Responsible for the day to day activities of case management. Performs concurrent patient assessment related to appropriateness of the level of care, diagnosis, procedures performed, discharge needs, and intervenes to expedite the patient’s plan of care.
Role Specific Responsibilities
- Performs concurrent patient assessment related to appropriateness of the level of care, diagnosis, procedures performed, and intervenes to expedite the patient’s plan of care.
o Maintains competency in InterQual criteria.
o Collaborate with social work team to address social issues that affect a safe, effective discharge plan.
o Provides and documents discharge planning services in a professional, collaborative and timely manner to optimize meeting patients' posthospital discharge care needs.
o Collaborates with the interdisciplinary team to assess, monitor, implement and evaluate patient care needs during the hospital stay in order to smoothly transition the patient to the next level of care.
o Utilizes evidence-based practice standards to guide the evaluation of care, length of stay, medical necessity of services, and appropriate use of organizational and patient centered resources.
o Develops and maintains collaborative relationships with organizations in the community that facilitate provision of appropriate care during the hospital stay and facilitate efficient and effective planning for continued care for the patient.
o Collaborates with necessary staff and post-discharge care providers to assure a safe and effective discharge plan.
o Facilitates care conferences with patient and/or family support structure and healthcare team to foster decision making that promotes patient advocacy.
o Supports Service Excellence initiatives contributing to the organization becoming a top performer in quality care, patient safety and patient satisfaction strategies.
o Understands and applies techniques to support the provision of population based appropriate care utilizing Joint Commission standards, CMS Core Measure requirements, and other best practices.
o Acts as an expert resource to the interdisciplinary healthcare team, physicians and other leaders: Participates in interdisciplinary team meetings in a collaborative manner resulting in achievement of best patient outcomes.
o Participates actively in departmental and hospital wide teams, committees, or other improvement.
Associate’s degree in Nursing
Licenses and Certification
Current Illinois RN License
Experience and Skills
Technical Experience: 3 years