Care Management Nurse

• Other duties or special projects as assigned
• Job Summary:
• Definition of Shared Governance: Shared governance is a professional structural model, founded on the cornerstone principles of partnership, equity, accountability, and ownership that form a culturally sensitive and empowering framework, enabling sustainable and accountability-based decisions to support an interdisciplinary design for excellent patient care.
• Essential Job Duties:
• Responsible for delivery of the Care Management Plan.
• assess each patient’s needs and formulate a plan of action using interaction with patient/family, physicians, coworkers, and outside agencies in order to formulate a comprehensive plan
• once the specific plan of care is determined, will coordinate care throughout the continuum from admission through post-hospitalization
• ensure that care rendered is appropriate, timely, high quality, cost-effective, and complies with our Mission Statement
• ensure that the patient is placed at a level of care to meet criteria of Medicare, VA, self pay and Humana Medicare.
• Demonstrates knowledge of Federal and State regulations regarding health care delivery, including liability issues
• Possesses excellent verbal and written skills, and ability to problem-solve
• Assists managers, physicians and direct patient care staff to identify and resolve ""system"" issues.
• Actively participates in daily interdisciplinary rounds with members of the care team, such as social workers, nursing, physical therapists, dietitians or others as needed, in order to develop a comprehensive case management plan for each patient.
• Communicates with the patient and family to determine their specific needs and expectations.
• Apply for nursing council or committee and be vested on one council at least every 5 years. 80% attendance in person or by phone is required. Advancements in Clinical Ladder will be reflected in yearly application process and is expected for job performance standards.

Secondary Job Duties That May be Reassigned

• Performs any other duties as assigned by the Care Management Coordinator or Care Management Committee.
• Monitors inpatient records to ensure adequate documentation, setting and timeliness of treatments as ordered.

Job Specifications

• Education: Registered nurse with current Indiana licensure; Bachelors Degree in Nursing within 3 years of employment (with the exception of staff previously granted grandfather status).
• Experience: One year experience in a medical/surgical area.