What are the responsibilities and job description for the Case Manager - RN - Continuum of Care position at Sauk Prairie Healthcare?
JOB REQUIREMENTS: POSITION SPECIFICS Title: Case Manager - RN FTE: Per
Diem Schedule: Variable, as needed coverage. Holiday Rotation: N/A
Weekend Rotation: N/A On Call Requirements: N/A POSITION SUMMARY The
Case Manager- RN coordinates and facilitates patient care activities to
promote optimum and appropriate utilization of resources, improve
continuity of care across the continuum, and to contribute to patient
satisfaction and outcomes. The Case Manager- RN evaluates patient health
status, facilitates the proper plan for care and manages the
implementation of nursing services to meet the patient\'s individual
health needs. This position acts as a patient advocate, a resource to
patients, families and staff, and as a leader of the interdisciplinary
team. This position serves as a liaison between the patient and family,
and the care provider. This individual may provide more specialized
support in areas such as the utilization management (UM), Swing Bed,
post-acute care navigation, transitional care management and other areas
that help improve the continuity of care of a patient across the
Continuum. POSITION TECHNICAL RESPONSIBILITIES Assist And Supports
development of Population Health care model at SPH. Actively partner
with skilled nursing facilities, home health, primary care clinics,
Social Workers/RN Case Managers and Population Health team to
proactively identify and resolve potential barriers and constraints. Use
assessment skills and appropriate risk assessment tools to identify
patients with actual or potential health care needs that would require
care coordination. Collaborate with patient/family in establishing
mutual goals based on the patient\'s needs or problems. Explore
patient\'s understanding and knowledge of current health status.
Partners with patient to help them integrate health status changes into
their life. Apply nursing judgment to determine level of care assigned
or delegated. Monitor, detect and anticipate early and subtle health
status changes. Monitor, trend and record patient response to disease,
illness, treatment. Coordinate care across the continuum
(inpatient/outpatient/community) to assure appropriate utilization of
clinical and community resources. Promptly intervenes in instances of
delayed services or inappropriate utilization of resources. Coordinate
input from all health professionals, conduct assessments of
patient/family needs and formulate a documented plan assuring continuity
of care for the highest risk patients or those patients at risk for poor
outcomes. Conduct precertification, concurrent, and retrospective
utilization management through the application of nationally recognized
criteria. Collaborates with Social Work and other members of the care
team to integrate psychosocial management of patient/family needs.
Coordinate and lead family conferences and/or multidisciplinary care
conferences as needed. Document accurate assessments and interventions
in patient\'s electronic medical record in an effective and timely
manner Assess patient\'s unique perspective and assure right education,
right time, right environment for learning. Anticipate future needs and
educates or refers to valid sources of information. Delegate care based
on situation while assuming accountability for patient outcome. Assure
effective use of staffing resources. Support assistive personnel. Serve
as a resource and hold assistive personnel accountable to complete
delegated tasks. Continually evaluate program data to further refine the
referral criteria to case management; provides feedback to staff to
improve the referral process. Identify actual or potential variances in
standards of care and system problems that could lead to errors, delays
in care, complications or increased cost. Contact providers, staff
and/or applicable leadership personnel to resolve these findings. When
appropriate, integrate care coordination with disease management efforts
t achieve low-cost interventions that achieve the greatest benefit and
increase the accountability of patients for management of their disease.
