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JOB DUTIES AND RESPONSIBILITIES:
Assesses the patients needs goals and barriers in relation to the patients clinical condition psychosocial environment and socioeconomic resources.
Collaborates with the multidisciplinary team to plan implement and evaluate the patients plan of care through rounding or other methods.
Collaborates with the patient family or other caregivers and multidisciplinary team to design a discharge plan respective of the patients needs and goals. Re-evaluates and revises discharge plan of care as additional information is obtained or goals change.
Proactively considers options such as palliative care home care and other services that work to keep the patient as healthy as possible in the outpatient setting minimizing the risk of re-admissions.
Works as a team with other members of care management including but not limited to: Social workers assistants coordinators utilization management staff and director.
Facilitates communication among all treatment team members.
Manages length of stay by proactively identifying and mitigating issues and barriers to care and a successful discharge plan.
Monitors risk assessment using available tools and implements discharge interventions accordingly minimizing risk of readmission.
Identifies patients with an unplanned readmission and completes root cause analysis.
Collaborates with Outpatient Care Managers to identify patients for handover and post discharge follow up.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for one to two hours at a time walk on all surfaces for up to five hours a day and climb stairs. Must be capable of driving a car and have the ability to finger and handle objects frequently. Occasionally firmly grasp twist and turn objects with hands and fingers. May be required to lift carry push and/or pull objects weighing up to 75 pounds. Occasionally stoops bends squats kneels and reaches above shoulder level. Staff must have the ability to hear as it relates to normal conversations and high and low frequencies and to touch as related to telephone and computer keyboard.
EDUCATION:
Registered Nurse with current license to practice in the State of Pennsylvania or seeking Pennsylvania licensure through reciprocity. NJ RN licensure required for Warren Campus. Advanced degree preferred. BSN preferred MSN and/or Case Management Certification preferred.
TRAINING AND EXPERIENCE:
Extensive clinical knowledge. 3-5 years of acute care experience. Previous care management experience is preferred. Experience in the use of InterQual/Milliman criteria preferred. Basic computer skills required. Ability to establish and maintain collaborative and effective working relationships required.
Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years including your present employer. Additionally you areencouraged to upload a current resume including all work history education and/or certifications andlicenses if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Lukes!!
Required Experience:
Manager
Full-Time