Mphc Case List Jobs in Usa

Schedule:

• Monday-Friday, flexible day shift hours
• Unit support/coverage as needed

The Case Manager coordinates care across an episode and/or the continuum for clients with complex problems and diverse needs.  The Case Manager’s focus is to maintain patients at an optimal level of health and to support self-care.  Case Managers collaborate with physicians, social services, nurses, and community agencies to define care options and resources, to plan cost effective quality care and to achieve optimal outcomes. 

Specific responsibilities include case screening, insurance approval, assurance of timely services, and facilitation of discharge with transition to the appropriate services.  Patient outcomes are achieved through effective application of care plans, managed care concepts, appropriateness criteria, resource management, knowledge of community resources, and collaboration with other clinical disciplines.  Works proactively to coordinate the services of physicians, nurses, and other disciplines to effectively prepare patients for discharge.  The Case Manager facilitates program development, efficient care delivery processes and quality improvement including tracking of resource utilization and outcome measures.  The Case Manager is accountable for improving service using cost and quality outcome data, current clinical practices and related research, regulatory requirements and comparative benchmark opportunities.   

Customers include patients, families/visitors, physicians, physician assistants, nurse practitioners, case managers, representatives of third-party payers, representatives of referring agencies, interdepartmental and intradepartmental staff, vendors, and volunteers.     

Actively knows, understands, incorporates, and demonstrates the organization’s mission and core values, including the Guiding Behaviors and Caring Model Principles, and always conducts oneself in a manner consistent with these values.  

Maintains a working knowledge of applicable Federal, State and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior. 

• Demonstrates knowledge, skills and abilities to provide case management services appropriate to the age of patients served. 

• Exhibits sound judgment, critical thinking, problem solving and decision-making skills. 

• Communicates effectively with patients, significant others, and members of the health care team.  

• Compiles information; keeps records, prepares or directs preparation of reports and correspondence. 

• Executes daily utilization functions for assigned patients, including prior authorization, admission, precertification/certification/recertification, concurrent and retrospective review, associated analysis, and referral appropriateness.  

• Participates in comprehensive team meetings and conferences regarding specific patient needs that affect cost, quality, and length of stay.  Demonstrates ability to promote collaboration and creativity among members of the health care team. 

• Responsible for assuring thorough case management assessment, as well as early and ongoing discharge plans by collaborating with patients, families, physician, payors, and providers across the continuum of care.   

• Reports potential catastrophic and high-cost cases to department director, nursing director, and finance department for appropriate medical/administrative review and management. 

• Effectively manages length of stay and cost avoidance.   

• Discuss cases with Utilization Review Committee and/or Executive Health Resources (EHR) when cases fail to meet admission, treatment, and length of stay and/or discharge standards.  

• Attends meetings of the Utilization Review Committee and submits reports as required.  Participates in the development of a written plan that describes the Utilization Review Program. 

• Applies quality improvement methods and techniques to improve case management processes to maximize cost and quality benefits for MercyOne Medical Center.  

• Performs other duties consistent with the purpose of the job as directed. 

• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. 

• Must be a registered nurse and must hold an active license to practice nursing in the state of Iowa. 

• Knowledge of clinical practice and case management processes normally acquired by completing a bachelor’s degree in nursing. 

• Training and/or Certification in the area of case management is preferred.   

• Must meet all mandatory education and training requirements within specified timeframes as required by organizational/regulatory standards. 

• Three to five years’ clinical experience required.   

Schedule:

• Monday-Friday, flexible day shift hours
• Unit support/coverage as needed

The Case Manager coordinates care across an episode and/or the continuum for clients with complex problems and diverse needs.  The Case Manager’s focus is to maintain patients at an optimal level of health and to support self-care.  Case Managers collaborate with physicians, social services, nurses, and community agencies to define care options and resources, to plan cost effective quality care and to achieve optimal outcomes. 

Specific responsibilities include case screening, insurance approval, assurance of timely services, and facilitation of discharge with transition to the appropriate services.  Patient outcomes are achieved through effective application of care plans, managed care concepts, appropriateness criteria, resource management, knowledge of community resources, and collaboration with other clinical disciplines.  Works proactively to coordinate the services of physicians, nurses, and other disciplines to effectively prepare patients for discharge.  The Case Manager facilitates program development, efficient care delivery processes and quality improvement including tracking of resource utilization and outcome measures.  The Case Manager is accountable for improving service using cost and quality outcome data, current clinical practices and related research, regulatory requirements and comparative benchmark opportunities.   

Customers include patients, families/visitors, physicians, physician assistants, nurse practitioners, case managers, representatives of third-party payers, representatives of referring agencies, interdepartmental and intradepartmental staff, vendors, and volunteers.     

Actively knows, understands, incorporates, and demonstrates the organization’s mission and core values, including the Guiding Behaviors and Caring Model Principles, and always conducts oneself in a manner consistent with these values.  

Maintains a working knowledge of applicable Federal, State and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior. 

• Demonstrates knowledge, skills and abilities to provide case management services appropriate to the age of patients served. 

• Exhibits sound judgment, critical thinking, problem solving and decision-making skills. 

• Communicates effectively with patients, significant others, and members of the health care team.  

• Compiles information; keeps records, prepares or directs preparation of reports and correspondence. 

• Executes daily utilization functions for assigned patients, including prior authorization, admission, precertification/certification/recertification, concurrent and retrospective review, associated analysis, and referral appropriateness.  

• Participates in comprehensive team meetings and conferences regarding specific patient needs that affect cost, quality, and length of stay.  Demonstrates ability to promote collaboration and creativity among members of the health care team. 

• Responsible for assuring thorough case management assessment, as well as early and ongoing discharge plans by collaborating with patients, families, physician, payors, and providers across the continuum of care.   

• Reports potential catastrophic and high-cost cases to department director, nursing director, and finance department for appropriate medical/administrative review and management. 

• Effectively manages length of stay and cost avoidance.   

• Discuss cases with Utilization Review Committee and/or Executive Health Resources (EHR) when cases fail to meet admission, treatment, and length of stay and/or discharge standards.  

• Attends meetings of the Utilization Review Committee and submits reports as required.  Participates in the development of a written plan that describes the Utilization Review Program. 

• Applies quality improvement methods and techniques to improve case management processes to maximize cost and quality benefits for MercyOne Medical Center.  

• Performs other duties consistent with the purpose of the job as directed. 

• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. 

• Must be a registered nurse and must hold an active license to practice nursing in the state of Iowa. 

• Knowledge of clinical practice and case management processes normally acquired by completing a bachelor’s degree in nursing. 

• Training and/or Certification in the area of case management is preferred.   

• Must meet all mandatory education and training requirements within specified timeframes as required by organizational/regulatory standards. 

• Three to five years’ clinical experience required.   

PRIMARY JOB DUTIES

  1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.             

  2.  Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.

  3.  Communicate with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
 

  4.  Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
 

  5.  Demonstrates positive interpersonal relations in dealing with all members of the agency.
 

  6.  Effectively demonstrates the mission, vision and values of the Agency on a daily basis.

1.0 45% QUALITY OF WORK

1.1 15%

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by:

• Assessing the patients’ and family/caregivers’ physical, psychosocial, bereavement, environmental, safety, and developmental needs.
• Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients’ needs change.
• Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care.
• Managing all aspects of the patient’s plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members.
• Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill.

1.2 15%

Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team.

• Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team.
• Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate.
• Performs and reports assessment findings of the patient’s pain and other undesirable symptoms to the Hospice Physician in a timely manner.
• Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient’s care, and any other information pertinent to the care of the patient.
• Provides supervision of patients’ assigned LPN and CNA, in accordance with Medicare guidelines and agency policy.
• Attends and participates in regularly scheduled interdisciplinary group meetings.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure.

1.3 10%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record.
• Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion.
• Completes, maintains, and submits accurate and relevant notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Documents all physician orders received within the EMR.
• Consults and collaborates with the hospice interdisciplinary team and others involved in the patient’s care.
• Maintains close contact with the patient’s family/caregiver to provide information, support, and continuity of care.
• Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management.

1.4 5%

Contributes to program effectiveness as evidenced by:

• Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care.
• Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available.
• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
• Participates in the provision of 24/7 on-call nursing services.
• Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training.
• Actively participates in quality assessment performance improvement teams and activities.

2.0      30%           EFFICIENCY AND EFFECTIVENESS:

2.1      20%            Organizes and performs work effectively and efficiently as evidenced by:

• Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area.
• Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory.
• Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost.
• Ensuring provision of medical supplies is limited to only what is needed in the home.
• Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation
• Practicing personal cost containment by responsible use of equipment, supplies, and resources.

2.2      10%            Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.
• Does not exceed accrued PTO or qualified leave of absence(s).* cannot exceed

3.0      25%           TEAM WORK, MISSION, VISION, VALUES:

3.1      25%            Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Responding to all customers in a courteous, sensitive and respectful manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team
• Working collaboratively and cooperating with other departments.
• Completing the review period without any formal disciplinary action.
• Presenting a clean and neat appearance in personal attire and one’s work area.

JOB SPECIFICATIONS

  1.       Education:  Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor’s Degree preferred.

  2.       Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.       Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.
 

  4.       Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.
 

  5.       Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.       Essential Physical Requirements:  Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients
 

  7.       Essential Mental Abilities:  Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina
 

  8.       Essential Sensory Requirements: Keen observation skills.
 

  9.       Exposure to Hazards:  May be exposed to virus, disease and infection from patients and specimens in workin

PRIMARY JOB DUTIES

  1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.             

  2.  Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.

  3.  Communicate with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
 

  4.  Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
 

  5.  Demonstrates positive interpersonal relations in dealing with all members of the agency.
 

  6.  Effectively demonstrates the mission, vision and values of the Agency on a daily basis.

1.0 45% QUALITY OF WORK

1.1 15%

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by:

• Assessing the patients’ and family/caregivers’ physical, psychosocial, bereavement, environmental, safety, and developmental needs.
• Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients’ needs change.
• Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care.
• Managing all aspects of the patient’s plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members.
• Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill.

1.2 15%

Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team.

• Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team.
• Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate.
• Performs and reports assessment findings of the patient’s pain and other undesirable symptoms to the Hospice Physician in a timely manner.
• Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient’s care, and any other information pertinent to the care of the patient.
• Provides supervision of patients’ assigned LPN and CNA, in accordance with Medicare guidelines and agency policy.
• Attends and participates in regularly scheduled interdisciplinary group meetings.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure.

1.3 10%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record.
• Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion.
• Completes, maintains, and submits accurate and relevant notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Documents all physician orders received within the EMR.
• Consults and collaborates with the hospice interdisciplinary team and others involved in the patient’s care.
• Maintains close contact with the patient’s family/caregiver to provide information, support, and continuity of care.
• Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management.

1.4 5%

Contributes to program effectiveness as evidenced by:

• Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care.
• Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available.
• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
• Participates in the provision of 24/7 on-call nursing services.
• Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training.
• Actively participates in quality assessment performance improvement teams and activities.

2.0      30%           EFFICIENCY AND EFFECTIVENESS:

2.1      20%            Organizes and performs work effectively and efficiently as evidenced by:

• Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area.
• Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory.
• Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost.
• Ensuring provision of medical supplies is limited to only what is needed in the home.
• Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation
• Practicing personal cost containment by responsible use of equipment, supplies, and resources.

2.2      10%            Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.
• Does not exceed accrued PTO or qualified leave of absence(s).* cannot exceed

3.0      25%           TEAM WORK, MISSION, VISION, VALUES:

3.1      25%            Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Responding to all customers in a courteous, sensitive and respectful manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team
• Working collaboratively and cooperating with other departments.
• Completing the review period without any formal disciplinary action.
• Presenting a clean and neat appearance in personal attire and one’s work area.

