RN Case ManagerCare Transition Manager - PRN Days
RN Case ManagerCare Transition Manager - PRN Days
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Job Description
Care Transition Manager RN Case Management
Bring your passion to Texas Health so we are Better Together!
Work location: Texas Health Frisco 12400 N Dallas Parkway Frisco TX 75033
Work hours: PRN; Some weekdays weekends and holidays 8:30a4:30p)
Care Management Highlights:
Engaged leadership team
Manageable case load
Team that works together to ensure work/life balance for all
Heres What You Need
Bachelors degree in nursing required.
Three years Staff Nurse atan acute care hospital required and
One year discharge planning/care management preferred
RN Registered Nurse upon hire required and
CPR Cardiopulmonary Resuscitation upon hire required and
ACM Accredited Case Manager upon hire preferred or
CCM Certified Case Manager upon hire preferred or
Other ANCC upon hire preferred.
What You Will Do
Responsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner:
Reviews the Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients and collaborates with the interdisciplinary team to identify high risk patients whose THRIL score may not have indicated appropriately.
Promotes discussion and assists in the identification of a primary care physician (PCP) for patients without a PCP.
Completes Transition Evaluations on patients within 24 hours of identification and begins discharge planning.
Interviews and assesses patients and caregivers as part of the transition evaluation and as needed.
Identifies transition needs and discusses funding of posttransition care with patients and caregivers.
Identifies Geometric Mean Length of Stay (GMLOS) and updates the Anticipated Date of Discharge (ADOD) as necessary while considering excess days risk.
Identifies community resources and service needs and facilitates appropriate referrals as needed.
Assigns patients to and supports appropriate transition programs (e.g. ACO members) when applicable.
Communicates with the multidisciplinary team (physicians nursing therapy) patient family and postacute care stakeholders in order to coordinate care.
Educates patients caregivers and the multidisciplinary team regarding available postacute care services and needs.
Executes and updates the discharge plan as needed.
Communicates final transition plan 2448 hours prior to transition.
Facilitates care conferences for complex transitions placement and palliative care needs.
Reviews the Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients
Identify high risk patients whose THRIL score
Promotes discussion and assists in the identification of a primary care physician (PCP) for patients
Completes Transition Evaluations on patients within 24 hours of identification and begins discharge planning
Interviews and assesses patients and caregivers as part of the transition evaluation
Identifies transition needs and discusses funding of posttransition care with patients and caregivers
Additional perks of being a Texas Health Employee:
Benefits include 401k Employee Assistance Program (EAP) Discount Programs as well as other benefits.
Delivery of highquality patient care
Strong Unit Based Council (UBC).
A supportive team environment with outstanding opportunities for growth.
Learn more about our culture benefits and recent awards!
Entity Highlights:
Texas Health Frisco is a 93bed acutecare fullservice hospital and medical office community offering primary care and multispecialty medicine. Our location in the North DFW area provides convenient care to the residents of Frisco and surrounding areas.
We specialize in womens services outpatient surgery NICU and emergency medicine. Plus we are a Pathway to Excellence Hospital Joint Commission certified and were a Baby Friendly designated facility.
If youre ready to join us in our mission to improve the health of our community then lets show the world how were even better together!
Do you still have questions or concerns Email your questions to:
#LIAW1
Required Experience:
Manager
Employment Type
Grant
