Responsible for the implementation of the Case Management process.
Monitors physician documentation and works closely with the medical staff for appropriateness of hospitalization and level of care.
Responsible for initial utilization screen and ongoing utilization review through discharge
Reviews observation patients as a priority at beginning of shift and throughout the day.
Reviews the medical record of assigned patients daily.
Identifies discharge and transition needs and is ultimately responsible for the coordination of discharge planning activities.
Works collaboratively with interdisciplinary staff internal and external to the organization.
Participates in quality improvement and evaluation process.
Identifies and evaluates quality of care, infection control, safety hazards, potential risk management and utilization problems. Reports findings to appropriate department director and informs the Case Management Director for any follow up needed.
Primary duty of performing office or non-manual work directly related to the management or general business operations of the employer or employer’s customers.
Primary duty includes the exercise of discretion and independent judgment regarding matters of significance.
Graduate of an approved school of nursing. BSN encouraged.
Minimum of 5 years of Medical Surgical Nursing. Case Management experience is preferred.
Must maintain a current NM RN license.
BLS and ACLS Required.