JOB SPECIFICATIONS

  1.       Education:  Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor’s Degree preferred.

  2.       Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.       Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.
 

  4.       Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.
 

  5.       Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.       Essential Physical Requirements:  Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients
 

  7.       Essential Mental Abilities:  Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina
 

  8.       Essential Sensory Requirements: Keen observation skills.
 

  9.       Exposure to Hazards:  May be exposed to virus, disease and infection from patients and specimens in workin

PRIMARY JOB DUTIES

  1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.             

  2.  Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.

  3.  Communicate with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
 

  4.  Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
 

  5.  Demonstrates positive interpersonal relations in dealing with all members of the agency.
 

  6.  Effectively demonstrates the mission, vision and values of the Agency on a daily basis.

1.0 45% QUALITY OF WORK

1.1 15%

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by:

• Assessing the patients’ and family/caregivers’ physical, psychosocial, bereavement, environmental, safety, and developmental needs.
• Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients’ needs change.
• Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care.
• Managing all aspects of the patient’s plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members.
• Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill.

1.2 15%

Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team.

• Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team.
• Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate.
• Performs and reports assessment findings of the patient’s pain and other undesirable symptoms to the Hospice Physician in a timely manner.
• Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient’s care, and any other information pertinent to the care of the patient.
• Provides supervision of patients’ assigned LPN and CNA, in accordance with Medicare guidelines and agency policy.
• Attends and participates in regularly scheduled interdisciplinary group meetings.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure.

1.3 10%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record.
• Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion.
• Completes, maintains, and submits accurate and relevant notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Documents all physician orders received within the EMR.
• Consults and collaborates with the hospice interdisciplinary team and others involved in the patient’s care.
• Maintains close contact with the patient’s family/caregiver to provide information, support, and continuity of care.
• Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management.

1.4 5%

Contributes to program effectiveness as evidenced by:

• Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care.
• Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available.
• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
• Participates in the provision of 24/7 on-call nursing services.
• Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training.
• Actively participates in quality assessment performance improvement teams and activities.

2.0      30%           EFFICIENCY AND EFFECTIVENESS:

2.1      20%            Organizes and performs work effectively and efficiently as evidenced by:

• Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area.
• Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory.
• Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost.
• Ensuring provision of medical supplies is limited to only what is needed in the home.
• Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation
• Practicing personal cost containment by responsible use of equipment, supplies, and resources.

2.2      10%            Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.
• Does not exceed accrued PTO or qualified leave of absence(s).* cannot exceed

3.0      25%           TEAM WORK, MISSION, VISION, VALUES:

3.1      25%            Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Responding to all customers in a courteous, sensitive and respectful manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team
• Working collaboratively and cooperating with other departments.
• Completing the review period without any formal disciplinary action.
• Presenting a clean and neat appearance in personal attire and one’s work area.

JOB SPECIFICATIONS

  1.       Education:  Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor’s Degree preferred.

  2.       Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.       Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.
 

  4.       Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.
 

  5.       Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.       Essential Physical Requirements:  Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients
 

  7.       Essential Mental Abilities:  Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina
 

  8.       Essential Sensory Requirements: Keen observation skills.
 

  9.       Exposure to Hazards:  May be exposed to virus, disease and infection from patients and specimens in workin

Locum Otolaryngology (ENT) Opportunity Bon Secours Mercy Health St.

Marys Hospital Richmond, VAOverview:Bon Secours Mercy Health St.

Marys Hospital in Richmond, VA is seeking a Board-Certified Otolaryngologist for ongoing hospital-based locum coverage.

This is a well-supported ENT practice at one of Richmonds most recognized hospitals.

