- Completes a face to face assessment of all new patients in caseload within 24 hours or next business day to identify appropriateness for acute care, level of care and to anticipate high level care planning needs. Screens high risk patients with lace score greater than or equal to 10 to reduce 30 day readmissions. Consults with attending physicians regarding potential care transition barriers identified as a result of this process.
- Assumes transition process in collaboration with the multidisciplinary team and patient/family and assists with executing the plans and interventions to facilitate the stay and manage the length of stay.
- Facilitates patient care conferences/complex case conferences proactively as needs are identified to reduce avoidable readmissions.
- Provides an Important Message notice and choice on Medicare patients as appropriate.
- Identifies and reports process improvement opportunities by capturing delays in care by documenting avoidable days in MIDAS per guidelines.
- Monitors and facilitates appropriateness of tests/procedures, consultation, treatment plans and resource utilization.
- Collaborates with social workers for patients with complex, clinical, financial and psycho-social needs.
- Reviews physician orders and patient progression on a daily basis and intervenes with care coordination as needed. Collaborates with other departments to eliminate barriers, as necessary.
- Actively participates in multi-disciplinary rounds, long stay rounds and meetings that promote comprehensive and coordinated care plans and monitors progress against goals
- Provides clear and timely information on the patients plan of care to the next provider
- Builds trusting relationships with attending physician, patient and/or family and other members of the healthcare team. Maintains contact with the patient, family, physician, and team members to ensure the most cost effective plan of care is being carried out and appropriate in network providers are being utilized.
- Establishes a caring relationship with patients and their caregivers, promotes patient engagement and guides patients/families through the transition phase
- In accordance with clinical guidelines/standards of care establishes a comprehensive care transition plan and will organize, secure, integrate and modify resources necessary to meet the goals stated in the assessment plan.
- Documents plan of care and updates /changes in plan of care in the electronic medical record.
- In collaboration with the appropriate services, arranges home care, DME and infusion and/or post acute services in partnership with the social worker. Maintains good working relationships with community providers
- Assists with medication issues for patients on an as needed basis.
- Serves in obtaining legal guardianship, competency determinations, adoption related situations and all cases where Adult or Child abuse is a concern. Is responsible for making sure all legal documents are completed. Collaborates with the Corporate Director and Manager of Case Management as needed.
- Provides counseling and support as needed. Identifies cases which would benefit from palliative care and elicits palliative consults as needed.
- Serves as a resource to patients, physicians, Administration, and other disciplines regarding care management functions and expertise.
- Participates in defining, maintaining and interpreting care management standards of practice
- Assesses and educates patients and families on community agencies and resources
- Educates and reinforces the early identification of changes in patient condition and changes in care transition plans
- Assumes responsibility for own professional growth and is willing to share knowledge with coworkers and other health care providers.
- Performs assigned work safely, adhering to established departmental safety standards rules and practices; reports to supervisor , in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients, and visitors
- Maintains performance, patient, and employee satisfaction and financial standards as outlined in the performance evaluation.
- Performs compliance requirements as outlined in the Employee Handbook.
- Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
- Requires use of electronic mail, time and attendance software, learning management software and intranet.
- Must adhere to all DCH Health System policies and procedures.
- All other duties as assigned.
- RN with 2 years experience required, BSN and or related bachelor's degree in a healthcare field preferred any relevant experience in utilization and/or case management.
- Current Alabama RN Licensure.
- Knowledge of managed care, governmental payers, and third-party reimbursement.
- Skill in using Microsoft Office applications, and Information systems including but not limited to MIDAS.
- Demonstrated critical thinking skills and ability to prioritize workload.
- Ability to exercise clinical judgment and autonomous decision making.
- Strong interpersonal skills relative to both professional and lay interactions.
- Strong organizational skills.
- Demonstrated working knowledge of performance improvement activities.
- Demonstrated working knowledge of data management/reporting practices.
- Strong communication skills.
