Registered Nurse (RN) Case Manager - Care Management (Acute Care)

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    "ExternalDescriptionStr": "<p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>The Impact You Can Make&nbsp;</strong></span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>Team Impact</strong></span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"margin-bottom: 0in; text-align: justify;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">The Case Manager (Acute Care) role must optimize and integrate the interface between clinical and financial systems supporting positive health outcomes. Under the general supervision of the Director and/or Supervisor of Care Continuum, the Case Manager uses nursing and case management knowledge to promote appropriate allocation of hospital and other resources, while striving to provide high quality care to each patient in a cost-effective and timely manner.&nbsp; Support services provided by the Case Manager include, but are not limited to, utilization review, case management, weekend and holiday case management, care transition, collaboration with physicians and social workers for care coordination and discharge planning.</span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>The Glens Falls Hospital Impact</strong></span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>Mission</strong></span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span class=\"ui-provider\" style=\"font-size: 10pt;\">Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting.</span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>How You Will Fulfill Your Potential</strong></span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>Responsibilities</strong></span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><ul style=\"list-style-type: disc;\"><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Ensures order in chart/EMR coincides with the InterQual review or CMS rules and regulations for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Assesses the patient’s plan of care as soon as possible on admission and re-evaluates the plan of care at least every 3 days utilizing InterQual criteria to determine appropriate Level of Care and patient status.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Contacts the attending physician for additional information if the patient does not meet the appropriate InterQual guidelines or in accordance with CMS rules and regulations for continued stay.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Collaborates and makes referrals to physician advisor when unable to resolve issues with attending physician.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Meets with patient and/or family/personal representative as soon as possible, but not greater than 48 hours of admission, to assess, evaluate, and identify discharge needs. Provides support and information, as needed.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Collaborates with physician and other members of the health care team to develop, plan, and facilitate a safe and realistic discharge plan, re-evaluating every 3 days or adjusting as patient’s condition changes throughout patient’s hospitalization.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Assesses and evaluates the medical necessity and appropriateness of ancillary testing, medications, treatment, and plan of care, discussing concerns with the involved physician, nurse or ancillary staff member.&nbsp; Make appropriate referral to physician advisor regarding trends/areas of concern.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Identifies patients with complex discharge planning needs and complex psychosocial needs and coordinate transition of care with Social Worker.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Coordinates post-discharge plans with appropriate referral sources in a timely fashion. Coordination of aftercare services and task should include verbal hand-offs and written referrals, if indicated. Patients and their caregiver (support system) are to be educated on the services that will support them after discharge. Early and often communication with patient and family support positive outcomes and contribute to avoiding delays in discharge and potentially avoidable readmissions.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Coordinates, plans, and participates in interdisciplinary discharge planning meetings, identifying barriers to discharge with participation of all disciplines.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Assures completion of discharge forms, i.e. Important Message from Medicare, PRI, and transportation within established timeframes and according to state/federal regulations.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Proactively monitors patient activity, identifying and resolving delay and barriers to discharge. Monitors length of stay, readmissions, and documents avoidable days for trending and performance improvement purposes.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Identifies patients with complex discharge planning needs and complex psychosocial needs and coordinate transition of care with Social Worker.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Follows the expectations of the department’s care manager role and responsibility grids</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Demonstrates the knowledge and skills necessary to provide appropriate care in consideration of the growth development, and social needs of pediatric, adolescent, adult, and geriatric patients.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Relays any barriers or concerns regarding any aspect of their role to the Director or Supervisor of Care Continuum.</span></span></p></li><li><p style=\"background-color: white; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt; line-height: 107%;\">Continuously pursue excellence in meeting the needs and expectation of all customers (patients, families, inter-disciplinary team members, payors, screener, liaisons and outside services and agencies.</span></span></p></li></ul><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><a name=\"_Hlk218510161\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>Education/Accredited Programs</strong></span></span></a></p><ul><li><p style=\"background-color: white; line-height: normal; margin-bottom: 9pt; vertical-align: middle;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Bachelors of Nursing (BSN) is preferred at hire, and is required within 5 years of hire.&nbsp; Exceptions may be made for Associate’s degree RN with relevant experience and obtains certification in case management (CCM or ACM) within 1 year.</span></span></p></li><li><p style=\"background-color: white; line-height: normal; margin-bottom: 9pt; vertical-align: middle;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Minimum of two years of experience in a hospital environment strongly preferred</span></span></p></li><li><p style=\"background-color: white; line-height: normal; margin-bottom: 9pt; vertical-align: middle;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Home care, payer, or other experience will be considered</span></span></p></li></ul><p style=\"background-color: white; line-height: normal; margin-bottom: 9pt; vertical-align: middle;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 9pt; vertical-align: middle;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>Licenses/Certifications/Registrations</strong></span></span></p><ul><li><p style=\"background-color: white; line-height: normal; margin-bottom: 9pt; vertical-align: middle;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 9pt;\">Registered Nurse (RN) in New York State<strong>&nbsp;</strong></span></span></p></li></ul><p style=\"background-color: white; line-height: normal; margin-bottom: 9pt; vertical-align: middle;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 9pt; vertical-align: middle;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>Skills/Abilities</strong></span></span></p><ul><li><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Ability to function autonomously maintaining a high level of clinical and professional accountability</span></span></p></li><li><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Demonstrates skill in creative problem solving, facilitation, collaboration, coordination and critical thinking</span></span></p></li><li><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Embraces change and continuously identifies opportunities for improvement by demonstrating a commitment to creativity and innovation</span></span></p></li><li><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Committed to promoting excellence in Customer Service; functions as a team player</span></span></p></li><li><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Computer literacy and data analysis skills are required</span></span></p></li><li><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Maintains professional image by demonstrating strong verbal and written communication skills</span></span></p></li><li><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">Demonstrates ability in self-starting, self-directing and clear decision-making behaviors</span></span></p></li></ul><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\"><strong>Salary Range</strong></span></span><br><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 10pt;\">The expected base rate for this Glens Falls, New York, United States-based position is $39.83 to $59.74 per hour. Exact rate is determined on a case-by-case basis commensurate with experience level, as well as education and certifications pertaining to each position which may be above the listed job requirements.</span></span></p><p style=\"background-color: white; line-height: normal; margin-bottom: 0in; vertical-align: bottom;\">&nbsp;</p>",
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