RN Case Manager PRN Days Parker Adventist Hospital:
Centura Health

121642-en_US
Centura Health
Parker Colorado
Healthcare
Description

Known locally as the “full-service community hospital doing some big things,” Parker Adventist Hospital, (located at E-470 and Parker Road), offers leading medical experts, the latest technology and a broad array of clinical services. Ranked among the top hospitals in the nation for patient satisfaction, Parker Hospital performs complex spine and brain surgery along with weight-loss and joint-replacement surgery. We have a Level II Trauma Center and a Birthplace with a Level IIIA NICU caring for babies born as early as 28 weeks. Opened 10 years ago and still growing, the entire team is incredibly vibrant, skilled, enthusiastic, innovative and motivated. The sense of “newness” felt at Parker is a big aspect of the culture and the high patient and employee satisfaction scores speak volumes about the care and the environment. Every associate at Parker lives its culture of “relationship based care” each day – treating every patient, family and team member like WE would want to be cared for. For more information about Parker Adventist Hospital and joining the team, visit http://www.parkerhospital.org/.



Job Description/Job Posting ID: 121642



Recruiter Contact: MandyGray@Centura.org



Clinic/Department: 8675 PARKER CASE MANAGEMENT 



Hospital: PARKER ADVENTIST HOSPITAL 



Schedule: PRN Days



Shift: 8a-4:30pm- at least 2 weekend shifts per month



 


POSITION SUMMARY



The Case Manager is assigned to specific Hospital Units to facilitate the care plan for the inpatient episode, proactively monitor clinical quality and facilitate timely discharge. Using a collaborative interdisciplinary approach, the Case Manager will confirm the plan of care and focus on anticipation, integration and coordination of clinical care and discharge planning services necessary to meet the needs of patients in order to optimize clinical outcomes and resource utilization.



 



EDUCATION REQUIREMENTS



Graduate of Accredited School of Nursing



 



LICENSE/CERTIFICATIONS



Current Colorado RN License



BLS certification from American Heart Association preferred



 



WORK EXPERIENCE REQUIREMENTS



3 years clinical experience as Registered Nurse



Experience in case management, utilization review, nursing clinical quality or discharge planning preferred



 



OTHER SKILLS



Excellent communication/presentation skills.



Ability to multi-task, set priorities and maintain organization. Computer skills.



 



POSITION DUTIES (ESSENTIAL FUNCTIONS)



ASSESSMENT, DATA COLLECTION, ANALYSIS



Obtains reviews and analyzes information relative to admission in accordance with hospital policy and documents assessment using



ECIN and/or other clinical information system.



Assess/reassess patient’s clinical and psychosocial status, diagnosis, and treatment plan involving and communicating with



physician/physicians as needed.



Facilitates discharge planning using ECIN working with patients, families and treatment team making any needed referrals/arrangements and documenting actions.



Participates in the Performance Improvement process through concurrent chart review and participation on clinical effectiveness teams.



Documents Case Management actions and discharge planning upon initial assessment with updates promptly as patient’s needs



change. The documentation must be complete in Meditech on the day of each patient contact.



Proactively reviews medical records for compliance with Core Measure initiatives and other quality initiatives and confers with nursing staff on actions.



CONFIRMATION OF PATIENT GOALS AND PLANS OF CARE



Confirms treatment goals and anticipated plan of care through discussions with treatment team/review of documentation. Utilizes tools such as guidelines, criteria or clinical pathways to assist in facilitating plan of care and appropriateness. Communicates treatment goals or best practices to treatment team including physician using established criteria/guidelines. Daily communication with nursing staff regarding plans, barriers to discharges.



MONITORING PLAN OF CARE AND CARE COORDINATION



Assess, coordinates and evaluates use of resources and services relative to plan of care and discusses variances on an as needed basis with treatment team.



Communicates modifications in plan of care to treatment team and any needs for further documentation daily and/or as needed. Facilitates Family Conferences meetings on an as needed basis and documents outcome.



Participates and/or leads interdisciplinary rounds to facilitate plan of care and discharge.



Reviews variance in plan of care with Manager/Director as needed.



Assists to streamline the care delivery process to minimize or eliminate unnecessary steps or delays through application of Millman



Guidelines.



Facilitates and prioritizes prompt throughput of observation patients.



 



UTILIZATION MANAGEMENT



Identifies when variances occur in anticipated plan of care, tracks for process improvement, and refers to CMO or PA for peer review as needed.



Uses established criteria/guidelines for suitability of level of care, medical necessity, and continued stay and enlist Physician Advisor involvement as needed.



Performs daily rounds with clinical team to address barriers to discharge and plans of care.



Tracks avoidable days using ECIN.



Monitors length of stay on ongoing basis for case load.



Works with third party payers to satisfy utilization review requests and obtain approval of stays.



Participates in Case Management weekly meetings providing information on outliers for LOS and proactive solutions.



Performs utilization review in accordance with UM Plan to include concurrent/retro reviews and verifying admission/bed status. Assists Case Management Manager/Director with clinical information for denial reversals.



Daily review of all clinic bed, observation, 1 day inpatient stays and same day discharge charts for appropriate status orders, correct status in computer, calculation of obs hours for charging, obtaining appropriate orders for status change or no order on chart, within



24- 36 hours.



Proactive management of factors influencing length of stay using critical thinking skills minimizing variance days. Participates in Utilization Review meetings.



Obtains any regulatory documentation that is required.



ACCOUNTABILITY



Completes work with minimal supervision, striving for and achieving optimal outcomes. Meets time commitments on assignments without reminders.



Takes responsibility for own actions.



Recognizes own strengths and weaknesses and seeks/accepts constructive feedback, incorporating it into work. Meets attendance and punctuality guidelines.



Puts the patient, family and customer needs first.



FLEXIBILITY



Adapts to changes in the work environment and appropriately incorporates new information. Effectively deals with pressure and uncertainty.



Deals effectively with a variety of people, personalities, and cultures.



 



 



* This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned.



 



 



Physical Requirements



 



☑ Medium Work - exert/lift up to 50 lbs. force occasionally, and/or up to 20 lbs. frequently, and/or up to 10 lbs. constantly



 



ZIPJOB


 



Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V. 

Basic Qualifications
Requirement