RN Care Management-Care Management and Services

Job description

Job Details Kettering Health Main Campus l Kettering l Full-time l Days Responsibilities & Requirements: The Care Manager also identifies and assesses patients and families with possible social, psychological and/or environmental needs related to the impact of utilization patterns of care. The Care Manager is also responsible for developing plans for intervention addressing agreed upon priorities, synchronizing supportive services and assisting patients/families in improving or restoring their capacity for social functioning. The patient and family-centric approach to care will be central in the universal care plan development and communication across the care settings. The care manager will be instrumental in identification of patient- driven goals. Specific roles within the Acute Care Setting would include, but are not limited to: To facilitate optimal care delivery, varied work hours may be required including weekend and holiday shift rotations. Primary documentation occurs in EPIC however interfacing with other information systems occurs to facilitate discharge planning, communication, patient/family education and evidence-based care. The Care Manager nurse follows all Excellen...