SUMMARY
Uses skilled interventions,(objective and subjective), clinical best practice knowledge, professional collaboration with the patient, physician, and multidisciplinary treatment team to plan care, achieve quality outcomes within a target length of stay, and negotiate appropriate reimbursement. Ensures the timely and seamless transition of patients through medically appropriate levels of care in accordance with licensure, regulatory scope and standards, established hospital polices, and procedures in a patient and family centered manner. Ability to be flexible and agile to meet the complex, dynamic healthcare environment while providing world class customer service to patients, families, internal and external customers of the organization.

STATUS: Per Diem
LOCATION: CPH, GH, MH
DEPARTMENT: Case Management
SCHEDULE: Variable

1. (16%) Assessment/Documentation Confers with attending physician/LIP as appropriate to make determination about the medical necessity for admission or continued hospital stay. Performs assessment to determine patient care needs during the acute phase of illness and post discharge needs. Documents patient interventions and outcomes timely and accurately in the medical record according to the standards of professional practice.



2. (20%) Collaboration: Integrates patient information from social worker, physician and other members of the healthcare team to collaboratively determine potential and actual risks to recovery and the appropriate next level of care. Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payer, agencies to eliminate barriers to efficient delivery of care in the appropriate setting. Provides world class customer service to patients, families, internal and external customers of the organization.

3. (20%) Planning: Accountable for developing and coordinating the implementation of a safe, appropriate, and timely discharge plan and alternative plan following evidence based practice. Negotiates appropriate reimbursement, demonstrates fiscally responsible decision-making in a patient and family centered manner.

4. (16%) Coordinates/Facilitates: Access to services and patient care progression using best practice interventions that will produce favorable patient outcomes within the defined target LOS.

5. (8%) Regulatory: Uses the Physician Advisor per protocol for complex issues related to physician practices, utilization review.

Education Requirements:
Required: Associate Degree and/or diploma program in nursing.
Preferred: Bachelor of Science in Nursing

Licensure/Certification Registration Requirements:
Required: Current NYS licensure as an RN
Preferred: Certification in Case Management

Required Experience:
Required: 5 years’ experience working in an acute care setting

Complexity of Work:
Requires critical thinking skills, flexibility, agility, ability to effectively collaborate with a variety of licensed and non-licensed professionals internal and external to hospital operations, effective professional negotiation and communication skills, knowledge of best practice and clinical care trajectories, recovery patterns, excellent interpersonal communication and negotiations skills with multi-disciplines and peers, ability to work independently without direct supervision, ability to make decisive judgment often in emergent situations, ability to manage multiple priorities, knowledge of healthcare law and regulations related to acute care and the immediate post-acute continuum

Physical Requirements:

Frequent standing, walking, ability to assess the condition of others by vision, observation of verbal and non- verbal behavior, listening/hearing and use of professional effective verbal, written, and non-verbal communication that results in building and maintaining professional collaborative relationships, ability to perform job duties in the clinical environment (on patient care units, clinics etc.) effectively demonstrate appropriate use of the electronic medical record system, effectively learn and demonstrate appropriate use of: computer hardware, mobile desk/cart, applicable software, telephone, fax, and copier equipment