layiq

/la·yiq/adjective

worthy; deserving; fitting; suitable.

A role, opportunity, or path that merits attention, time, and pursuit.

RN Case Manager, Emergency Department - 40h Days Sign on BONUS! at Sturdy Memorial | LAYIQ

Experience in Cerner a plus
Denials management a plus
Essential Job Functions: Use ED tracking system, medical record, and on-going communication with ED providers and team to identify potential admissions or alternative disposition as appropriate.
Screen all ED patients for potential for admission to ascertain payer source and appropriate level of care designation.
Collaborate with providers to determine, assign, and order appropriate level of care (LOC) designation and ensure medical record documentation.
Determination of appropriate admission status (observation vs. inpatient) using standardized criteria; providing resources and education to the healthcare team.
Initiate and/or complete initial review
Communicate LOC and/or length of stay (LOS) concerns to case management team for follow-up the next morning.
Consults with and takes referrals from ED providers, nurses, hospitalists, other care team members, ED patients, and families.
Reviews all consults placed from ISAR screening tool and assists social worker with completion of these consults in order to provide patients with needed home referrals or rehab/SNF placement.
Responds to outside patient/family calls for follow-up care coordination questions.
Uses ED tracking system, medical record, and demographic information to identify high-risk or any patient needing CM intervention.
Identify patients with frequent ED visits utilizing the EHR and EDIE collective medical group notifications.
Identify patient returning in 48 hours to ED or hospitalization within 30 days.
Assess ED patients referred and/or identified through case finding for options other than acute hospital admission when appropriate:
Screen and refer to acute rehabilitation, long-term acute care hospitals, and nursing homes for admission directly from the ED.
Screen and refer patients for whom treatments could be safely rendered at home with services (i.e., IV antibiotics, low molecular weight heparin injections, wound care, etc.)
Consult additional services to complete a safe and effective discharge plan, including physical therapy, social services, palliative care, interpreters, homeless advocates, patient financial services, behavioral health, etc.
Communicate discharge planning information and/or concerns to team for follow-up the next morning.
Initiate referral to long term care facilities, per patient/caregiver requests, following established referral procedures, initiates a PASRR screen, and ensures appropriate continuity of care information is provided to facility.
Mandatory reporting to regulatory agencies
Provide additional community resources and support
Other duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
AGE AND DIVERSITY RELATED CRITERIA : Consistently treats patients, colleagues and visitors with the dignity and respect, while being sensitive to the differing needs of all age groups, backgrounds, characteristics and cultures.
ABILITY TO FULFILL JOB EXPECTATIONS : Must have the ability to the perform essential functions of the position, including required work hours, locations and physical demands, without posing a direct threat to the health and safety of themselves or other individuals in the work place, and with or without reasonable accommodation.
PHYSICAL DEMANDS: Ability to sit (may be for long periods of time), stand, reach and lift up to 15 pounds
Ability to readily travel to units/departments across the system as needed.
Ability to communicate effectively with all stakeholders, in person as well as via telephone and electronically
Ability to interact directly with patients, with potential for direct exposure to patient care activities
Ability to document and use trackers, analyze charts and coordinate services within the electronic health record
Ability to advocate for patients both internally and external to the system
Ability to attend and participate professionally in meetings with Hospital leaders, physicians, patients and families

RN Case Manager, Emergency Department - 40h Days Sign on BONUS!

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