Exceptional opportunity for an experienced RN to work as part of a collaborative, team environment within Christiana Hospital at Christiana Care Health System.
The RN Case Manager will provide longitudinal care management for an identified population of patients/members in conjunction with the patient’s primary physician provider, according to agree-upon clinical guidelines, with the objective of coordinating high quality patient care across all care delivery sites.
The Case Manager utilizes clinical expertise, discretion, and independent critical thinking skills to assess, provide, coordinate and monitor healthcare services for patients assigned to the clinical unit. The case manager will collaborate with the multidisciplinary team of physician, nurses, nurse practitioners, and other professional staff. The case manager will work with the patient and family to develop a safe and effective discharge plan that will meet the needs of the patient beyond the hospital stay.
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PRINCIPAL DUTIES AND RESPONSIBILITIES:
Participates in the development of assessment tools, clinical guidelines, pathways and protocols for the cross-continuum care of patients/members with cardiac disease at all points in the care continuum.
Facilitates patient through acute care setting and prepares transition plan to the appropriate level of care post-discharge
Assesses health status of patients/members who are targeted for participation in cardiac disease management program; conducts initial telephonic assessment interview and screening.
Conducts patient education; collaborates with patients/members to establish realistic goals and activities to enhance patient self-management and participation in care plan.
Develops methods for tracking patients throughout the System in the absence of automated system; maintains automated systems.
Identifies post-acute care needs and completes choice procedure according to established policy
Collaborates with care manager on coordinating post-acute care needs
Monitors patients progress; consults with primary physician or designee and other members of the care delivery team at agreed-upon intervals, or more frequently, as needed.
Follows patient post-discharge at expected intervals.
Serves as a system contact for patients and facilities access across the continuum.
Acts as consultant to members of the health care team and is very visible Participates in data collection Uses theoretical and educational frameworks and expert clinical knowledge base to promote an provide patient, family staff and community education.
Develops and implements educational materials and programs. Participates in activities that contribute to the education of other health care professionals. Plans and participates in educational outreach activities for community organizations.
Participates in performance improvement activities.
Assumes responsibility for personal professional growth; maintains required credentials.
Maintains confidentiality of patients/members and staff information.
Attends meetings and in-service educational programs, as requested.
Performs assigned work safely, adhering to established departmental safety rules and practices; reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
Performs other related duties as required.
EDUCATION AND EXPERIENCE REQUIREMENTS:
Active Clinical RN License required; BSN required. Master’s degree preferred;
Minimum of 1 -2 years of clinical experience in acute care.
Case Management or utilization management experience desirable.
Case Management Certification required within 18 months of hire.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Internal Number: 43311
About Christiana Care Health System
Christiana Care Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, ...we are positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive.Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.