RN Case Manager

Job Title: RN Case Manager Department: CASE MANAGEMENT Employment Type: Full Time Work Shift: Days Work Week: Monday - Friday

Experience: BSN Required with a minimum of 3 - 5 years of current acute care nursing experience. PRI certification a plus. Description: Care coordinators are responsible for coordination of interdisciplinary care planning to achieve timely and safe discharge. Clinical Practice Responsibilities: Leads interdisciplinary care planning: Completes comprehensive assessment of patient/family needs and capabilities to support care needs post hospitalization. Identifies factors critical to achieving required outcomes for discharge, post-hospitalization recovery and health maintenance. Ensures interdisciplinary medical record documentation of patient progress toward goals. Identifies goals and usual patterns of care for specific groups of patients. Uses data to develop and implement strategies that reduce length of stay and resource utilization. Collaborates in patient care planning process by: Participation in daily health team rounds. Facilitating discharge plans, including acquisition of medications, supplies and equipment. Identifying discharge barriers and working toward overcoming them to achieve timely and safe discharge. Assure completion of Community Agency Choice letters and Advance Directives. Facilitating timely referrals to Community Home Health Agencies and facilities. Enters discharge barrier data into HDM system. Educates nursing staff in matters related to disease-specific patient education and CMS Core Measures compliance. Monitors results.

Please refer to job code highlandhsp-2405403 when responding to this ad.

Category:	Healthcare/Social Services
	> Registered Nurse (RN)      > Behavioral/Mental Health
Location:	Rochester, NY
County:	Monroe County
ZIP Code:	14602
Pay Rate:	Open
Job Terms:	full time
Company:	Highland Hospital
Phone:	email only please
Fax:	email only please