RN Care Manager – Case Coordination Position Available In Northampton, Pennsylvania

Job Description:

Location Detail:

Charlotte Hungerford Hospital (10115)

ShiftDetail:

Monday – Friday 8am – 4:30pm with rotating weekends

WorkLocation Type:

In Person Work where every moment matters. Everyday, more than 40,000 Hartford HealthCare colleagues come to workwith one thing in common: Pride in what we do, knowing every momentmatters here. We invite you to become part of Connecticut’s mostcomprehensive healthcare network. Charlotte Hungerford Hospital isa 122-bed, general acute care community hospital located inTorrington, Connecticut, that serves as a regional health careresource for the 100,000 residents of Litchfield County andNorthwest Connecticut. CHH offers personalized attention from anexpert team of caregivers and physicians that utilize advancedtechnology and clinical partnerships in a convenient, safe andcomfortable patient environment.

POSITION SUMMARY/PURPOSE

CareManagement is a collaborative practice model including patients,nurses, social workers, physicians, healthcare team members,,caregivers and the community. The Case Management processencompasses communication and facilitates care along a continuumthrough effective resource coordination. The goals of the CareManagement Team include the achievement of optimal health, accessto care and appropriate utilization of resources balanced with thepatient’s right to self-determination. Incumbents of this positionare professional Registered Nurses that utilize the nursing process(assessment, planning, intervention, documentation, and evaluation)to determine and facilitate the most appropriate level of care andidentification of discharge needs. Collaborates with physician toascertain medical treatment plan and with nursing, other healthcare team members and health plans to fulfill the treatment plan inthe highest quality, cost effective manner. Responsible forensuring customer satisfaction (patient, family, physician,others), maintaining patient confidentiality and being sensitive tothe age and cultural specific patient needs for comfort, privacyand generalized care. .

ESSENTIAL FUNCTIONS

Displays and upholdsCHH core values of dignity, compassion, service excellence,community and integrity. Consistently demonstrates caring forpatients, for one another, and for the organization they are partof, and contributes to building trust, pride and camaraderie andcollaboration with the Health Care Team. Incumbents of thisposition will strive to gain the respect and maintain the dignityof patients / family members, visitors and all Charlotte HungerfordHospital Personnel. Demonstrates a diplomatic and supportiveattitude and presents the hospital in a positive manner to allpersons above. Promotes and contributes, in a positive manner, tointer- and intra-departmental relationships to ensure all needs ofthe patient are met. Maintains confidentiality of all appropriateinformation and documentation. Responsible for complete andthorough patient and family assessments for initial and on-goingcare and discharge planning, addressing physical, psychosocial,religious, cultural and educational aspects. Identifies andcommunicates appropriate information gathered from patient, family,chart, community agencies and colleagues to other members of themultidisciplinary health care team. Actively coordinates patientcare including the sequencing and scheduling of tests, procedures,and consultations. Works closely with physicians to coordinatehospital services from pre-hospital through post dischargerecovery. Ensures patient and family understand the diagnosis andplanned course of treatment and determines and communicatesdischarge needs. Identifies gaps / barriers to care and facilitatesinterdepartmental communications to expedite appropriate changes.

Additionally, incumbents are responsible for assessing anyfinancial needs of the patient / family, including assisting in theclarification of benefit plans. Assists Social Worker Care Managerswith highly clinical complex patient needs. Responds expeditiouslyto emergency needs of patient and families in crisis by providingappropriate interventions necessary to support and stabilize. Inconjunction with patient, family, payers and other members of thehealth care team: formulates and implements a discharge plan toaddress assessed needs and patient/family concerns,; evaluates theeffectiveness of the plan in meeting the established care goals;and revises the plan as needed to achieve desired outcomes. Referspatients to a variety of resources including, but not limited to,Visiting Nurse Agency, Skilled Nursing facility, Long Term CareHospital, Rehab Facility, Hospice Care, Durable Medical andRespiratory Care providers. Assures Follow-up care with Providershas been arranged with confirmation of the patient’s ability toaccess the scheduled appointment Telephone Contact to patient’s whoare at a high risk for readmission within 48 hours of discharge toverify the follow-up services has occurred as planned; Patient andFamily understand and are following their discharge instructionsand Patient and family are able to follow-up with their providerfor evaluation. Pro-actively advocates for patient care issues toensure that overall quality and type of care is sensitive to eachspecific patient/family’s needs Analyzes patient care trends andactively seeks out and collaborates with the care team to improveoverall quality and efficiency of care Seeks out and/or providespeer consultation about cases that are presenting problems and orexperiencing significant deviations from the plan of care. Attendsand participates in extended stay rounds, daily outcome planningrounds, Case Management Team meetings and peer reviews regardingmanagement of their caseload. Participates in quality improvementand evaluation processes related to the Care Management function.

Abstracts data from the medical record to enable the review ofselected hospital core measures or for review by external agenciessuch as the JCAHO, CMS and/or QIO. Collects and trends a variety ofdata to identify avoidable hospital days and/or process improvementopportunities. Meet required job specific competencies for assignedunit, including mandatory educational requirements. Maintainsprofessional growth and development through seminars, workshops andprofessional affiliations to stay current on the latest trendsrelated to position. Participates in staff meetings, educationalprograms and in-service meetings to maintain competencies. Complieswith hospital policies and procedures related to safety, infectioncontrol, attendance, sexual harassment, dress code, corporatecompliance, confidentiality and others. Communicates toAdministrative Director and/or Management staff needs identifiedfor self, the unit and other team members.

JOB KNOWLEDGE, SKILLREQUIREMENT AND REQUIRED ATTRIBUTES

Strong Communication andInterpersonal Skills Knowledge of the Nursing Process Ability tomanage multiple priorities and projects form initiation tocompletion within prescribed schedules and utilization ofresources. Ability to effectively utilize a variety of MicrosoftOffice, Outlook and Meditech HCIS software, Morrisey and Web basedprograms required. Skilled in Motivational Interviewing Ability andwillingness to follow the mission and values of the CharlotteHungerford Hospital on a daily basis Qualifications EDUCATIONMaintains current license as a Registered Nurse in the State ofConnecticut. Bachelor’s degree in Nursing preferred. EXPERIENCEMinimum of 3 years acute care hospital experience required. CareManagement experience preferred. Case Management certification ACMor CCM Strongly preferred. We take great care of careers. Withlocations around the state, Hartford HealthCare offers excitingopportunities for career development and growth. Here, you are partof an organization on the cutting edge – helping to bring newtechnologies, breakthrough treatments and community education tocountless men, women and children. We know that a thrivingorganization starts with thriving employees we provide acompetitive benefits program designed to ensure work/life balance.

Every moment matters. And this is your moment.