RN Care Coordinator (Case Manager), Per Diem
- (3288406)
GENERAL SUMMARY / OVERVIEW STATEMENT
RN CARE COORDINATOR (CASE MANAGER) / PER DIEM / ROTATING / BWH CARE CONTINUUM
Brigham and Women’s Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.
The RN Care Coordinator (RNCC) manages a caseload of patients and is responsible for ensuring care that supports desired clinical and financial outcomes. Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.
PRINCIPAL DUTIES AND RESPONSIBILITIES
A. Care Facilitation
Coordinates and insures implementation of the plan of care, utilizing case management principles.
Prior to or within 24-48 hours of admission the RNCC, by interview of the patient/family, discussion with physician team and/or attending MD and other team members, develops a provisional treatment program and tentative discharge date.
Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.
Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.
Utilizing industry accepted utilization and/or medical management criteria (InterQual) identifies, monitors and reports variances from established treatment plan, including appropriateness of admission, continued stay, delays in treatment, and discharge plan.
Qualifications
- Graduate of an approved school of nursing with current registration in Massachusetts. Bachelor of Science Degree in Nursing is required for newly licensed nurses and external candidates.
- 1+ years of acute care experience required
- 1 year of case management experience required
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
Skills and Abilities
Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patient’s needs based on their clinical diagnosis, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills
Works in a busy and at times stressful hospital and office environment. Must be flexible and able to work well independently
SUPERVISORY RESPONSIBILITY
None
None
EEO Statement
Brigham and Women’s Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Primary Location MA-Boston-BWH Boston Main Campus
Work Locations BWH Boston Main Campus 75 Francis St Boston 02115
Job Registered Nurse
Organization Brigham & Women's Hospital(BWH)
Schedule Per Diem
Standard Hours 1
Shift Rotating
Employee Status Limited Term / Per Diem
Recruiting Department BWH Nursing / Patient Care Services
Job Posting May 29, 2024