Nurse Case Manager- Per diem, Day

When you join the growing BILH team, you're not just taking a job, you’re making
a difference in people’s lives.

The RN Case Manager working in the Triad Model of Care Transitions partners with
the interdisciplinary care team to facilitate the progression of care for the
hospitalized patient. Together with the medical provider, the RN Case Manager
collaborates with all members of the care team, focusing on the delivery of
efficient, high-quality care.

This position ensures the appropriate utilization of clinical resources with a
goal of a safe and timely discharge for the patient. This role navigates health
system services to support effective transitions while advising the team on
healthcare industry compliance. The RN Case Manager must be adept at driving
throughput metrics, clinical effectiveness, and fiscal responsibility.

Weekday availability required!

Job Description

Essential Functions

The RN Case Manager collaborates with the health care team to develop the plan
of care and patient flow.

Tasks

* Reviews all cases within 24 – 48 hours or the next business day of
admission/bed placement and each day throughout the stay to facilitate care
progression to establish an anticipated length of stay and transition
planning needs.
* Collaborates with the medical team to formulate a treatment plan to include
care transitions and promote patient flow.
* Completes an initial assessment of all admissions/observation patients to
identify barriers that impact the length of stay and discharge planning. The
assessment should also identify the needs of the patients, acknowledge
current resources available, and anticipate future resources needed to
facilitate successful transitions.
* Navigates the care delivery system while collaborating with the physician and
other clinical departments by ensuring that tests, treatments, consults, and
procedures are appropriately indicated and performed timely.
* Articulates the plan of care and communicates this plan to other care team
members and patient/caregiver. Intervenes to maintain care progression when a
deviation in the plan occurs.
* Influences positive outcomes by communicating the plan of care, expected
discharge date, and transition needs to the patient/caregiver and team,
thereby enhancing patient and staff satisfaction.
* Creates and coordinates the overall transition plan of care based on initial
assessment and concurrent collaboration with social workers, direct care
providers, other hospital departments, external service organizations,
agencies and healthcare facilities, community care and navigation services,
and the patient and family/caregiver.
* Participates in daily multidisciplinary rounds incorporating evidence/best
practice milestones in the plan and communicates that plan to the health care
team.
* Apprises the interdisciplinary team of the estimated length of stay, care
progression barriers, and anticipated disposition.
* Identifies what is needed from the team to facilitate the plan. Facilitates
smooth care transitions by ensuring appropriate clinical follow-up is
arranged and referrals to proper post-acute providers are initiated.
* Communicates the plan effectively with the patient and family/caregiver
making certain that they have resources for success post-discharge.
* Understands organizational goals for the length of stay and unplanned
readmissions. Identifies appropriate clinical guidelines and directs the care
plan to establish the anticipated length of stays and appropriate patient
status.
* Proactively interfaces with the payer, where required, verifying
coverage/benefits for anticipated discharge needs.
* Identifies patients that are at readmitted or at high risk for unplanned
readmissions and initiates appropriate interventions.
* Identifies organizational resources within the community and engages those
resources as necessary.
* Documents avoidable days (if not captured by another Care Transitions Team
member), case management assessments, and care plans in a thorough and timely
manner, per department policy.
* Ensures appropriate care provider documentation to support the patient’s
anticipated discharge plan of care. Escalate deviations from the plan to the
Physician Advisor as appropriate.
* Possesses effective verbal and written communication, relationship-building
techniques, and negotiation skills.
* Completes clear and concise documentation of the care plan and communicates
this to the interdisciplinary team and the patient-caregiver.
* Identifies and communicates any problems or issues affecting patient flow,
patient satisfaction, safety, length of stay management, or outcomes to the
department director and/or appropriate key stakeholder.
* Functions as a resource for governmental and health care industry regulations
and ensures compliance, communicates standards to the interdisciplinary team.
* Informs the patient and family/caregiver of the plan of care and the plan
progression. Facilitates communication with the providers and encourages open
dialogue.
* Maintains current knowledge of organizational policies, care transitions, and
clinical trends, as well as regulatory requirements for clinical care,
discharge planning, and authorization for post-acute services.
* Attends and contributes to departmental staff meetings. Participates and
contributes to multi-disciplinary committees and other committees or
workgroups as directed.
* Manages quality indicators such as avoidable delays, length of stay, resource
utilization, patient satisfaction, patient flow, outlier management, and
readmissions while suggesting strategies to improve
organizational/departmental performance.

Contacts

* Regular contacts, within or outside BILH, to give or get information. Require
courtesy, tact, and some knowledge of BILH procedures.

Qualifications/Requirements

Education Required

* RN licensure in the state of Massachusetts Preferred: Bachelor’s degree in
nursing or another healthcare-related field
* Experience: 3- 5 years in an acute care setting
* Certifications: ACM, CCM, or CMAC preferred

Physical Demands and Working Environment Physical Demands

* Light - Exerts up to 20 lbs. of force occasionally and/or up to 10 lbs.
frequently to move objects.
* Physical demands are more than those of sedentary work.
* Light work usually requires walking or standing to a significant degree.

Work Environment

* Normal Environment - Normal light, air, and space in work environment.

Pay Range

$37.08 - $92.84

The pay range listed for this position is the base hourly wage range the
organization reasonably and in good faith expects to pay for this position at
this time. Actual compensation is determined based on several factors, that may
include seniority, education, training, relevant experience, relevant
certifications, geography of work location, job responsibilities, or other
applicable factors permissible by law.  Compensation may exceed the base hourly
rate depending on shift differentials, call pay, premium pay, overtime pay, and
other additional pay practices, as applicable to the position and in accordance
with the law.

AS A HEALTH CARE ORGANIZATION, WE HAVE A RESPONSIBILITY TO DO EVERYTHING IN OUR
POWER TO CARE FOR AND PROTECT OUR PATIENTS, OUR COLLEAGUES AND OUR COMMUNITIES.
BETH ISRAEL LAHEY HEALTH REQUIRES THAT ALL STAFF BE VACCINATED AGAINST INFLUENZA
(FLU) AS A CONDITION OF EMPLOYMENT.

MORE THAN 35,000 PEOPLE WORKING TOGETHER. NURSES, DOCTORS, TECHNICIANS,

Therapists, Researchers, Teachers and More, Making a Difference in Patients'

LIVES. YOUR SKILL AND COMPASSION CAN MAKE US EVEN STRONGER.

Equal Opportunity Employer/Veterans/Disabled