All travel and lodging expenses are covered.Open Dates:September 17September 1521September 2228October 612October 1319October 2026October 27November 2November 39December 17December 1521December 29January 4Position Details:Setting: Hospital-based ENT practiceAverage Cases per Day: 6Trauma Level: NoneAnnual ER Volume: 2EMR: EpicPatient Population: All agesTrauma/Hospital/Clinic Mix: 10% hospital-basedTravel & Logistics:Covered: Flight, hotel, rental car or mileage (IRS rate)Credentialing Timeframe: 120 daysRequirements:Board Certification RequiredActive VA Medical License & DEA Required (no exceptions)BLS & ACLS Required

Job Summary

Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Promotes continuity of care and cost effectiveness through the integrating and functions of case management.

• Coordinates discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
• Coordinate the hospital activities concerned with case management and discharge planning.
• Ensure compliance with quality patient care and regulatory compliance.

Required: 

• Minimum of two (2) years utilization review/case management experience or social work experience.

Preferred: 

• Associate degree in healthcare related filed.
• Bachelor’s degree is preferred.
• Licensed professional nurse may be considered.
• Bachelors or Masters Degree in related healthcare field (such as respiratory therapy or social work) may be considered.

Required: 

• Maintain current professional licensure in nursing or professional filed of certification.

Preferred: 

• Appropriate certification in the case management preferred (e.g. Commission for Case Management Certification (CCMC) or Association of Rehabilitation Nurses).

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Req Id  97256 
Department  CASE MGMT 
Shift Days
Shift Hours Worked  7.50
FTE 0.94 
Work Schedule  NYSNA - 7.5 HR
Employee Status A1 - Full-Time 
Union 2004 - NYSNA
Pay Range $40.19 - $50.61/Hourly

Do you have the PRN career opportunities as a Registered Nurse (RN) Case Manager you want with your current employer? We have an exciting opportunity for you to join Grand Strand Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare, and located in sunny Myrtle Beach, South Carolina!

We are seeking a Registered Nurse (RN) Case Manager for our hospital who will provide clinical expertise to ensure all patients receive high-quality, efficient care. With the use of your unique knowledge, skills and abilities, you will be able to make a significant and positive impact upon patient care.

What you will do in this role:

• You will be responsible for coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, while developing a safe appropriate discharge plan.
• You will facilitate the progression and transition of care and identify patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
• You will perform a comprehensive assessment of psychosocial, medical and discharge needs of patients/family, along with an assessment of resources appropriate and available to them. You will reassess the patient’s clinical condition as indicated.
• You will be responsible for ensuring the post-acute medical needs and level of care are appropriate, in partnership with Social Services.
• You will evaluate progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalating progression and transition of care issues.
• You will make appropriate referrals to third-party payer, disease and case management programs for recurring patients and patients with chronic disease states.
• You will act as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies. You will serve as an advocate for patient's rights, needs and values.

What qualifications you will need:

• Must be a graduate from an accredited school of Nursing: Associate’s Degree in Nursing or higher is required. BSN is highly preferred.
• Must be licensed as a Registered Nurse in the state which you practice and/or hold an active Compact/Multi-State RN license.
• 1-3 years of clinical, hospital nursing experience is required.
• 2 years of experience in Case Management is highly preferred.
• Certification in Case Management or Utilization Review is preferred.
• InterQual experience is preferred.

Grand Strand Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include some or all of the following:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location and position. 

"

Grand Strand Medical Center has provided quality healthcare services since 1978, giving patient's access to highly-trained physicians and advanced technology. With more than 40 years of pioneering healthcare, our 300+ bed hospital is one of the region's leading acute care facilities. We offer a range of services for our patients - including the only cardiac surgery program, neurosurgery program, pediatric intensive care unit, Level I trauma center with two free-standing emergency departments, advanced wound care center, breast cancer center and Carolina Forest Imaging Center. We are recognized, for the chest pain, knee and hip replacement, sepsis and stroke by the Joint Commission.

At Grand Strand Health, you'll find that caring extends to our patients, our people and our South Carolina community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status