Title:  RN Case Manager - Germantown - Full Time Days - Weekends (Sat/Sun/Mon) Job

Summary

In collaboration with patient/family, physicians and the interdisciplinary team, the Case Manager I is responsible for coordination of patient-centered care and service delivery to facilitate optimal transitions and progression in care. The Case Manager manages clinical resources and transition planning for patients within an assigned caseload from pre-admission through post-discharge, actively working to identify and eliminate barriers to the delivery of clinical services to promote quality, cost effective outcomes appropriate to patient’s needs and resources. Develops a sustainable, safe transition plan appropriate to the patient’s needs and resources in collaboration with the patient/family and interdisciplinary care team. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Education/Experience/Licensure

Knowledge/Skills/Abilities

• Understanding of nursing interventions.
• Ability to interact with other professionals in a team framework.
• Ability to establish constructive relationships with patient and families and manage difficult social situations.
• Demonstrated ability to develop and maintain working relationships with physicians and work collaboratively with health professionals at all levels to achieve established goals.
• Demonstrated excellent facilitation skills.
• Ability to plan and schedule tasks and to maintain control of own work flow.
• Ability to use initiative in decision-making; independent judgment and critical thinking skills.
• Adaptability to a fast-paced environment of constant change and continuous performance improvement.
• Proficient in basic word processing skills (Word), internet navigation, and electronic medical record

Key Job Responsibilities

• Demonstrates values and standards of the nursing profession and collaborates with members of the health care team to ensure the multidisciplinary plan of care is developed, followed, modified as needed and coordinates the delivery of clinical services in order to ensure that the patient’s clinical, quality and cost outcomes are met; strategizes with physicians, specialists and payors to develop appropriate care delivery strategies for assigned patients.
• Completes an initial screen of all assigned patients to identify readmission risks, patient strengths and needs related to clinical resource utilization and transition planning; initiates, completes and documents transition planning for patients in assigned caseload.
• Communicates necessary information to stakeholders and educates patients and families.
• Plans effectively to meet patient needs, manages length of stay, and promotes efficient utilization of resources (fiscal, human, environmental, equipment and services).
• Advocates for the safe discharge of patient to home or community resource, and supports preventive and follow-up care post-discharge.
• Maintains reliable systems to document, track, and monitor assigned cases.
• Performs other job functions as assigned or requested.

Physical Requirements

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• Frequent non-invasive patient contact
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
• This role may be scheduled for weekend and holiday rotations as required by the department.