1+ months

362610 6 Case Manager RN

Penn Medicine
Plainsboro, NJ 08536
The Case Manager supports the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinicaloutcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integratesand coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change byidentifying areas where performance improvement in needed (e.g., day to day workflow, education, process improvements, patient satisfaction).ESSENTIAL JOB DUTIES AND RESPONSIBILITIES1. Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team toeffect timely, appropriate patient management.2. Addresses/resolves system problems impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles todischarge.3. Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays, and documents findings basedon Department standards.4. Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and aredocumented as necessary to assure continuity of care.5. Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with physician.6. Documents relevant discharge planning information in the medical record according to Department standards.7. Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment,planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation.8. Refers appropriate cases for social work intervention based on Department criteria.9. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies.10. Collects delay and other data for specific performance and/or outcome indicators, including but not limited to Avoidable Days, as determined byDirector/Manager.11. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency,supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to lessexperienced staff.12. Communicates relevant clinical information, including admission review, concurrent review, and discharge planning needs, to third party payorsto secure optimal reimbursement.

Education\nBSN degree required\nRelated Work Experience\nMinimum of 3 years Medical-Surgical experience required; \nCase Management, Discharge Planning and Utilization Review experience preferred.\n\nLICENSURE, CERTIFICATION OR REGISTRATION REQUIREMENTS\nState of New Jersey Registered Nurse license required.\nNational Case Management certification preferred; or obtained within two years of employment.\nSPECIALIZED SKILLS & KNOWLEDGE REQUIREMENTS\nExcellent interpersonal, verbal and written communication skills.\nExcellent critical thinking skills.\nExcellent organization and analytical skills.\nKnowledge and understanding of computer systems and software applications.\nAbility to work with all age groups and populations.

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Posted: 2021-10-04 Expires: 2021-12-10

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362610 6 Case Manager RN

Penn Medicine
Plainsboro, NJ 08536

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