CASE MANAGER RN
Company: University of New Mexico - Hospitals
Location: Albuquerque
Posted on: September 17, 2023
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Job Description:
UNM Hospitals participates in the Clinical Advancement Program
(CAP) and depending on your Nursing Education and National
Certifications, you'll work towards one of five CAP levels that
offer increasing compensation. You may earn up to $8.00 in addition
to base pay.Sign-On Bonus And Relocation Reimbursement
AvailableDepartment: Utilization Management - UHFTE: 1.00Full
TimeShift: DaysPosition Summary: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.Detailed
responsibilities:* PATIENT CENTERED MED - 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 & 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 CONFERENCE - 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* DEVELOPMENT - Enhance professional growth and
development through participation in educational programs, reading
current literature, attending in-services, meetings and workshops*
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"QualificationsEducation:Essential:* Program
GraduateNonessential:* Bachelor's DegreeEducation
specialization:Essential:* Nationally Accredited Nursing
GraduateNonessential:* NursingExperience:Essential:1 year directly
related experienceNonessential:Bilingual English/Keres, Tewa, Tiwa,
Towa, Zuni, or NavajoCredentials:Essential:* RN in NM or as allowed
by reciprocal agreement by NM* CPR for Healthcare/BLS Prov or Prof
Rescuers w/in 30 daysPhysical Conditions: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.Working conditions:Essential:* Minor Hazard - physical
risks, dirt, dust, fumes, noiseDepartment: Registered Nurse
Keywords: University of New Mexico - Hospitals, Albuquerque , CASE MANAGER RN, Executive , Albuquerque, New Mexico
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