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- Tasks: Manage patient care and ensure smooth transitions in the Emergency Department.
- Company: Join Beth Israel Deaconess Hospital-Plymouth, a leading healthcare provider making a real difference.
- Benefits: Enjoy flexible shifts, competitive pay, and a supportive team environment.
- Why this job: Make an impact on patient outcomes while working in a dynamic and collaborative setting.
- Qualifications: Must be a licensed RN with 3-5 years of acute care experience and strong communication skills.
- Other info: Be part of a diverse team dedicated to improving healthcare for all.
The predicted salary is between 36000 - 60000 ÂŁ per year.
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Job Type: Regular
Time Type: Part time
Work Shift: Day (United States of America)
FLSA Status: Non-Exempt
When you join the growing BILH team, you\’re not just taking a job, you’re making a difference in people’s lives.
30hpw; day shift with flex start times; 7:30a– 6:00p or 8:00a – 6:30p. Every third weekend. One summer and one winter holiday.
Job Description:
The Emergency Department Case Manager is responsible and accountable for patient trajectory by assisting the healthcare team in improved patient outcomes. The focus is to identify the most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission, Observation, or other patient care status.
This role is structured around four major functions
- Utilization Management
- Care Coordination
- Discharge Planning
- Preventing Unnecessary Re-admissions
Each of these functions support the Care Transitions Department’s goals of 1) Improving patient satisfaction and patient outcomes, 2) Decreasing length of stay, 3) Decreasing unit cost, 4) reducing readmissions.
Duties/Responsibilities:
- Utilization Management
Performs review of anticipated admissions utilizing InterQual criteria to assess for appropriate level of care assignment. Certifies Medicare admissions and utilizes Code 44 when appropriate Serves as a resource to patients, physicians, administration and hospital employees regarding issues related to patient classification and reimbursement. Refers inappropriate observation or anticipated admission cases to the Physician Advisor. Provides real time interventions to prevent delays and ensure compliance and revenue integrity with health care regulations Functions as a liaison between physicians and Physician Advisors Identifies and collects data regarding resource utilization for physicians, management and administration for evaluation and process improvement.
- Discharge Planning
Creates and coordinates the overall transition plan of care based on initial assessment and concurrent collaboration with other care givers, external service organizations, agencies and healthcare facilities, community care and navigation services, and the patient and family/caregiver. Facilitates smooth care transitions by ensuring appropriate clinical follow-up is arranged and referrals to proper post-acute providers are initiated. Increases patient and family satisfaction with the discharge from the ED Prevents unnecessary admissions for social reasons Functions as a liaison between the DEM and community-based resources on an as-needed basis Provides assessment, information, referrals, and other resource assistance to patient/family as needed Facilitates treatment, admission, discharge, and/or transfer in collaboration with physician and primary nurse Identifies high-risk social situations and works collaboratively with Social Work to coordinate resources to promote follow-up care Communicates with the Care Transitions Department about incoming patients that have discharge planning needs Assesses, coordinates and refers cases of suspected/actual abuse, domestic violence, or neglect to appropriate agencies Obtains authorization for services for discharge as needed Arranges for community services prior to discharge to meet patient’s post-discharge needs with recognition and documentation of patient choice of service providers Identifies potential quality & risk management issues based on acceptable standards of practice and refers cases to the Manager, Care Transitions or directly to the Risk/Quality Manager in her absence to ensure quality of patient care and prompt identification of potential problems. Documents Care Transition notes briefly and concisely. Advocates for the patient/family with other health care professionals and community agencies as indicated to enable them to negotiate various social systems.
It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.
Education/Experience Required:
Required
- State of MA Registered Nurse (RN)
- 3-5 years acute care nursing
- Two years of recent utilization management and discharge planning experience
Preferred:
- Bachelor’s degree in nursing or healthcare related field
- Three years of recent utilization management and discharge planning experience
- ED nursing and/or case management
- Demonstrates expertise in the utilization management and discharge planning principles, methods, and tools and incorporates them into the daily operations of the organization.
- Possesses strong knowledge of DRGs, LOS, variance analysis, and discharge planning related to the utilization of health care resources.
- Demonstrates clinical expertise to effectively facilitate the evaluation of the level of care required.
- Develops and maintains strong collaborative, and supportive working relationships with peers, physicians, and other clinical professionals.
- Provides and receives feedback in a positive and constructive manner.
- Demonstrates excellent written, verbal, organizational and presentation skills.
- Possesses knowledge of care delivery systems across the continuum of care, including trends and issues in care reimbursement.
- Ability to multitask and work in a fast-paced environment
Registration/Certification:
- Current MA RN licensure
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients\’ lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
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ED RN Case Manager - UR & Discharge Planning employer: Beth Israel Deaconess Hospital-Plymouth
Contact Detail:
Beth Israel Deaconess Hospital-Plymouth Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land ED RN Case Manager - UR & Discharge Planning
✨Tip Number 1
Familiarise yourself with the specific Utilisation Management and Discharge Planning processes used at Beth Israel Deaconess Hospital-Plymouth. Understanding their protocols will help you demonstrate your knowledge during interviews and show that you're ready to hit the ground running.
✨Tip Number 2
Network with current or former employees of the hospital, especially those in case management roles. They can provide valuable insights into the work culture and expectations, which can help you tailor your approach when applying.
✨Tip Number 3
Prepare to discuss real-life scenarios where you've successfully managed patient care transitions or improved patient outcomes. Having specific examples ready will showcase your experience and problem-solving skills effectively.
✨Tip Number 4
Stay updated on the latest trends in healthcare regulations and reimbursement models. Being knowledgeable about these topics will not only impress your interviewers but also demonstrate your commitment to continuous professional development.
We think you need these skills to ace ED RN Case Manager - UR & Discharge Planning
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in acute care nursing, utilisation management, and discharge planning. Use specific examples that demonstrate your expertise in these areas.
Craft a Compelling Cover Letter: Write a cover letter that clearly outlines your passion for patient care and your understanding of the role's responsibilities. Mention how your skills align with the goals of the Care Transitions Department.
Highlight Relevant Certifications: Include any certifications or training related to case management or utilisation management. This can set you apart from other candidates and show your commitment to professional development.
Showcase Communication Skills: Since the role involves liaising with various stakeholders, emphasise your strong written and verbal communication skills. Provide examples of how you've effectively communicated in past roles.
How to prepare for a job interview at Beth Israel Deaconess Hospital-Plymouth
✨Understand the Role
Make sure you thoroughly understand the responsibilities of the ED RN Case Manager position. Familiarise yourself with Utilisation Management, Care Coordination, and Discharge Planning, as these are key functions of the role.
✨Showcase Your Experience
Prepare to discuss your previous experience in acute care nursing and any specific instances where you've successfully managed discharge planning or utilisation management. Use examples that highlight your problem-solving skills and ability to work under pressure.
✨Demonstrate Communication Skills
As a case manager, effective communication is crucial. Be ready to provide examples of how you've collaborated with healthcare teams, patients, and families to ensure smooth transitions of care. Highlight your ability to advocate for patients and navigate complex social systems.
✨Prepare Questions
Have thoughtful questions prepared for the interviewers about the team dynamics, challenges faced in the role, and how success is measured. This shows your genuine interest in the position and helps you assess if it's the right fit for you.
