Overview:
CHI Health Immanuel, located in North Omaha just off of I-680 on 72nd Street, offers a full-service hospital, cancer center, rehabilitation center, specialty spine hospital and more. For well over a century, our commitment to serve our community inspires our staff to provide the highest quality of care to all who we have the privilege to serve.
Responsibilities:
* Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request.Reassess the patient as appropriate and update the plan accordingly.
* Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources.
* Oversees and evaluates the implementation of the discharge plan.
* Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.
* Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.
* Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.
* Responsible for delivery of appropriate patient notifications and related documentation
* Responsible for patient education and advocacy.
* Participates in performance improvement teams and programs as necessary.
* Demonstrates behavior that aligns with the Mission and Core Values of the Organization.
* Responsible for completing required education within established timeframes.
* Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their practice.
* Performs other duties as assigned, including utilization review as necessary.
Qualifications:
Required
* Graduate of an accredited school of nursing.
* Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
* RN license in the state(s) covered is required.
* BLS required within 3 months of hiring if located within hospital
* Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used.
Preferred
* Bachelor's Degree in Nursing (BSN) or related healthcare field.
* At least five (5) years of nursing experience.
* Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred
* Able to apply clinical guidelines to ensure progression of care.
* Knowledge of managed care and payer environment preferred.
* Must have critical thinking and problem-solving skills.
* Collaborate effectively with multiple stakeholders
* Professional communication skills.
* Understand how utilization management and case management programs integrate.
* Ability to work as a team player and assist other members of the team where needed.
* Thrive in a fast paced, self-directed environment.
* Knowledge of CMS standards and requirements.
* Proficient in prioritizing work and delegating where indicated.
* Highly organized with excellent time management skills.
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