Care Manager

  • Cleveland Clinic
  • Akron, OH, USA
  • Aug 31, 2021

Job Description

Job Summary: The RN Case Manager, also known as Transitional Care Coordinator, position is responsible for facilitating effective and efficient delivery of in hospital care. In partnership with the physician and nursing staff and the entire interdisciplinary team this role integrates and coordinates care facilitation and Discharge planning. The RN Case Manager serves as a liaison between the patient/family, physician, and payor through this portion of the continuum of care. Helps insure compliance with CMS Conditions of Participation, standards of the accrediting bodies and the state mandated revised code. Responsibilities: Coordinates and facilitates patient care progression throughout the continuum. Collaborates with Social work on the facilitation of transfers internally to SNF, ARF, LTACH, Home Care. Works collaboratively and maintains active communication with physicians, nursing, and other members of the multidisciplinary team in order to effect timely, appropriate patient management. Proactively identifies and, in partnership with the care team, resolves delays and barriers to discharge. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Participates in patient rounding activities: daily caseload rounding to establish priorities for self, SW and high risk TCC, multidisciplinary care coordination/discharge planning rounds, hand off report to nursing staff, hand off report to post-acute facilities SCC and PCC, physician advisor rounds and weekly LOS rounds. Participates in committee meetings as assigned. Addresses/resolves items impeding diagnostic or treatment progress. Participates in Data Collection and inputting (i.e. Avoidable Days, Readmissions, Important Message letter delivery , Condition Code 44, etc.) Other duties as assigned. Education: Graduate of an Accredited School of Nursing. BSN required within 5 years of start date. Certifications: Current State Licensed Registered Nurse (RN). Basic Cardiac Life Support (BLS) required. Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Work Experience: Minimum of three years of clinical nursing experience required. Minimum of two years of experience in Utilization Review, Quality, or Care Management preferred. Knowledge of acute care regulatory /accreditation requirements preferred. Discharge planning and/or Quality Improvement experience preferred . Physical Requirements: Requires direct patient contact. Requires extensive walking, telephone use, computer use, bending, reaching and lifting items weighing 20 pounds or less. Must be able to work well under pressure and maintain professional demeanor under potentially adverse conditions. Extensive reading of medical terminology, writing and use of multiple business machines. Good visual and hearing acuity through normal corrected mechanism. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility. Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities