Duties/Responsibilities:
- Identifies continuing care needs through assessment, interdisciplinary care rounds and/or requests.
- In collaboration with patients, families and community services establishes a coordinated discharge plan based on the patient's transition needs.
- Coordinates continuing care services to include skilled nursing, durable medical equipment and community services.
- Interfaces with aftercare providers to ensure smooth transition with the post discharge plan of care.
- Conducts ongoing assessment to determine the continued need for acute care, and appropriateness/timeliness of treatments/procedures to optimize reimbursement.
- Collaborates with the UR team regarding level of care determination/LOS.
- Coordinates continuing care for SDC, ED and other outpatient areas on request.
It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.
Education/Experience Required:
- Current MA RN License
- Bachelor's Degree in Nursing or advanced degree in healthcare preferred.
- CCM certification preferred.
- A minimum of 1 year case management experience working independently in an acute or post-acute setting or a minimum of 1 year experience independently coordinating transitions of care in the healthcare setting with knowledge of community resources.
- Ability to identify appropriateness of patients admission and level of care needs (inpatient and observation) utilizing Interqual criteria.
- Knowledge of Interqual and Allscripts systems preferred.
- Strong interpersonal and negotiations skills demonstrated by a positive attitude, pleasant, professional and cooperative demeanor with patients, physicians, fellow employees, and insurance companies.
- Computer skills, including Microsoft Outlook, Word, Excel and Meditech.
- Ability to work independently.
Registration/Certification:
- Massachusetts RN License.
Location: Beth Israel Deaconess Hospital-Plymouth ยท Case Management
Schedule: Full time, Day shift, 40 hpw; 8a - 4:30p Flex; rotating weekends and holidays