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Registered Nurse (RN)-Hospital Case Manager, PRN, Days

Inspire health. Serve with compassion. Be the difference. Job Summary The Hospital Care Manager (HCM) is an integral care team partner that focuses on patient engagement and activation, has primary accountability for patients' care transition out of the acute care setting and positively impacts longitudinal care plan alignment. In collaboration with physicians, leads the multidisciplinary team including clinical staff and payors to ensure efficient delivery of quality, cost-effective care. The HCM leads the team for each patient individually with the goal to maximize autonomy where possible. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Partners with the attending providers throughout hospitalization to promote effective and efficient utilization of clinical resources, ensuring quality, cost effective care. Anticipate next steps and facilitate communication to maximize care efficiencies for the patient and family. Identifies social determinants of health that increase the patient's risk for negative outcomes. Ensures clear documentation for the interdisciplinary care team and coordinates post-acute plans with the ambulatory care management team as appropriate. Facilitates patient access to resources and relevant services. Addresses and resolves system problems impeding diagnostic or treatment progress. Proactively identifies, resolves and documents delays and obstacles on the patient's behalf. Drives change by identifying areas where performance improvement is needed. Navigates value-based care with expertise and ensures longitudinal plan is patient focused and aligns with patient and caregiver goals. On the basis of preliminary risk screening, assesses patients’ and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope. Maintains expert level knowledge of body systems and expected clinical outcomes for patient disease process. Maintains current knowledge of changes in state and federal regulatory requirements related to the provision of care management services in an acute care setting. Maintains care management knowledge to provide services in accordance with standards of practice as established by department and management. Ensures medical necessity, appropriate level of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan. Navigates the team through complex compliance, regulatory and insurance requirements. Coordinates with third party payors on a regular basis. Serves as a resource for patients and families with regard to their rights and responsibilities, when payment of care is denied or when care is no longer medically necessary. Includes, but not limited to, delivery of the regulatory documents as provided by CMS. Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Qualifications Education - Bachelor's degree in Nursing Experience - Three (3) years acute care nursing experience. One (1) year acute care case management experience preferred. In Lieu Of In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a BSN Memorandum of Understanding (MOU) agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within (4) four years of hire date. Further, employees must demonstrate sufficient progress annually toward obtaining an accredited BSN or MSN degree to remain eligible for employment or may be terminated. Employees in this title prior to 10/24/2021 are grandfathered into the title and are only required to have an AD N or Nursing Diploma. Required Certifications, Registrations, Licenses Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working. Accredited Case Manager (ACM) or Certified Case Manager (CCM) is preferred. Knowledge, Skills and Abilities Knowledge of Medical Necessity Criteria preferred. Work Shift Day (United States of America) Location Richland Facility 1510 Richland Hospital Department 15107517 Hospital Case Management Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Other

