Brown University Health
Case Manager
Apply for the
Case Manager
role at
Brown University Health .
SUMMARY:
Reports to the Manager or Director of Case Management and provides coordinated care support to facilitate and expedite patient care services. Participates in daily rounds and collaborates with the clinical healthcare team across the patient care continuum, including preadmission and post-hospital discharge. As a member of that team, shares responsibility for the implementation of the discharge plan; ensures efficient and effective delivery of patient care services through appropriate utilization of healthcare resources. Full‑time, part‑time, per diem, and job share schedules available. Brown University Health employees are expected to role model the organization's values of Compassion, Accountability, Respect, and Excellence, as well as the core Success Factors: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate.
RESPONSIBILITIES:
Partner with medical staff and other members of the healthcare team to facilitate the plan of care for a defined patient population across the continuum of care.
Identify high‑risk patient populations within the caseload for care management assessment, screening, and targeted interventions within one business day of patient admission.
Participate in daily care rounds to collaborate with the patient's healthcare team and evaluate and facilitate development and implementation of the discharge planning process.
Develop the initial patient discharge plan and review it with the patient, family members, and interdisciplinary team.
Reassess the discharge plan daily during collaborative care rounds.
Build post‑hospital referrals and send them to the Transition Care Coordinator when indicated to facilitate timely discharge.
Deliver important message follow‑up notices to all Medicare patients according to CMS regulations.
Follow CMS and DOH regulations regarding discharge guidelines and patient rights.
Coordinate length of stay with the physician care team and patients.
Inform the team of insurance qualifiers that may affect the discharge plan.
Identify and assess readmitted and complex patients to coordinate discharge.
Advocate for patients and advise them on financial implications of their discharge plan.
Communicate the discharge plan to patients, families, and care team.
Document final discharge disposition in progress notes.
Develop patient care reports to ensure safe handovers as a patient moves to the next care area.
Provide care plan direction for the advancement of a patient care delivery system supporting managed care strategies and reducing readmission risk.
Act as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow‑up.
Participate in departmental and interdepartmental quality improvement activities such as OpX teams, weekly long LOS reviews, interdisciplinary rounds, and readmission reviews.
Participate in orienting new staff and ongoing professional education activities to maintain advanced knowledge of patient care services, third‑party payer, and managed care requirements.
QUALIFICATIONS:
Licensure as a Registered Nurse in the State of Rhode Island or under the Nurse Licensure Compact agreement.
Graduated from a School of Nursing with a current RN license in Rhode Island (Bachelor's preferred; experience considered).
Certification in Case Management by a nationally recognized organization preferred or to be obtained within one year of hire.
AHA BLS Provider required.
At least three years of clinical experience with recent experience in case management, community case management, patient navigation, or discharge planning.
Strong analytical and interpersonal skills and a collaborative communication approach.
Knowledge of aging processes, human development stages, and cultural patterns across the care process.
Proficiency in Microsoft Office (email, Outlook calendar) and basic keyboarding skills.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: General hospital environment with occasional stressful conditions. Must make rounds through various patient care areas by walking or other mobile means. Requires visual acuity and finger dexterity to review and carry medical records, navigate automated system screens, and type on a standard computer keyboard. Lifting up to 10 lbs may be necessary.
PAY RANGE: $78,748.80 - $157,476.80
EEO STATEMENT: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
LOCATION: Newport Hospital – 11 Friendship Street, Newport, Rhode Island 02840
WORK TYPE: 4 days / 10‑hour days, one weekend a month
WORK SHIFT: Day
DAILY HOURS: 10 hours
DRIVING REQUIRED: No
EMPLOYMENT DETAILS: Mid‑Senior level • Full‑time • Other (Job function) • Hospitals and Health Care (Industry)
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Case Manager
role at
Brown University Health .
SUMMARY:
Reports to the Manager or Director of Case Management and provides coordinated care support to facilitate and expedite patient care services. Participates in daily rounds and collaborates with the clinical healthcare team across the patient care continuum, including preadmission and post-hospital discharge. As a member of that team, shares responsibility for the implementation of the discharge plan; ensures efficient and effective delivery of patient care services through appropriate utilization of healthcare resources. Full‑time, part‑time, per diem, and job share schedules available. Brown University Health employees are expected to role model the organization's values of Compassion, Accountability, Respect, and Excellence, as well as the core Success Factors: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate.
RESPONSIBILITIES:
Partner with medical staff and other members of the healthcare team to facilitate the plan of care for a defined patient population across the continuum of care.
Identify high‑risk patient populations within the caseload for care management assessment, screening, and targeted interventions within one business day of patient admission.
Participate in daily care rounds to collaborate with the patient's healthcare team and evaluate and facilitate development and implementation of the discharge planning process.
Develop the initial patient discharge plan and review it with the patient, family members, and interdisciplinary team.
Reassess the discharge plan daily during collaborative care rounds.
Build post‑hospital referrals and send them to the Transition Care Coordinator when indicated to facilitate timely discharge.
Deliver important message follow‑up notices to all Medicare patients according to CMS regulations.
Follow CMS and DOH regulations regarding discharge guidelines and patient rights.
Coordinate length of stay with the physician care team and patients.
Inform the team of insurance qualifiers that may affect the discharge plan.
Identify and assess readmitted and complex patients to coordinate discharge.
Advocate for patients and advise them on financial implications of their discharge plan.
Communicate the discharge plan to patients, families, and care team.
Document final discharge disposition in progress notes.
Develop patient care reports to ensure safe handovers as a patient moves to the next care area.
Provide care plan direction for the advancement of a patient care delivery system supporting managed care strategies and reducing readmission risk.
Act as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow‑up.
Participate in departmental and interdepartmental quality improvement activities such as OpX teams, weekly long LOS reviews, interdisciplinary rounds, and readmission reviews.
Participate in orienting new staff and ongoing professional education activities to maintain advanced knowledge of patient care services, third‑party payer, and managed care requirements.
QUALIFICATIONS:
Licensure as a Registered Nurse in the State of Rhode Island or under the Nurse Licensure Compact agreement.
Graduated from a School of Nursing with a current RN license in Rhode Island (Bachelor's preferred; experience considered).
Certification in Case Management by a nationally recognized organization preferred or to be obtained within one year of hire.
AHA BLS Provider required.
At least three years of clinical experience with recent experience in case management, community case management, patient navigation, or discharge planning.
Strong analytical and interpersonal skills and a collaborative communication approach.
Knowledge of aging processes, human development stages, and cultural patterns across the care process.
Proficiency in Microsoft Office (email, Outlook calendar) and basic keyboarding skills.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: General hospital environment with occasional stressful conditions. Must make rounds through various patient care areas by walking or other mobile means. Requires visual acuity and finger dexterity to review and carry medical records, navigate automated system screens, and type on a standard computer keyboard. Lifting up to 10 lbs may be necessary.
PAY RANGE: $78,748.80 - $157,476.80
EEO STATEMENT: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
LOCATION: Newport Hospital – 11 Friendship Street, Newport, Rhode Island 02840
WORK TYPE: 4 days / 10‑hour days, one weekend a month
WORK SHIFT: Day
DAILY HOURS: 10 hours
DRIVING REQUIRED: No
EMPLOYMENT DETAILS: Mid‑Senior level • Full‑time • Other (Job function) • Hospitals and Health Care (Industry)
#J-18808-Ljbffr