3 nurse case manager ukhc jobs found

The RN Case Manager is responsible for the clinical aspect of care transition/discharge planning. This includes rapport building/communication with multidisciplinary teams, patients, families and significant others. Discharge planning should begin day of admission and include needed resources/communication for a smooth transition from one setting to the next. Discharge planning should be thorough to prevent 30-day readmissions and should assure high levels of patient/family satisfaction. The RN Case Manager holds responsibilities to the patient/family and multidisciplinary teams to communicate completely and concisely in a timely manner to assure all members are fully aware of next steps regarding care transition.

The RN Case Manager will facilitate appropriate care coordination to patients and their families in cases where specific problems related to clinical aspects influence effective utilization of inpatient or outpatient treatment (e.g. organize and facilitate access to tests, procedures, and results to prepare patient for discharge); will assist in the formation and/or implementation of the patients discharge plan, as related to clinical assessments; serve as a liaison with other departments and agencies to ensure continuity of transition of care; make recommendations based on evidence/practices that best aligns with the clinical needs of the patient (e.g. arranges home health, durable medical equipment, or infusion therapy, and complete referrals to appropriate agencies); serve as a resource by providing training and education about case management services; work in tandem with SW-Case Manager and refer high risk patients to them; and participate in departmental coverage.

The RN Case Manager will facilitate appropriate care coordination to patients and their families in cases where specific problems related to clinical aspects influence effective utilization of inpatient or outpatient treatment (e.g. organize and facilitate access to tests, procedures, and results to prepare patient for discharge); will assist in the formation and/or implementation of the patients discharge plan, as related to clinical assessments; serve as a liaison with other departments and agencies to ensure continuity of transition of care; make recommendations based on evidence/practices that best aligns with the clinical needs of the patient (e.g. arranges home health, durable medical equipment, or infusion therapy, and complete referrals to appropriate agencies); serve as a resource by providing training and education about case management services; work in tandem with SW-Case Manager and refer high risk patients to them; and participate in departmental coverage.