Job Title: RN, Case Manager
We are Hiring at Mary & Elizabeth Hospital
Location: 1850 Bluegrass Ave. Louisville, KY 40215
Shift Options: Full-Time, First Shift
About Us
UofL Health - Mary & Elizabeth Hospital is a 298-bed, full-service hospital which has served generations of patients in south Louisville. Originally founded by the Sisters of Charity of Nazareth in 1874, the hospital offers a full range of vascular, orthopedic, cardiac, neurological, surgical, rehabilitative and 24/7 emergency services including 24/7 STEMI service.
Mary & Elizabeth Hospital is home to UofL Health – Weight Loss Care, the region’s only weight-loss management program utilizing the Lap-Band® System. In addition, the hospital provides the Orbera® gastric balloon procedure. The hospital has been recognized as one of the first health care facilities in the nation to receive a Blue Distinction® Center for bariatric surgery.
The hospital partnered with sister facility, UofL Health – Peace Hospital to open a voluntary inpatient medical detox unit at Mary & Elizabeth Hospital to care for patients with substance use disorders. Most recently, Cancer & Blood Specialists, located adjacent to the Mary & Elizabeth Hospital campus, became the third location of UofL Health – Brown Cancer Center. At the center, patients will have continuity of care with trusted oncology and hematology providers, along with access to the multidisciplinary care, pioneering research and clinical trials of the Brown Cancer Center. In addition to the hospital, Mary & Elizabeth has three medical plazas on its campus to provide office space for a wide array of primary care and specialty physicians.
Our Mission
As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.
Job Summary
Under the direction of the Manager or Director of Care Coordination or CNO, the RN Case Manager performs activities which support the Care Coordination Department including:
Promotes optimal management of clinical resources by conducting timely initial admission assessments based on clinical indicators and anticipated service needs for appropriate level of hospital care; Validates patient demographics and payor source
Utilizes and contributes to the development of the multidisciplinary clinical assessment of patients on an on-going basis during the patient’s admission to ensure the quality and appropriateness of patient care
Implements, reassesses, and evaluates patient condition and coordinates plan of care daily; Develops patient specific plan of care based on the individual needs of the patients, conversations with providers and other staff, and documentation in electronic medical record (EMR.) Ensures updated plan of care is documented in the EMR
Coordinates the discharge needs of patients with necessary internal and external providers while protecting patient information
Performs timely, professional, and appropriate documentation as reflected in the Quality Review Audit process
Advocates for patient/family needs in a respectful, non-judgmental, and confidential manner
Serves as a liaison or facilitator for the patient and interdisciplinary healthcare team in the management of unusual or questions cases. Educates the healthcare team about the role of the RN: Case Manager. Is accessible to the healthcare team as a resource.
Appropriately refers cases to manager/director of care coordination, CAO, or medical director when intensity of service or severity of illness is not present and is unable to be resolved
Ensure delivery of Discharge Medicare Important Message (IM) and Medicare Outpatient Observation Notice (MOON), where applicable
Acknowledges, addresses, and completes are Consults to Case Management on respective units in EMR
Other Functions:
Works collaboratively with social workers to identify social and financial barriers and community resources
Completes referrals to Social Worker for patients with high-risk indicators
Attends monthly departmental staff communications meetings. Serves as an active member of committees, as needed, which may include a variety of projects or topics
Enhances professional growth and development through participation in educational programs, reading current literature, attending in-service meetings and workshops that are related to assigned areas of responsibility. Assumes responsibility of growth and development, maintains competency in care management principles
Educates physicians, patients, and staff with regards to payors, financial issues, documentation, and potential compliance issues
Serves as a resource to physicians for clinical management and financial issues. Assists the providers with promoting efficiencies in the care delivery system and reducing/ eliminating barriers to efficient/effective service
Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Required Qualifications
Preferred Qualifications
Benefits & Perks
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