RN Clinical Case Manager

Additional Links:

This position is Benefit eligible; click here for an overview of available benefits. This position is covered by the UHP Bargaining Unit; click here to review the current UHP Contract. This position is in salary group UHP-11; click here to review the current UHP Pay Plan UConn Health is seeking an experienced RN Clinical Case Manager to join our Orthopedics Outpatient Surgical Center team. This position plays a vital role in supporting patients through every stage of their surgical journey, including comprehensive pre-surgical assessment, discharge planning, patient education, and coordination of post-acute care needs.

SCHEDULE

Full time, 40 hours per week, Monday-Friday, 8:00 a.m. to 5:00 p.m. 60 minute unpaid meal break

MINIMUM QUALIFICATIONS, KNOWLEDGE, SKILLS, ABILITIES

Knowledge of the principles and practices of case management.

Knowledge of:

various disease modalities and expected and adverse outcomes of therapeutic interventions. Knowledge of standards of practice for interdisciplinary delivery of patient care, Excellent interpersonal and oral and written communication skills. Problem solving skills and the ability to establish priorities and manage effectively; Ability to elicit relevant information and cooperation of patients and staff, and to adapt teaching methods to individual needs. Supervisory ability.

EXPERIENCE AND TRAINING GENERAL EXPERIENCE

Master's degree in Nursing

SUBSTITUITION ALLOWED

Bachelor's degree in nursing with three years' experience in an inpatient hospital setting or Case Management experience.

SPECIAL REQUIREMENTS

Incumbents in this class must maintain licensure as a registered nurse 2-3 years working as a case manager in either an inpatient or outpatient setting

PREFERRED QUALIFICATIONS

Previous experience in orthopedic surgery, outpatient surgical services, case management, or discharge planning. Strong knowledge of post-acute care services, insurance authorization requirements, rehabilitation eligibility criteria, and patient education/care coordination processes EPIC experience

EXAMPLES OF DUTIES

Assess patient/family clinical status needs related to medical diagnosis, treatment plan, treatment providers, treatment options, financial resources and discharge planning needs. Facilitates and secures all post-acute care referrals for homecare, DME, LTACH, Hospice and skilled nursing facilities. Facilitates transitions within the hospital as well as direct admissions and transfers from other facilities as it relates to clinical bed management. Interprets critical data and makes recommendations to effect improvement in outcomes based on trends in inappropriate, inefficient or costly utilization. Intervenes to suggest creative options for inappropriate admissions; documents case manager intervention and comparison to established criteria for medical necessity. Establishes ongoing dialogue with patient/family to determine if patient's needs are being met. Monitors critical aspects of care affecting reimbursement. Provides point of contact for community physicians, staff, payers and patient regarding plan of care and questions related to discharge and resource utilization. Develops collaborative relationships with home care agencies or post-acute facilities to provide appropriate clinical documentation (e.g., PPS) and to support quality patient care. Performs other related duties as required. Performs a full range of tasks related to discharge planning and utilization review. Collects data and performs audits related to discharge planning and utilization review.

FULL TIME EQUIVALENT SALARY MINIMUM

$91,624.00 WHY

UCONN HEALTH

UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow.