CASE MANAGER RN
Company: University of New Mexico - Hospitals
Location: Corrales
Posted on: May 3, 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. Sign-on Bonus and Relocation Reimbursement available
Department: OP Care Management Svcs FTE: 1.00 Full Time Shift: 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" MEDICATION - (UPC and CPC Only) Administer medication,
including IV medication, via the Seven Rights; document and
communicate clinical findings PATIENT CARE - (UPC and CPC Only)
Write treatment plans; coordinate patient drug and procedure
activities; administer medication and treatment; provide and
coordinate nursing care of assigned patients; may facilitate group
therapy and/or education sessions 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 , Corrales, New Mexico
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