Analyze data to identify under/over utilization; improve resource
consumption; promote potential reduction in cost; and enhance quality of
care consistent with organization strategic goals and objectives. Data
includes but is not limited to predictive analysis, risk stratification,
cost-benefit analyses, financial analyses, clinical outcomes,
Utilization, And Practice Patterns. POSITION REQUIREMENTS Education
Required: Associate Degree in Nursing Preferred: Bachelor\'s degree in
nursing (BSN) or Master\'s Degree in nursing (MSN) Experience: Required:
Minimum of 2 years of nursing, case management or utilization review
experience Preferred: Two or more years of experience of case management
and/or Utilization Review in a healthcare setting Licenses and
Registrations: Required: Current State of Wisconsin licensure as a
Registered Nurse Preferred: None Certification(s): Required: Basic Life
Support (BLS) within 3 months of hire Preferred: Case Management
Certification BENEFIT SUMMARY Retirement Plan With Immediate Vesting And
employer match Discounted membership to our state-of-the-art fitness
facility Free parking at facility \*\*\*\*\* APPLICATION INSTRUCTIONS:
Apply Online
https://saukprairiehealthcare.wd12.myworkdayjobs.com/Sauk_Prairie_Healthcare_Careers
Diem Schedule: Variable, as needed coverage. Holiday Rotation: N/A
Weekend Rotation: N/A On Call Requirements: N/A POSITION SUMMARY The
Case Manager- RN coordinates and facilitates patient care activities to
promote optimum and appropriate utilization of resources, improve
continuity of care across the continuum, and to contribute to patient
satisfaction and outcomes. The Case Manager- RN evaluates patient health
status, facilitates the proper plan for care and manages the
implementation of nursing services to meet the patient\'s individual
health needs. This position acts as a patient advocate, a resource to
patients, families and staff, and as a leader of the interdisciplinary
team. This position serves as a liaison between the patient and family,
and the care provider. This individual may provide more specialized
support in areas such as the utilization management (UM), Swing Bed,
post-acute care navigation, transitional care management and other areas
that help improve the continuity of care of a patient across the
Continuum. POSITION TECHNICAL RESPONSIBILITIES Assist And Supports
development of Population Health care model at SPH. Actively partner
with skilled nursing facilities, home health, primary care clinics,
Social Workers/RN Case Managers and Population Health team to
proactively identify and resolve potential barriers and constraints. Use
assessment skills and appropriate risk assessment tools to identify
patients with actual or potential health care needs that would require
care coordination. Collaborate with patient/family in establishing
mutual goals based on the patient\'s needs or problems. Explore
patient\'s understanding and knowledge of current health status.
Partners with patient to help them integrate health status changes into
their life. Apply nursing judgment to determine level of care assigned
or delegated. Monitor, detect and anticipate early and subtle health
status changes. Monitor, trend and record patient response to disease,
illness, treatment. Coordinate care across the continuum
(inpatient/outpatient/community) to assure appropriate utilization of
clinical and community resources. Promptly intervenes in instances of
delayed services or inappropriate utilization of resources. Coordinate
input from all health professionals, conduct assessments of
patient/family needs and formulate a documented plan assuring continuity
of care for the highest risk patients or those patients at risk for poor
outcomes. Conduct precertification, concurrent, and retrospective
utilization management through the application of nationally recognized
criteria. Collaborates with Social Work and other members of the care
team to integrate psychosocial management of patient/family needs.
Coordinate and lead family conferences and/or multidisciplinary care
conferences as needed. Document accurate assessments and interventions
in patient\'s electronic medical record in an effective and timely
manner Assess patient\'s unique perspective and assure right education,
right time, right environment for learning. Anticipate future needs and
educates or refers to valid sources of information. Delegate care based
on situation while assuming accountability for patient outcome. Assure
effective use of staffing resources. Support assistive personnel. Serve
as a resource and hold assistive personnel accountable to complete
delegated tasks. Continually evaluate program data to further refine the
referral criteria to case management; provides feedback to staff to
improve the referral process. Identify actual or potential variances in
standards of care and system problems that could lead to errors, delays
in care, complications or increased cost. Contact providers, staff
and/or applicable leadership personnel to resolve these findings. When
appropriate, integrate care coordination with disease management efforts
t achieve low-cost interventions that achieve the greatest benefit and
increase the accountability of patients for management of their disease.
Analyze data to identify under/over utilization; improve resource
consumption; promote potential reduction in cost; and enhance quality of
care consistent with organization strategic goals and objectives. Data
includes but is not limited to predictive analysis, risk stratification,
cost-benefit analyses, financial analyses, clinical outcomes,
Utilization, And Practice Patterns. POSITION REQUIREMENTS Education
Required: Associate Degree in Nursing Preferred: Bachelor\'s degree in
nursing (BSN) or Master\'s Degree in nursing (MSN) Experience: Required:
Minimum of 2 years of nursing, case management or utilization review
experience Preferred: Two or more years of experience of case management
and/or Utilization Review in a healthcare setting Licenses and
Registrations: Required: Current State of Wisconsin licensure as a
Registered Nurse Preferred: None Certification(s): Required: Basic Life
Support (BLS) within 3 months of hire Preferred: Case Management
Certification BENEFIT SUMMARY Retirement Plan With Immediate Vesting And
employer match Discounted membership to our state-of-the-art fitness
facility Free parking at facility \*\*\*\*\* APPLICATION INSTRUCTIONS:
Apply Online
https://saukprairiehealthcare.wd12.myworkdayjobs.com/Sauk_Prairie_Healthcare_Careers
Medical Equipment Delivery Technician, Continuum of Care
Home Care United, Inc. -
Madison, WI
