Registered Nurse (RN) Case Manager
Company: PMR Illinois Holding
Location: Oak Lawn
Posted on: June 21, 2022
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Job Description:
We're unique. You should be, too.We're changing lives every day.
For both our patients and our team members. Are you innovative and
entrepreneurial minded? Is your work ethic and ambition off the
charts? Do you inspire others with your kindness and joy?We're
different than most primary care providers. We're rapidly expanding
and we need great people to join our team.The Registered Nurse (RN
Case Manager) is responsible for achieving positive patient
outcomes and managing quality of care across the continuum of care.
The incumbent in this role will first and foremost serve as an
advocate for our patients. He/She works closely with other members
of the care team to develop effective plans of care and high levels
of care coordination. This care planning and coordination may
follow the patient from our centers into acute and post-acute
facilities, as well as, their home environments. The Registered
Nurse (RN Case Manager) role also involves establishing
relationships with patients' families and care givers, primary care
physicians, specialists, other care providers, social workers,
other case managers and nurses, acute and post-acute facilities,
home health care companies, and health plans.No holidays, nights,
or weekends! This valued RN Case Manager position includes
competitive compensation, car allowance, PTO, benefits package,
401K matching, and the opportunity to change lives within the
neediest communities!CORE JOB DUTIES/RESPONSIBILITIES:Manages and
plans for transitions of care, discharge and post discharge
follow-up for patients admitted to key, high-volume/high-priority
hospitals.Establishes a trusting relationship with patients and
their caregivers.Collaborates with clinical staff in the
development and execution of the plan of care and achievement of
goals. Reports variations to PCP/Transitional Care Physicians (TCP)
and implements actions as appropriate.Builds relationships with
preferred acute care providers (hospitalists, specialists,
etc.).Directs referrals to preferred providers.Coordinates the
integration of social services/case management functions in the
pre-acute, ER, acute and post-acute setting. Coordinates the
patient care, discharge and home planning processes with hospital
case management departments, and other healthcare facilities.In
conjunction with the PCP, Hospitalist, Medical Director, insurance
case manager and the hospital case manager, coordinates the patient
transition to the appropriate/least constrictive level of care
using a preferred provider.Keeps the PCP aware of patient(s)
condition via e-mail, DASH, HITS or other appropriate means of
communication.Introduces self to patient/family and explains Nurse
Case Manager's role and processes to contact the Nurse Case Manager
for questions, guidance and education.Provides high intensity
engagement with patient and family.Facilitates patient/family
conferences to review treatment goals and optimize resource
utilization; provides family education and identifies post-hospital
needs.Serves as a patient advocate. Enhances a collaborative
relationship to maximize the patient/family's ability to make
informed decisions.Addresses advanced care planning including
treatment goals and advance directives.Refers cases to social
worker (Hospital and ChenMed/JenCare/Dedicated) for complex
psychosocial and economic needs.Refers cases where patient and/or
family would benefit from counseling required to complete complex
discharge plan to social worker.Reports observed or suspected child
or adult abuse pursuant to mandated requirements.Obtains onsite and
EMR access at priority facilities.Maintains clinical and progress
notes for each patient receiving care and provides progress report
to PCP and others as appropriate.Submits required documentation in
a timely manner and in appropriate computer system.Participates in
surveys, studies and special projects as assigned.Conducts
concurrent medical record review using specific indicators and
criteria as approved by medical staff. Acts as patient advocate:
investigates and reports adverse occurrences, and performs staff
education related to resource utilization, discharge planning and
psychosocial aspects of healthcare delivery.Promotes effective and
efficient utilization of clinical resources and mobilizes resources
to assist in achieving desired clinical outcomes within specific
timeframe.Conducts review for appropriate utilization of services
from admission through discharge. Evaluates patient satisfaction
and quality of care provided.Communicates with physicians at
regular intervals throughout hospitalization and develops an
effective working relationship. Assists physicians to maintain
appropriate cost, case and desired patient outcomes.Coordinates the
provision of social services to patients, families and significant
others to enable them to deal with the impact of illness on
individual family functioning and to achieve maximum benefits from
healthcare services.Completes expanded assessment of patients and
family needs at time of admission. Completes psychosocial
assessment.Directs and participates in the development and
implementation of patient care policies and protocols to provide
advice and guidance in handling unusual cases or patient
needs.Performs other duties as assigned and modified at manager's
discretion.KNOWLEDGE, SKILLS AND ABILITIES:Strong interpersonal and
communication skills and the ability to work effectively with a
wide range of constituencies in a diverse community.Critical
thinking skills required.Ability to work autonomously is
required.Ability to monitor, assess and record patients' progress
and adjust and plan accordingly.Ability to plan, implement and
evaluate individual patient care plans.Knowledge of nursing and
case management theory and practice.Knowledge of patient care
charts and patient histories.Knowledge of clinical and social
services documentation procedures and standards.Knowledge of
community health services and social services support agencies and
networks.Ability to communicate technical information to
non-technical personnel.Proficient in Microsoft Office Suite
products including Excel, Word, PowerPoint and Outlook, plus a
variety of other word-processing, spreadsheet, database, e-mail and
presentation software.Ability and willingness to travel locally,
regionally, and nationwide up to 10% of the time.Spoken and written
fluency in English.EDUCATION AND EXPERIENCE CRITERIA:Associate
degree in Nursing required, Bachelor Degree in Nursing (BSN) or RN
with Bachelor Degree in a related clinical field preferred.A valid,
active Registered Nurse (RN) license in State of employment
required.A minimum of 2 years' clinical work experience required.A
minimum of 1 year of utilization review and/or case management,
home health, discharge planning experience required.A minimum of 1
year of case management experience in acute case management or
community case management experience highly desired.Certified Case
Manager certification is preferred. Certification through the
Commission for Case Manager Certification (CCMC) or the American
Association of Managed Care Nurses (CMCN) desired.We're ChenMed and
we're transforming healthcare for seniors and changing America's
healthcare for the better. Family-owned and physician-led, our
unique approach allows us to improve the health and well-being of
the populations we serve. We're growing rapidly as we seek to
rescue more and more seniors from inadequate health care. ChenMed
is changing lives for the people we serve and the people we hire.
With great compensation, comprehensive benefits, career development
and advancement opportunities and so much more, our employees enjoy
great work-life balance and opportunities to grow. Join our team
who make a difference in people's lives every single day.
Keywords: PMR Illinois Holding, Oak Lawn , Registered Nurse (RN) Case Manager, Executive , Oak Lawn, Illinois
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