RN Care Manager IP, WEO

Job description

Description JOB DESCRIPTION: The RN Case Manager (RN CM) is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. The RN CM will begin the process of care coordination at the time of the patient's admission by independently completing a thorough admission assessment and/or psychosocial assessment which will allow for a timely and accurate capture of information as forecast potential barriers and begin working towards a discharge plan. The RN CM is an expert at assessing and forecasting and is able to support others with this skill. The RN CM is an integral part of the interdisciplinary care team who is required to attend rounds, care conferences, and/or care team meetings. The RN CM will act as a repr...