University of North Carolina Health Care System - 101 Manning Drive ,
Chapel Hill, North Carolina, United States
Description
- BLS
- Registered Nurse License - North Carolina
Certification Details
- Provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs.
- Enhance the quality of patient management and satisfaction, promote continuity of care and cost effectiveness through integrating case management, utilization review and discharge planning.
- Highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and departmental guidelines and policies.
- Identify cases and prioritize daily work list to prioritize patients and identify new admissions.
- Conduct and document assessment and plan of care in Epic per departmental guidelines.
- Participate in daily Care Management Touchpoint per established protocols.
- Consult to Social Worker per established criteria.
- Communicate with Care Management Assistant to share priorities if indicated.
- Attend and actively participate in CAPP meetings for assigned units to provide and receive information on patients' progression.
- Alert care team to concerns impacting anticipated discharge and assist with discharge readiness.
- Modify discharge plan based on information shared at meetings.
- Assist with identification of expected discharge date (EDD).
- Complete follow-up from CAPP as appropriate.
- Meet with Utilization Manager and Social Worker after meetings to discuss updates and action items as necessary.
- Attend weekly Complex Care Meeting (CCM).
- Present on patients during CCM and collaborate to problem solve issues with complex patients and identify trends.
- Formulate potential solutions with Utilization Manager and Social Worker and monitor cases/follow up on action items.
- Proactively identify high risk cases for escalation.
- Complete CCM follow-up after meetings as assigned.
- Discuss with multidisciplinary team members barriers to discharge and psychosocial concerns impacting progression of care or readmission risk.
- Coordinate family meetings to support progression of care.
- Provide education on community resources, support/educational groups, and other appropriate resources to patient, family, and care team.
- Educate and/or coordinate referrals to community resources and post-acute providers as necessary.
- Communicate medical milestones for transition with patient/family.
- Identify patients with barriers to discharge based on experience and meetings.
- Monitor observation patients to ensure appropriate progression of care.
- Identify patient's readiness to discharge based on ongoing discussions.
- Assess discharge plan to determine post-discharge needs and communicate to patient/family/care team.
- Identify required authorization for post-discharge services and refer to appropriate providers.
- Participate in medication resource management for non-resourced patients as needed.
- Verify patient's understanding and agreement of discharge plan.
- Refer administrative tasks to Care Management Assistant.
- Consult Social Worker and/or Utilization Manager per established departmental protocol.
Job Details
- Two (2) years of health care experience as a Registered Nurse.
- Strong assessment and critical thinking skills.
- Licensed to practice as a Registered Nurse in the state of North Carolina.
Job Requirements
- Shift: Days
- Hours per day: 12
- Hours per week: 36
Schedule Information
- Looking for candidates that have worked as a case/care manager/discharge planners in the hospital (acute care setting).
- These patients are acutely ill and have varying complex medical needs.
Additional Details
Job ID: ba5122c0-cf12adbc6245556ffc1fad4133bdc98f
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