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Senior Physician
2 weeks ago
Aurora Ventures Tuscaloosa, United StatesOur client, a primary care provider in Hesse, is currently seeking a senior physician (m/f) in full-time or part-time for gynecology and obstetrics. A specialist doctor is also suitable for this position. More than Now apply births are performed annually. The modern equipped clin ...
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Phoenix Industries East Northport, United StatesThe Task · You will be responsible for the series support in the encoder/miniature switch product area. · This area of responsibility includes the following tasks: · Creating and maintaining technical drawings, specifications, and documentation · Creating and maintaining master d ...
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Physical Therapist
6 days ago
ATI Physical Therapy Tuscaloosa, Alabama, United States PermanentOverview: · Stronger Together: · ATI is the largest outpatient physical therapy company under one brand, growing to over 900 locations in 24 states. We work hard to preserve our friendly atmosphere with our innovative, vibrant, and team-based culture. Collaboration is at the hear ...
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Registered Nurse
3 days ago
Noland Hospital Tuscaloosa Tuscaloosa, United StatesSummary of Duties · Responsible for providing direct care to the adult and geriatric patient. Specializes in the delivery of safe, efficient, and therapeutically effective nursing care, responsive to the disease or disorder of the individual patient. Functions as an integral par ...
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ED Clinical Coach, RN
1 day ago
DCH Health System Tuscaloosa, United States Regular Full time (72 to 80 hours bi-weekly)Overview · Serves as onsite mentor and nursing knowledge and skills resource nurse for direct care staff and works as staff RN. In collaboration with ED educator assists with planning, developing and supervising clinical orientation of ED staff. Assists with other staff educatio ...
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Internal Temporary Contract RN
3 weeks ago
DCH Health System Tuscaloosa, United States VariableOverview · Plans, coordinates and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. Provides leadership to other team members by articulating and delegating expect ...
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Nurse Practitioner
3 weeks ago
WAWC Healthcare (Formerly West Alabama Women's Center) Tuscaloosa, United StatesCompany Description · WAWC Healthcare (Formerly West Alabama Women's Center) is a reproductive health care center located in Tuscaloosa, Alabama. We provide contraception, prenatal care, STI testing, treatment and prevention, miscarriage management, and gender affirming healthcar ...
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registered nurse case manager
1 week ago
BrightSpring Health Services Tuscaloosa, United States Full timeOverview · Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization In this role, you will support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optimal car ...
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Nursing Team Leader
4 days ago
DCH Health System Tuscaloosa, United States Regular Full time (72 to 80 hours bi-weekly)Overview · The Team Leader functions as the unit-based clinical leader with responsibility for staff supervision, patient flow, patient safety, efficient resource utilization, mentoring of unit staff, especially recent hires, shift assignments and overall quality of care deliver ...
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Internal Temporary Contract LPN
1 week ago
DCH Health System Tuscaloosa, United States VariableOverview · Under the supervision of a Registered Nurse (RN), the LPN administers compassionate care by maintaining standards of nursing practice and creating positive therapeutic relationships with patients/families. Encourages team members and supports their contribution. Super ...
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Chiropractor
2 weeks ago
The Joint Corp. Tuscaloosa, United States PTChiropractor - Tuscaloosa, AL · Tuscaloosa, AL Part Time Looking for a new way of delivering quality chiropractic care? · The right adjustment is all it takes. · Here at The Joint Chiropractic, we've got your back. As one of our doctors, you will find that our unique operati ...
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Travel Nurse
4 days ago
Bluepipes Tuscaloosa, United States FreelanceTriage is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Tuscaloosa, AL. Shift: Inquire Start Date: 07/08/2024 Duration: 13 weeks Pay: $ / Week Travel ICU RN | Tuscaloosa, AL · Travel Nursing: Intensive Care Unit Tuscaloosa · Lo ...
