Registered Nurse (RN) Case Manager

Job Description

Location: Daniel Drake Center
Department: Case Management
Hours: Full time, 40 hours/week
Shift: First Shift

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is committed to providing an inclusive, equitable and diverse place of employment.

The Case Manager utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include but are not limited to clinical effectiveness, discharge planning, care coordination, and clinical resource management. The Case Manager interacts with Medical, Nursing and Ancillary department staff to facilitate quality based, cost effective patient outcomes and ensure care is provided in the most appropriate setting.

Responsibilities

Job Responsibilities

The Case Manager utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include but are not limited to clinical effectiveness, discharge planning, care coordination, and clinical resource management. The Case Manager interacts with Medical, Nursing and Ancillary department staff to facilitate quality based, cost effective patient outcomes and ensure care is provided in the most appropriate setting.

• Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks.

• Collaborate with health care team on the plan of care, referrals and ongoing needs of the patient.

• Review and assess selected cases within one business day of admission and as appropriate throughout the patient's stay to assess and execute transition of care planning requirements that ensure timely and appropriate discharges.

• Perform face-to-face brief screen on appropriate patients within one business day of admission to determine discharge barriers early in hospital stay/document findings in MR Progress Notes.

• Collaborates in the preparation of discharge forms/paperwork and prescriptions that often delay the discharge.

• Identify actual and potential delays in service and works with the appropriate individuals, including but not limited to, the patient, family, caregivers, Access Team, Social Work, Financial Counseling, and Quality Management Services to ensure timely action/resolution

• Provide ongoing consultation and training to medical staff and other healthcare professionals on discharge and home care issues; participate in process improvement activities; identify barriers in service delivery systems and develop a process for improvement.

• Review assigned patient population to ensure that admissions, continued stays and ancillary services are medically necessary and provided in the appropriate setting.

• When appropriate, escalate cases to Clinical Manager for review and allocation of appropriate resources, including but not limited to, consultation with Nursing Leadership, Hospital Administration and Physicians leaders.

Qualifications

Education and Experience Requirements:
  • Graduate from an accredited school of nursing
  • Bachelor of Science in Nursing, preferred.
  • Current OH RN License
  • 1-3 years Case Management / Utilization Management, or related experience


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About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.

Same Posting Description for Internal and External Candidates