Registered Nurse Clinical Case Manager - Cooperstown, NY, United States - Bassett Healthcare

Description

The best thing about this role

Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference.

We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible.

Recently named a Forbes America's Best-In-State Employer 2022

What you'll do

The Emergency Department Registered Nurse Clinical Case Manager (Unit C3 RN) will facilitate transitional care for patients in the emergency department by managing, coordinating, facilitating and monitoring resources to achieve optimal clinical outcomes, utilization of services and financial goals.

The Emergency Department Registered Nurse Clinical Case Manager oversees the discharge process for all patients and is an integral team member in efforts to facilitate throughput throughout the Bassett Healthcare Network.

The Unit C3 RN acts a principle liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate bed is assigned, patient care needs are met and treatment plans are execute in the appropriate level of continuum.

The Unit C3 maintains current knowledge of basic healthcare economics, trends and reimbursements methodologies and applies knowledge to daily practices.

The Unit C3 recognizes situations that require immediate intervention and continues to develop professionally and apply knowledge and skills necessary to provide care appropriate to each patient.

• Clinical and Technical Responsibilities:
• Provides case management services as appropriate throughout the life span and in various settings
• Evaluates discharge needs upon admission, ensuring each patient has a complete discharge plan; Refers discharge planning to appropriate roles as needed.
• Proactively identifies and removes barriers that may impede department or system-wide patient flow.
• Assigns available beds based on bed request priorities.
• Communicates with patients and families about plan of care and discharge goals.
• Provides the Hub with visibility to potential unit transfers in a timely manner.
• Responsibilities for Relationships:
• Collaboration and Teamwork: Collaborates with other health care team members providing patient- centered care.
• Acts as a spoke of the Hub by partnering with other Care Coordinators to facilitate patient progression and flow at a unit level to achieve system efficiency
• Collaborates with the Hub to ensure appropriate patient placement and level of care (ICU, Med/Surg, etc.).
• Works collaboratively with unit staff and support team (Complex C3, etc.) to progress each patient's care towards discharge.
• Rounds with physician to discuss patient progression and barriers to discharge.
• Leads SNAP huddles to anticipate barriers to discharge and align care team towards discharge goals.
• Serves as a consultant and educator with medical staff regarding status, placement, payor requirements, and utilization of resources.
• Identifies patient for readmission risk and communicates to care team.
• Coordinates the patient's plan of care in conjunction with physicians and Nurses for appropriate sequencing of care/interventions; ensures appropriate clinical pathways, protocols or standards of care are initiated.
• Actively manages LOS for unit's patients through partnership and collaboration with all members of the healthcare team
• Financial Responsibilities:
• Responsibly apportions resources
• Reviews Physician admission order and validates status and level of care matches order.
• Collaborates with UM Nurse to assure that all payor and status requirements are aligned according to patient's clinical progression.
• Reviews LOS values and working DRG daily.
• Proactively monitors patients in observation or outpatient status and progresses status accordingly.
• Works with Nurse on discharge needs/barriers for all patients; initiates intervention by UM Nurse as needed.
• Identifies need for patient to receive IM letter; collaborates with UM Nurse as needed.
• Assists Clinical Documentation Specialist in engaging physician to respond to queries clarifying documentation to reflect appropriate severity of illness.
• Identifies opportunities to transition testing to the outpatient setting.
• Meets deadlines and exceeds metrics identified for the Facility/Unit through attention to detail and implementation of facility policies and Standard Operating Procedures.
• Performs other duties as requested or assigned.

What we need from you


Education:

• Bachelor's Degree in Nursing, required
• Applicants enrolled in a Bachelor program with graduation within 1 year from date of hire may be considered
• All RN's hired and do not currently hold a BSN will be expected to demonstrate enrollment in a Bachelor's prepared nursing program within 4 years of hire. BSN must be completed within 10 years. RN's licensed on or before 12/19/17 are/remain exempt from this requirement.

Experience:

• Minimum one year acute care nursing and emergency room experience, required
• Case management experience, preferred

License/Certification:

• Current NYS Licensure as a Registered Professional Nurse, required
• Case Management certification, preferred

Skills:

• Analysis & Evaluation
• Attention to Detail
• Build Relationships
• Clinical Skills
• Maintain Files

Physical Requirements:

• Medium Work - Exerting up to 50 lbs. for force occasionally, and/or up to 20 lbs. of force frequently, and/or up to 10 lbs. of force constantly to move objects
• Occasional grasping, lifting, pulling, pushing, reaching, repetitive motion, standing, walking, visual acuity (color, depth, perception), fit testing
• Frequent typing/clerical/dexterity, hearing, seeing/monitor/computer use, talking

Hazards:

• Occasional bodily fluids/bloodborne exposure

Working Conditions:

• Occasional noise

Travel:

• No travel required

Total Rewards

Bassett Healthcare Network's commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind.

Many of the benefits we offer are paid fully or in large part by Bassett.


Our generous benefits offerings include:

• Paid time off, including company holidays, vacation, and sick time
• Medical, dental and vision insurance
• Life insurance and disability protection
• Retirement benefits including an employer match
• And more

Specific benefit offerings may vary by location and/or position.

We are also offering a sign-on bonus for this position Details and eligibility requirements will be discussed during the interview process.

Current employees of Bassett Healthcare Network are not eligible and are encouraged to apply through the internal job board.

This position is eligible for a sign on bonus up to:

USD $35,000.00

Pay Transparency

Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards.

The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement.

Pay Range Minimum:
USD $89,576.05/Yr.


Pay Range Maximum:
USD $134,364.07/Yr.

We love the difference people bring

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.