INPATIENT CASE MANAGER RN
Company: University of New Mexico - Hospitals
Location: Albuquerque
Posted on: June 25, 2022
Job Description:
Position Summary:Sign on bonus for external candidatesRelocation
reimbursement also available
Coordinate all systems/services required for an organized,
multidisciplinary, patient centered care team approach, and assure
quality, cost-effective care for the identified patient population.
Manage the course of treatment of patients, coordinating care with
physicians, nurses and other staff ensuring quality patient
outcomes are achieved within established time frames and with
efficient utilization of resources. Conduct initial and ongoing
assessments, initiate disease management protocols, determine and
manage outcomes, ensure continuity of care through discharge
planning, utilization of resources and analysis of variances.
Function as a contact person for patient, family, health care team
members, community resources and employees as necessary. Ensure
adherence to Hospitals and departmental policies and procedures.
Patient care assignment may include neonate, pediatric, adolescent,
adult and geriatric age groups.Accountability:
- PCMH/PCSP - Adhere to and promote the core expectations of the
Patient Centered Medical Home or Patient Centered Specialty
Practice as applicable
- IDENTIFICATION - Identify appropriate patients within
designated specialty area requiring patient case management
interventions by utilizing established procedures including census
review, risk screens, and referral
- DATA - Perform assessment, data collection, obtain, review, and
analyze information in collaboration with the patient, family,
significant others, health care team members, employers, and others
as appropriate
- ASSESSMENT - Assess the patient's clinical, psychosocial status
and current treatment plans
- NEEDS - Assess the patient/family/significant others needs in
relation to the medical diagnosis and treatment and resources;
provide treatment options, financial resources, psychosocial needs,
and discharge planning in collaboration with appropriate
resources
- ORDERS AND REFERRALS - Obtain necessary orders from physicians
to initiate home health referrals, home infusion medications and
supplies, oxygen and equipment; coordinate referrals for oxygen and
equipment
- REPORTS AND RECORDS - Maintain computer-based tracking system
and compile required reports and records
- COLLABORATION - Develop collaborative relationships with other
departments/services and community health care agencies
facilitating and supporting quality care in area of clinical
expertise; act as a resource on complex patient care
activities
- GOALS - Assist the patient, family, significant others to set
patient-centered goals for individual patient, family, and
significant others in collaboration with physicians, staff RNs and
other health care team members
- PLAN OF CARE - Develop comprehensive multidisciplinary plan of
care effectively utilizing tools and resources
- DISCHARGE PLANNING - Conduct timely discharge planning by
anticipating patient needs in collaboration with physicians, staff
RN's, and other health care team members
- VARIANCES - Intervene when variances occur in patient
individualized treatment plan
- RESOURCES - Coordinate and evaluate the use of resources and
services in a quality-conscious, cost effective manner and
collaborate with appropriate providers to ensure effective, quality
outcomes
- INTERVENTIONS - Monitor and evaluate short-term and long-term
patient responses to interventions in collaboration with quality
assurance and utilization review, maintaining interdependent
follow-up as necessary
- VARIANCE - Review variance from standardized protocols of care
with health care team members and implement resolution
strategies
- TREATMENT CONFERENCES - Facilitate and/or participate in
conferences providing ongoing evaluation of interdisciplinary
dynamics, goals attainment and treatment management
- EDUCATION - Ensure and/or provide instruction to the patient
and family based on identified learning needs; assess
patient/family knowledge, health status expectations, and locus of
control
- INFORMATION - Assist with development of activities and methods
to ensure information is articulated and disseminated to
appropriate members of the health care team
- CONTINUITY OF CARE - Collaborate with the health care team to
ensure continuity of patient care throughout all health care
settings; promote effective communication among health care team
members including the patient, family, and significant
others
- MEETINGS - Participate in team meetings when indicated or as
directed
- CARE PLAN - Incorporate recommendations and/or services of
interdisciplinary team members in the care plan
- COMMUNICATION - Use interpersonal communication strategies with
individuals as well as groups of patients, families, significant
others, and staff to achieve expected outcomes and patient/family
and health care team satisfaction
- DOCUMENTATION - Provide routine verbal and written
documentation for the initial assessment and progress of the
patient to other members of the health care team in a timely
manner
- ORIENTATION - Participate in orientation, continuing education
of staff RN's and other health care team members as
appropriate
- QUALITY - Participate in continuous quality improvement
activities by evaluating patient care systems that may include
standards, protocols, and documentation
- COMMITTEES - Attend meetings and represent department or
Hospitals within Hospitals related committees or the community, as
assigned by supervisor
- PATIENT SAFETY 1 - Follow patient safety-related policies,
procedures and protocols
- PATIENT SAFETY 2 - Demonstrate proactive approach to patient
safety by seeking opportunities to improve patient safety through
questioning of current policies and processes
- PATIENT SAFETY 3 - Identify and report/correct environmental
conditions and/or situations that may put a patient at undue
risk
- PATIENT SAFETY 4 - Report potential or actual patient safety
concerns, medical errors and/or near misses in a timely
manner
- PATIENT SAFETY 5 - Encourage patients to actively participate
in their own care by asking questions and reporting treatment or
situations that they don't understand or may "not seem
right"
- DEVELOPMENT - Enhance professional growth and development
through participation in educational programs, reading current
literature, attending in-services, meetings and workshops
Certification Requirements:
- RN MATRIX - Complete and maintain unit/clinic based required
certifications and competencies as listed in the department
expectations/and or the unit/clinic education matrix
Education Requirements:
- Nursing program (nationally accredited) graduate
Experience Requirements:
- 1 year directly related experience
Licensure/Certification Requirements:
- CPR Certification for Healthcare/BLS Providers or for
Professional Rescuers or must obtain within 30 calendar days of
date of position
- Licensed Registered Nurse (RN) in State of New Mexico or as
allowed by reciprocal agreement by State of New Mexico
Education Requirements - Preferred:
- Bachelor's Degree of Science in Nursing
Experience Requirements - Preferred:
- Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or
Navajo
- Bilingual English/Spanish
Physical Demands Requirements:
- Light Work: Exerting up to 20 pounds of force occasionally,
and/or up to 10 pounds of force frequently, and/or a negligible
amount of force constantly (Constantly: activity or condition
exists 2/3 or more of the time) to move objects. Physical demand
requirements are in excess of those for Sedentary Work. May require
walking or standing to a significant degree or requires sitting
most of the time but entails pushing and/or pulling of arm or leg
controls; and/or may require working at a production rate pace
entailing the constant pushing and/or pulling of materials even
though the weight of materials is negligible.
Testing Requirements:
- Tuberculosis testing is completed upon hire and additionally as
required
Working Conditions Requirements:
- Minor Hazard - physical risks, dirt, dust, fumes, noise
Department: Utilization ManagementRequired
Keywords: University of New Mexico - Hospitals, Albuquerque , INPATIENT CASE MANAGER RN, Executive , Albuquerque, New Mexico
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