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Travel Nurse
1 week ago
Triage Tuscaloosa, United StatesTriage is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Tuscaloosa, AL. Shift: Inquire Start Date: 07/08/2024 Duration: 13 weeks Pay: $ / Week Travel ER RN | Tuscaloosa, AL · Travel Nursing: Emergency Department Tuscaloosa · Locatio ...
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Bilingual Recruiter
2 weeks ago
Canadian Executive Search Group (USA) Inc / Division of Arrow Group of Companies Tuscaloosa, United StatesCanadian Executive Search Group is seeking a highly motivated Staffing Coordinator for our Tuscaloosa, Al location. If you have the " Can Do" attitude, attention to detail, able to multi-task in an ever evolving work environment, we have a spot for you. Come see how it is to trul ...
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Patient Flow Coordinator RN
3 weeks ago
DCH Health System Tuscaloosa, United States Regular Full time (72 to 80 hours bi-weekly)Overview · The ED Patient Flow Coordinator is responsible for the overall movement of patients through the ED in a safe and efficient manner. The position will coordinate all patient care activities and be a liaison to the ED physician to ensure that care will be delivered in a ...
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Front Office Assistant/Registrar
2 weeks ago
DCH Health System Tuscaloosa, United States Regular Full time (72 to 80 hours bi-weekly)Overview · Manages the appointment schedule and ensures all required administrative duties are completed for patient care. Coordinates the operations of the front office to ensure patient information is entered timely and accurately. · Responsibilities · Greet incoming patien ...
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sign installer
3 weeks ago
Gpac Tuscaloosa, United States Full timeSign Installer · As a highly respected Sign and Company we are in need of an experienced, motivated and efficient Commercial Sign Installer. · Responsibilities | Sign Installer · Installation of signs and various support structures including channel letters, monuments, LED's, di ...
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Facilities Operations Specialist
2 weeks ago
Cherokee Federal Tuscaloosa, United StatesFacilities Operations Specialist · This position requires an active USAccess clearance or the ability to obtain a USAccess clearance to be considered. · The Facilities Operations Specialist will oversee the maintenance, improvement, and operational efficiency of a state-of-the- ...
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Licensed Mental Health Therapist
5 days ago
New Perspectives Counseling & Consulting, LLC Tuscaloosa, United StatesNew Perspectives Counseling is a mental health counseling practice located in the Capitol Park area of downtown Tuscaloosa. We see clients of all ages and the counselors in the practice provide a wide variety of experience and expertise. More information about New Perspectives is ...
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Store Manager LensCrafters
4 days ago
EssilorLuxottica Tuscaloosa, United StatesRequisition ID: · Store # : LensCrafters · Position: Full-Time · Total Rewards: · At LensCrafters, we're passionate about bringing people better sight. And it takes thousands of people from all backgrounds to do this. · By joining our team, you'll learn about the optical ind ...
Care Manager, RN - Tuscaloosa, United States - DCH Health System
Description
$12,000 Sign-on Bonus for Full Time Care Manager, RN - Care Mgmt Dept.OverviewThe Care Manager works collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization to facilitate patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve safe discharge planning along with desired clinical and financial outcomes. The Care Manager coordinates care and services through the acute care episode and across the continuum. ResponsibilitiesAssessment
DCH Standards
Qualifications
For over 90 years, when the people of West Alabama needed healthcare, they've turned to DCH Health System.
Based in Tuscaloosa, AL, DCH Health System has been providing quality and compassionate healthcare to the residents of West Alabama. Comprised of DCH Regional Medical Center, Northport Medical Center and Fayette Medical Center, the DCH Health System provides comprehensive services in: cancer treatment, critical care, cardiac services, bloodless medicine, home health care, sleep medicine, occupational medicine, sports medicine, spine/pain care, therapy services, women's services and much more
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Care Manager, RN professionals in Tuscaloosa
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Molly McNamara
Student at the University of Alabama · Looking for clinical work as a Medical Assistant