Part-Time Discharge Planning RN Case Manager - Penn Presbyterian

Responsibilities:

• Utilization management activities: monitor appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor
  Discharge planning activities: timely coordination of home care, DME, placements, hospice, community resources, transportation
  Quality data collection and risk management referral
  Works with patient and family to assure provision of choice in post hospital setting
  Educates patient / customers regarding scope and limitations of health care / insurance benefits
  Respects each patient’s / customer’s personal dignity, right to privacy and confidentiality
  Communicates expected discharge time frame
  Keeps current with new providers, new technologies and treatment modalities, and new resources using internet and other sources
  Recognizes and provides care based on the unique chronological issues and needs of the older adult.
  Interacts with the patient and family in a developmentally appropriate manner.
  
  Discharge Planning:
  Completes timely and detailed assessment of patient and family social, emotional and/or discharge needs and health care benefits
  Develops and facilitates specific plan to address problems and/or concerns identified by patients, families and health care team
  Identifies and consistently documents delays; elevates issues appropriately
  Effectively communicates discharge plan with patients, families and health care team
  Documents ongoing assessments and plan of care in patient record (Canopy)
  Successfully assists patient in moving to the next level of care with transfers to home, agencies, and facilities and with referral to appropriate community resources
  Participates and drives accountability in daily interdisciplinary meetings
  
  Utilization Management:
  Adheres to guidelines to satisfy 3rd party payer requirements
  Educates team in appropriate documentation to reflect Intensity of service (IS) / Severity of Illness (SI) and plan of care
  Proactively addresses level of care issues to ensure appropriate care settings and timely patient flow; elevates issues appropriately
  Enters all review activity in Canopy concurrently
  Accounts for all patient days accurately in Canopy
  Enters review indicating “pending” status of case if outcome not determined and accounts for all cases assigned on a daily basis
  Collects and submits data as indicated
  Completes readmission screen as indicated
  
  Quality Improvement and Risk Management:
  Collects and submits data as indicated
  Communicates with service line / clinical effectiveness team members
  Identifies and appropriately communicates risk management issues
  Works with department leadership to develop and implement solutions to issues identified by the Case Management and Social Work Department
  
  New Technology / Computer Systems:
  Keeps current with new systems (MedView, On Base, SafetyNet, Sunrise, etc.)
  Incorporates technology into daily assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet)

Credentials:

• Registered Nurse - PA (Required)
• PA RN Licensure required.

Education or Equivalent Experience:

• Bachelor of Arts or Science (Required)
• Bachelor's Degree in Nursing required. 2+ years Clinical Experience preferred.