RN Case Manager - Cardiothoracic Surgery

JOB SUMMARY: The Case Manager position coordinates/facilitates and/or manages the patients continuum of care, through their knowledge of resource management and clinical care requirements for a designated populations and payers. Demonstrates expertise in coordination of care, patient and family intervention and planning, and participates in quality improvement activities. Facilitates or coordinates required patient/ staff education. Seeks opportunities for clinical/management research associated with Case Management and patient outcomes. Acts as a facilitator and change agent in areas related to Case Management and improved patient care.

EDUCATION/EXPERIENCE: Graduate from an accredited school of nursing. BSN required. MSN preferred. Minimum 5 years of relevant clinical experience. Previous Case Management experience preferred 

LICENSURE, CERTIFICATION, and/or REGISTRATION: Current licensure to practice as a Registered Nurse in the State of North Carolina. Certification in case management highly recommended within 2 years of employment. 

ESSENTIAL FUNCTIONS: 1. Identifies patients who would benefit from Case Management interventions based on an initial screening assessment of discharge needs. 2. Assesses all relevant data and obtains information by interviewing patient/family and performing objective evaluation of patient needs. 3. Ensures that a Plan of Care is developed and implemented in conjunction with nursing to enhance client outcomes in a cost efficient manner by defining desired patient outcomes (goals) with other members of team. Collaborates with the patient, caregivers, the multidisciplinary team and community service providers to effectively execute the Plan of Care. Facilitates. The Case Manager coordinates the discharge planning process; ensuring discharge planning needs are completed. 4. Evaluates and monitors the effectiveness of the discharge planning by facilitating changes in Plan of Care as needed with all members of the multi-disciplinary team. 5. Documents Case Management actions in the Electronic Medical Record and communicates necessary information to providers and payors. 6. Participates in multi-disciplinary rounds to communicate discharge planning and be the driver of patient progression through the system. Establishes partnerships with physicians to achieve institutional goals and contribute to excellent patient care by the organization. 7. Identifies system issues and suggest interventions to the Supervisor to eliminate duplication in services and documents significant variances. Identifies trends/process barriers and participates in development of plans to ensure a method to move patients effectively through the care continuum. 8. Monitors medical necessity of admissions, continued hospitalization, and surgical procedures using criteria approved by the medical staff and evaluates appropriate level of care for patient and notified the Utilization Review staff of necessary changes 9. Utilizes principles of quality improvement in every aspect of performance by participating in unit and organizational quality improvement activities to develop strategies to reduce or resolve variations in practice. 10. Provides age/developmentally-appropriate patient planning and communication in accordance with Age-Specific Care Guidelines for the specific age groups served. 11. Maintains working knowledge of payer and reimbursement practices impacting the plan of care. Demonstrates the ability to guide the patient and family through an evaluation of their options for post discharge care. 

SKILLS/QUALIFICATIONS: Good interpersonal, communication (verbal, nonverbal and listening skills) and written communication skills. Case Management experience Computer skills (basic) Works in a continually changing work environment 

WORK ENVIRONMENT: May be exposed to infectious and contagious diseases May be exposed to radiation hazards Contact with patients under wide variety of circumstances Subject to many interruptions Subject to irregular hours 

PHYSICAL REQUIREMENTS: 0% 35% 65% to to to 35% 65% 100% N/A Activity X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: X 20 lbs. maximum X 50 lbs. maximum X 100 lbs. maximum

Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest Baptists two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Childrens Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.

Wake Forest Baptist Health, Wake Forest University School of Medicine and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.

This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.

Information :

• Company : Atrium Health Wake Forest Baptist Medical Center
• Position : RN Case Manager - Cardiothoracic Surgery
• Location : Salem, NC
• Country : US