Compensation: Salary Range: Min - $32.91/hr; Midpoint (10 years of experience): $41.14/hr; Max (10+ years of experience): $45.25/hr
Shift Differential: Evenings - $2.00 and Weekends - $2.0
Sign on bonus potential: $15,000
Available Shifts:
Day shift: 8:00 AM - 4:30 PM with Rotating Weekends
Evening shift: 12:00 PM - 8:30 PM - we can accommodate 11:00 AM - 7:30 PM if need be - Monday - Friday/No Weekends
Responsibilities:
- Progress the care for Observation patient and ensure progression of care by reviewing the case promptly and applying IP IQ criteria
- Adhere to HCA standards regarding observation management
- Adhere to the 2 Midnight Process
- Work closely with the physician by monitoring the case and keeping the physician abreast of findings so appropriate and timely decisions can be made to admit or discharge the patient
- Directly intervene to remove barriers
- Escalate situations to the facility Director of Case Management who will advise on next steps (e.g., contact CMO, CNO, PA)
- Identify observation patients with discharge planning needs that could lead to poor outcomes or a return to the hospital
- Refer to the inpatient RN CM/Social Worker, who will complete a discharge planning evaluation and/or a psychosocial assessment and assume the transition of care
- Coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization
- Provide case management services for both inpatient and observation patients as assigned
- Identify patients who are at risk for adverse outcomes during the transition from one level of care/setting to another
- Perform a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family
- Reassess the patient's clinical condition as indicated
- Consider patient's readmission status or risk of readmission and develop strategies to mitigate, including education on appropriately accessing healthcare resources, preventative education, and community-based resources
- Coordinate the plan of care and drive the discharge plan by collaborating with the multidisciplinary health care team and with the patient's physician to facilitate a successful care transition
- Partner with Social Services to ensure the post-acute medical needs and level of care are appropriate
- Assume responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified
- Involve patient and family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals
- Evaluate progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalate progression and transition of care issues through the established chain of command
- Make appropriate referrals to third party payer and disease and case management programs for recurring patients and patients with chronic disease states
- Facilitate patient throughput with an ongoing focus on an effective care transition, quality, and efficiency
- Document professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
- Align patient needs with available resources to ensure a safe discharge/transition
- Act as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies
- Seek ways to control costs without compromising patient safety, quality of care, or the services delivered
- Function in a manner to promote quality patient care and assure a positive patient experience
- Direct activities to identify and provide for the needs of the under-resourced patient population, including patient education activities, patient assistance programs, and community-based resources
- Participate in performance improvement activities, including identifying, documenting, and intervening when avoidable days occur
- Adhere to established policy and procedure and standards of care; escalate issues promptly through the established chain of command
- Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
- Serve as an advocate for patient's rights, needs, and values; ensures that patients' ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned
- Practice and adhere to the "Code of Conduct" and "Mission and Value Statement"