5 days ago

Registered Nurse, RN - MICU3

DCH Health System Tuscaloosa, AL

Overview Plans, coordinates and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. . Supervises LPNs, PCAs, PCAs/US, US, Ortho Techs and other non-licensed staff. Responsibilities Assesses condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs. Plans, provides, and documents patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Evaluates and regularly reevaluates patient care; coordinates care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes. Assigns and delegates nursing care to team members in accordance with the patient’s needs and the capabilities of the team members. Applies safety principles when performing care Accurately documents observations, care provided, and changes in care plan. Provides accurate handoff reports and participates in unit based huddles Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement. Performs initial and annual competency per job class. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Performs essential job functions in a manner that ensures the safety of patients, visitors and employees. Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees. Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current Alabama RN license required. Current American Heart Association (AHA) Basic Life Support (BLS) Provider training required. Must be able to read, write legibly, speak, and comprehend English. Acute Care – Current American Heart Association (AHA) Basic Life Support (BLS) required. Cardiac/Critical Care – Current AHA BLS and AHA ACLS required. Emergency Department – Current AHA BLS, AHA ACLS, Pediatric Advanced Life Support (PALS), and Trauma Nursing Core Course (TNCC). Perioperative – Current AHA BLS and AHA ACLS required. Additionally: PACU – AHA PALS required Prep & Discharge/Post-Surgical – Does not require ACLS. Rehab – Current AHA BLS required. Women’s/Children – Current AHA BLS required. Additionally: NICU – Current AHA Neonatal Resuscitation (NRP) and STABLE Program required. Labor & Delivery – Current AHA ACLS, AHA NRP, and Intermediate Fetal Monitoring required. Mother Baby Unit – Current AHA NRP, and STABLE Program required. Pediatrics – Current AHA PALS required. Clinical Support – Current AHA BLS required. Additionally: Cardiac Monitoring Unit – Current AHA ACLS required. North Harbor – Current AHA BLS required. Working Conditions WORK CONTEXT Demonstrate leadership skills Requires decision making that will affect others Responsible to achieve outcomes Must be able to communicate clearly and accurately Ability to delegate to team members and students Must be able to receive delegation Address conflict and stressful situation Communicate with different personalities and engage in face to face discussion Dealing with unpleasant or verbally/physically aggressive personalities Must be able to use electronic mail, telephone and texting Must be able to work in groups Must be able to perform structured and unstructured work Must be able to meet time pressure and time lines Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc. PHYSICAL FACTORS Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.Must be able to tolerate prolonged periods of standing and walking Must be able to reach reasonable distances in any direction Must be able to stand, walk, kneel, bend, sit and stoop Must be able to run in an emergency Must have the ability to exert maximum muscle force to lift, push, pull and carry objects Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips Must be able to perform the duties with or without reasonable accommodation Must possess stamina to work prolonged shifts Hearing and vision must be normal or corrected to within normal range. Physical presence onsite is essential.

PACU

Part-time

6 days ago

RN Perianesthesia Surgery Center - 0.6 FTE

Children's Wisconsin Milwaukee, WI

At Children’s Wisconsin, we believe kids deserve the best. Children’s Wisconsin - Surgicenter is an outpatient surgery center that offers the latest technology. We perform a wide variety of outpatient surgical procedures, at a lower cost than the same procedures done at area hospitals. We offer: A medical staff of more than 150 surgeons who are board certified or eligible for certification Anesthesiologists who specialize in pediatric care Registered nurses certified in advanced cardiac life support and pediatric advanced life support; many of the registered nurses are certified in their areas of specialty, such as operating room and recovery room nursing Surgical technologists and assistants who are specially trained to assist the physicians We are Joint Commission certified We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/ Location: Children’s Surgery Center located at 3223 S 103rd St, Milwaukee, WI 53227 Schedule: Daytime hours | No nights, weekends, or holidays | Must have flexibility to work start times that vary between 6am to 9am | 8 hour shifts Every child who walks through our doors brings a mix of courage, nerves, curiosity, and trust. As a Perianesthesia RN, you’ll be the calm, confident presence that sets the tone for a safe and positive surgical experience—for children and their families. If you have a passion for pediatrics, a gentle touch, and the ability to turn fear into reassurance, we’d love for you to apply! Responsible for planning and delivering professional nursing care throughout the perianesthesia (pre and post op care) continuum. Graduate of an accredited school of nursing with an ADN or a BSN in order to meet the recommended entry level for a professional nurse (or equivalent academic and/or professional experience). A BSN is preferred. A current license to practice professional nursing in the State of Wisconsin. Three years of current post-anesthesia or critical care experience is required; experience in an ambulatory surgery setting is desirable. Current CPR certification - Basic Life Support (BLS) for Healthcare Providers through American Heart or American Red Cross is required. PALS certifications required within 1 year of employment. Pediatric experience preferred. Must possess good eyesight, hearing, emotional stability, physical endurance and dexterity in order to draw meds, use phone, and write messages. Ability to stand/walk for up to 8 hours, and lift and move large pieces of equipment weighing up to 40 pounds. Ability to work under stressful conditions and remain mentally alert for accurate judgment Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.