasionally, etc. Working conditions: Minor Hazard - physical risks, dirt, dust, fumes, noise; TB testing is completed upon hire and additionally as required Job Details
FTE: 1.00 Department: Care Management Services Full Time Shift: Weekend Days
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