Transition Of Care Case Management

JOB SUMMARY The Registered Nurse (RN) Transition of Care, Case Manager (TOC CM) is responsible for coordinating the Hospital Follow-Up Provider Appointments and Specialty follow up care and services, transitioning the patient across the continuum. The TOC CM works collaboratively with interdisciplinary teams, both internal and external to Hendrick Medical Center (HMC), to improve patient care through effective communication and follow-up care for discharged patients in multiple care settings.. The CM assumes a leadership role to achieve desired clinical, financial, and resource outcomes. JOB REQUIREMENTS Minimum Education Graduate of an accredited School of Nursing. Minimum Work Experience 3 years clinical experience as a staff nurse in an acute care hospital with Charge/Nurse Manager experience beneficial or as a Case Manager in a Hospital or Home Health setting. Required Licenses/Certifications Registered Nurse Certification through Commission for Case Manager (CCM) or American Case Management Association (ACMA) within 2 years of hire. BLS - should not initiate patient contact until completed. Required Skills, Knowledge, and Abilities Ability to demonstrate advanced communication and interpersonal skills with all levels of internal and external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, external agencies, and members of the community. Ability to engage in complex clinical decision-making. Ability to show strong commitment to interdisciplinary collaboration and communication. Ability to demonstrate strong computer skills. Ability to demonstrate strong critical thinking and analysis skills and conflict resolution skills. Ability to demonstrate excellent human relations skills. Ability to show creative problem solving. Ability to be proficient with organization and planning. Ability to show initiative and work with no supervision. Ability to tolerate frequent interruptions and demanding workload. Proficient in Allscripts EMR, Allscripts CM software program Athena and 3M within 6 months.

JOB SUMMARY

• The Registered Nurse (RN) Transition of Care, Case Manager (TOC CM) is responsible for coordinating the Hospital Follow-Up Provider Appointments and Specialty follow up care and services, transitioning the patient across the continuum. The TOC CM works collaboratively with interdisciplinary teams, both internal and external to Hendrick Medical Center (HMC), to improve patient care through effective communication and follow-up care for discharged patients in multiple care settings.. The CM assumes a leadership role to achieve desired clinical, financial, and resource outcomes.

JOB REQUIREMENTS

• Minimum Education

• Graduate of an accredited School of Nursing.

• Minimum Work Experience

• 3 years clinical experience as a staff nurse in an acute care hospital with Charge/Nurse Manager experience beneficial or as a Case Manager in a Hospital or Home Health setting.

• Required Licenses/Certifications

• Registered Nurse

• Certification through Commission for Case Manager (CCM) or American Case Management Association (ACMA) within 2 years of hire.

• BLS - should not initiate patient contact until completed.

• Required Skills, Knowledge, and Abilities

• Ability to demonstrate advanced communication and interpersonal skills with all levels of internal and external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, external agencies, and members of the community.

• Ability to engage in complex clinical decision-making.

• Ability to show strong commitment to interdisciplinary collaboration and communication.

• Ability to demonstrate strong computer skills.

• Ability to demonstrate strong critical thinking and analysis skills and conflict resolution skills.

• Ability to demonstrate excellent human relations skills.

• Ability to show creative problem solving.

• Ability to be proficient with organization and planning.

• Ability to show initiative and work with no supervision.

• Ability to tolerate frequent interruptions and demanding workload.

• Proficient in Allscripts EMR, Allscripts CM software program Athena and 3M within 6 months.