RN Case Manager, Care Transitions, PRN, Days 8 am-4:30 pm

The RN Case Manager works under minimal supervision performing a broad range of duties,

• Completes screening assessments from admission through discharge to identify patient needs in a timely manner;
• Taking patient and caregiver preferences into account, coordinates services to maximize patient outcomes includes but is not limited to non-acute care referrals and placement, Home Health, Hospice, Durable Medical Equipment;
• Utilize evidence based care guidelines to ensure appropriate level of care and length of stay
• Work as a part of a multi-disciplinary team to promote effective, efficient, and timely care resulting in positive outcomes for patients;
• Aids patient and families in the engagement of resources while taking into consideration financial, social and clinical factors;
• Works closely with social services on more complex psychosocial and special needs;
• Completes quality audits as requested;
• Participates in quality improvement initiatives
This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. Other duties may be assigned.

Required:

• Indiana licensed Registered Nurse;
• Demonstrates the ability to work independently and as part of a team by working closely with the organizations multi-disciplinary team;
• Accountability for own actions, understands own limitations; seeks advice and assistance when necessary;
• Assumes responsibility for personal growth and development;
• Has in-depth understanding of the post-discharge care resources and is adept at helping patients and families engage resources;
• Excellent verbal and non-verbal communication skills;
• Takes initiative and has the ability to make effective decisions;
• Knowledge of Federal, State, and regulatory agency rules and standards;
• Effectively utilize information technology and  organizational electronic medical record.