RN CASE MANAGER

Sign-On Bonus Available

Relocation

Assistance Available

Receive

17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift

differentials

Minimum Offer

$ 37.56 / hr.

Maximum Offer

$ 48.48 / hr.

Compensation Disclaimer

Compensation for

this role is based on a number of factors, including but not

limited to experience, education, and other business and

organizational considerations.

Department : COPE Clinic

FTE : 1.00

Full Time

Shift : Days

Position Summary :

Coordinate all systems / services required for an organized,

multidisciplinary, patient centered care team approach, and assure

quality, cost-effective care for the identified patient population.

Manage the course of treatment of patients, coordinating care with

physicians, nurses and other staff ensuring quality patient

outcomes are achieved within established time frames and with

efficient utilization of resources. Conduct initial and ongoing

assessments, initiate disease management protocols, determine and

manage outcomes, ensure continuity of care through discharge

planning, utilization of resources and analysis of variances.

Function as a contact person for patient, family, health care team

members, community resources and employees as necessary. Ensure

adherence to Hospitals and departmental policies and procedures.

Patient care assignment may include neonate, pediatric, adolescent,

adult and geriatric age groups.

Detailed responsibilities :

• PATIENT CENTERED MED -

Adhere to and promote the core expectations of the Patient Centered

Medical Home or Patient Centered Specialty Practice as applicable

designated specialty area requiring patient case management

interventions by utilizing established procedures including census

review, risk screens, and referral

assessment, data collection, obtain, review, and analyze

information in collaboration with the patient, family, significant

others, health care team members, employers, and others as

appropriate

clinical, psychosocial status and current treatment plans

needs in relation to the medical diagnosis and treatment and

resources; provide treatment options, financial resources,

psychosocial needs, and discharge planning in collaboration with

appropriate resources

necessary orders from physicians to initiate home health referrals,

coordinate referrals for oxygen and equipment

& RECORDS - Maintain computer-based tracking system and compile

required reports and records

collaborative relationships with other departments / services and

community health care agencies facilitating and supporting quality

care in area of clinical expertise; act as a resource on complex

patient care activities

family, significant others to set patient-centered goals for

individual patient, family, and significant others in collaboration

with physicians, staff RNs and other health care team members

plan of care effectively utilizing tools and resources

DISCHARGE PLANNING - Conduct timely discharge planning by

anticipating patient needs in collaboration with physicians, staff

RN's, and other health care team members

VARIANCES - Intervene when variances occur in patient

individualized treatment plan

and evaluate the use of resources and services in a

quality-conscious, cost effective manner and collaborate with

appropriate providers to ensure effective, quality outcomes

long-term patient responses to interventions in collaboration with

quality assurance and utilization review, maintaining

interdependent follow-up as necessary

variance from standardized protocols of care with health care team

members and implement resolution strategies

CONFERENCE - Facilitate and / or participate in conferences providing

ongoing evaluation of interdisciplinary dynamics, goals attainment

and treatment management

provide instruction to the patient and family based on identified

learning needs; assess patient / family knowledge, health status

expectations, and locus of control

with development of activities and methods to ensure information is

articulated and disseminated to appropriate members of the health

care team

health care team to ensure continuity of patient care throughout

all health care settings; promote effective communication among

health care team members including the patient, family, and

significant others

meetings when indicated or as directed

Incorporate recommendations and / or services of interdisciplinary

team members in the care plan

interpersonal communication strategies with individuals as well as

groups of patients, families, significant others, and staff to

achieve expected outcomes and patient / family and health care team

satisfaction

written documentation for the initial assessment and progress of

the patient to other members of the health care team in a timely

manner

continuing education of staff RN's and other health care

team members as appropriate

continuous quality improvement activities by evaluating patient

care systems that may include standards, protocols, and

documentation

represent department or Hospitals within Hospitals related

committees or the community, as assigned by supervisor

DEVELOPMENT - Enhance professional growth and development through

participation in educational programs, reading current literature,

attending in-services, meetings and workshops

SAFETY 1 - Follow patient safety-related policies, procedures and

protocols

approach to patient safety by seeking opportunities to improve

patient safety through questioning of current policies and

processes

report / correct environmental conditions and / or situations that may

put a patient at undue risk

potential or actual patient safety concerns, medical errors and / or

near misses in a timely manner

Encourage patients to actively participate in their own care by

asking questions and reporting treatment or situations that they

don't understand or may "not seem right"

MEDICATION - (UPC and CPC Only) Administer medication, including IV

medication, via the Seven Rights; document and communicate clinical

findings

administer medication and treatment; provide and coordinate nursing

care of assigned patients; may facilitate group therapy and / or

education sessions

Qualifications

Education : Essential :

Nonessential :

Education specialization :

Essential :

Nationally Accredited Nursing Graduate

Nonessential :

Experience : Essential :

1 year directly related experience

Nonessential :

Bilingual

English / Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

Credentials : Essential :

RN in NM or as allowed by reciprocal agreement by NM

CPR for Healthcare / BLS Prov or Prof Rescuers w / in 30 days

Physical Conditions :

Light

Work : Exerting up to 20 pounds of force occasionally, and / or up to

10 pounds of force frequently, and / or a negligible amount of force

constantly (Constantly : activity or condition exists 2 / 3 or more of

the time) to move objects. Physical demand requirements are in

excess of those for Sedentary Work. May require walking or standing

to a significant degree or requires sitting most of the time but

entails pushing and / or pulling of arm or leg controls; and / or may

require working at a production rate pace entailing the constant

pushing and / or pulling of materials even though the weight of

materials is negligible.

Working

conditions : Essential :

physical risks, dirt, dust, fumes, noise

testing is completed upon hire and additionally as required

Department : Registered Nurse