Job detail

RN Case Manager Discharge Planner PRN

Uintah Basin Medical Center

#Registered Nurse #Patient Care #Care Coordination #Healthcare Administration #Medicare #Medicaid #Social Services #Case Manager #Discharge Planner

Quick overview

Responsible for performing patient assessments, delivering Medicare messages, and coordinating discharge planning using community resources. Collaborates with utilization nurses and multi-faceted teams to ensure medical necessity and seamless follow-up care.

Requirements summary

Requires a current Registered Nurse licensure in the State of Utah and experience in providing patient care. Must have working knowledge of Medicare, Medicaid, HMO, and private insurance coverage criteria.

professional certificateCase ManagementPatient AdvocacyDocumentationPatient AssessmentCare CoordinationInterdisciplinary CollaborationDischarge PlanningResource AllocationMedical Necessity ReviewCMS Guidelines

Job description

Job Title: RN Discharge Planner

Duties and Responsibilities

Responsible for performing needed assessments on patients and delivering Medicare messages by staying up to date with CMS guidelines.
Utilizes community resources to ensure that the patients have adequate follow-up care.
Develop relationships with outside agencies and make referrals as appropriate.
Works closely with the Utilization Nurse and will share responsibilities, such as reviewing patients for medical necessity and coordination of patient care.
Coordinate and facilitate family meetings to discuss care.
Documents discharge planning and social services in an ongoing manner.
Demonstrates the ability to be flexible, organized, and function under stressful situations.
Consults other departments as appropriate to collaborate on patient care and performance improvement activities.
Treats patients and families with respect and dignity.
Communicate with family members and caretakers regarding the needs of the patient and anticipated plans.
Works well independently and within a multi-faceted team environment.
Ability to relate well with multiple stakeholders, including physicians, nurses, allied health professionals, outside agencies, and patients.
Accurately determines the type of assistance/setting/resources necessary for the patient/family and provides appropriate resources/assistance list of facilities.
Maintains a good working relationship both within the department and with other departments.
Documentation meets current standards and policies.

Professional Requirements

Ensures that appearance and personal conduct are professional at all times.
Excellent attendance record.
Wears appropriate clothing for job functions. Wears an ID badge.
Works at maintaining a good rapport and a cooperative working relationship with physicians, administration, and staff.
Represents the organization positively and professionally in the community.
Maintains patient confidentiality at all times.
Complies with all organizational policies regarding ethical business practices.

Regulatory Requirements

Current Registered Nurse licensure in the State of Utah.
Is a motivated, independent individual who can organize workload so that all functions are completed appropriately.
Working knowledge of the criteria for Medicare, Medicaid, HMO, and private insurance coverage.
Experience in providing patient care.