CASE MANAGER RN
Company: University of New Mexico - Hospitals
Location: Los Lunas
Posted on: April 22, 2024
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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. Full time weekends 4 (10 hour shifts to include the
weekend) Weekend Shift Differential Sign-On Bonus And Relocation
Reimbursement Available Department: Utilization Management - UH
FTE: 1.00 Full Time Shift: Weekend Days Position 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" Qualifications Education: Essential: * Program Graduate
Nonessential: * Bachelor's Degree Education specialization:
Essential: * Nationally Accredited Nursing Graduate Nonessential: *
Nursing Experience: Essential: 1 year directly related experience
Nonessential: Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or
Navajo Credentials: Essential: * RN in NM or as allowed by
reciprocal agreement by NM * CPR for Healthcare/BLS Prov or Prof
Rescuers w/in 30 days Physical 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, noise Department: Registered
Nurse
Keywords: University of New Mexico - Hospitals, Albuquerque , CASE MANAGER RN, Executive , Los Lunas, New Mexico
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