RN Case Manager - Cardiothoracic Surgery

Job description

Department: 34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: 8a - 5p Pay Range: $38.20 - $57.30 JOB SUMMARY: The Case Manager position coordinates/facilitates and/or manages the patients continuum of care, through their knowledge of resource management and clinical care requirements for a designated populations and payers. Demonstrates expertise in coordination of care, patient and family intervention and planning, and participates in quality improvement activities. Facilitates or coordinates required patient/ staff education. Seeks opportunities for clinical/management research associated with Case Management and patient outcomes. Acts as a facilitator and change agent in areas related to Case Management and improved patient care. EDUCATION/EXPERIENCE: Graduate from an accredited school of nursing. BSN required. MSN preferred. Minimum 5 years of relevant clinical experience. Previous Case Management experience preferred LICENSURE, CERTIFICATION, and/or REGISTRATION: Current licensure to practice as a Registered Nurse in the State of North Carolina. Certification in case management highly recommended within 2 years of employment. ESSENTIAL FUNCTIONS: 1. Identifies patients who would benefit from Case Management interventions based on an initial screening assessment of discharge needs. 2. Assesses all relevant data and obtains information by interviewing patient/family and performing objective evaluation of patient needs. 3. Ensures that a Plan of Care is developed and implemented in conjunction with nursing to enhance client outcomes in a cost efficient manner by defining desired patient outcomes (goals) with other members of team. Collaborates with the patient, caregivers, the multidisciplinary team and community service providers to effectively execute the Plan of Care. Facilitates. The Case Manager coordinates the discharge planning process; ensuring discharge planning needs are completed. 4. Evaluates and monitors the effectiveness of the discharge planning by facilitating changes in Plan of Care as needed with all members of the multi-disciplinary team. 5. Documents Case Management actions in the Electronic Medical Record and communicates necessary information to providers and payors. 6. Participates in multi-disciplinary rounds to communicate discharge planning and be the driver of patient progression through the system. Establishes partnerships with physicians to achieve institutional goals and contribute to excellent patient care by the organization. 7. Identifies system issues and suggest interventions to the Supervisor to eliminate duplication in services and documents significant variances. Identifies trends/process barriers and participates in development of plans to ensure a method to move patients effectively through the care continuum. 8. Monitors medical necessity of admissions, continued hospitalization, and surgical procedures using criteria approved by the medical staff and evaluates appropriate level of care for patient and notified the Utilization Review staff of necessary changes 9. Utilizes principles of quality improvement in every aspect of performance by participating in unit and organizational quality improvement activities to develop strategies to reduce or resolve variations in practice. 10. Provides age/developmentally-appropriate patient planning and communication in accordance with Age-Specific Care Guidelines for the specific age groups served. 11. Maintains working knowledge of payer and reimbursement practices impacting the plan of care. Demonstrates the ability to guide the patient and family through an evaluation of their options for post discharge care. SKILLS/QUALIFICATIONS: Good interpersonal, communication (verbal, nonverbal and listening skills) and written communication skills. Case Management experience Computer skills (basic) Works in a continually changing work environment WORK ENVIRONMENT: May be exposed to infectious and contagious diseases May be exposed to radiation hazards Contact with patients under wide variety of circumstances Subject to many interruptions Subject to irregular hours PHYSICAL REQUIREMENTS: 0% 35% 65% to to to 35% 65% 100% N/A Activity X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: X 20 lbs. maximum X 50 lbs. maximum X 100 lbs. maximum Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.