Description
Description SHIFT: PRN
SCHEDULE: PRN/Per Diem
Do you want to be a part of a family and
not just another employee? Are you looking for a work environment where
diversity and inclusion thrive? Submit your application today and find out what
it truly means to be a part of a team. We are seeking a talented RN Case Manager to help
provide our patients with high quality, efficient care. We are an amazing team
working hard to support each other and are seeking a phenomenal addition like
you who feels patient care is as meaningful as we do.
Hospital
Corporation of America (HCA) is a
leading healthcare provider with over 31.2 million patient encounters a year at
locations in 21 states including the UK. We care about our community! HCA has
been continually named one of Ethisphere’s most ethical company’s in the world
since 2010. In 2018, HCA spent an estimated $3.3 billion in cost for the
delivery of charitable care, uninsured discounts, and other uncompensated
expenses.
Portsmouth Regional Hospital is a 220-bed acute care hospital located in Portsmouth, NH, and is part of HCA, the nation’s largest provider of healthcare services. Portsmouth Regional Hospital serves the seacoast region’s residents in New Hampshire, Maine and Massachusetts and is one of the area’s largest employers. Portsmouth Regional Hospital is the only Level II Trauma Center on the Seacoast and one of only three in New Hampshire to earn this important distinction. Most recently, we were named One of America’s Best Hospitals for Joint Replacements through a National Study by Healthgrades. Most recently, we received the Leapfrog ‘A’ Hospital Safety Grade. Why work at Portsmouth Regional Hospital?
Job Description - RN Case Manager POSITION SUMMARY: Provides Utilization Review and Case Management functions for the organization. Performs preadmission, concurrent and retrospective review for all payers. Completes assessments for the purpose of identifying discharge-planning needs. Provides discharge-planning services for select patient populations. Collects data to support performance improvement initiatives. SPECIFIC ELEMENTS & ESSENTIAL FUNCTIONS: 1. Applies rules of Severity of Illness/Intensity of Service/Discharge Screens (IS/SI/DS) consistently in evaluating medical necessity for governmental payers (Medicare/Medicaid/Champus) 2. Provides initial and ongoing assessments for patients/families having complex needs and/or medically complex diagnoses within 24 hours of admission or 1 business day; prioritizes needs ongoing 3. Accepts calls from physicians, MD office and ED, applying appropriateness criteria to all new admissions 4. Understands and applies critical thinking skills to reimbursement methodologies 5. Demonstrates awareness of current trends that influence health care practice and assures compliance with regulatory, governmental and organizational standards 6. Conducts all interactions with staff, patients and members of the public with dignity and respect, keeping with institutional corporate ethics. Reflects the hospital’s values and possesses a sensitivity to the hospital’s ethical and compliance principles in activities of daily work life (ADWL). 7. Identifies and intervenes to coordinate care on patients in relation to appropriateness of level of care, length of stay and resource utilization issues 8. Collaborates with the health care team and develops treatment goals and plans interventions that assist the patient and family to resolve concerns that may arise as a result of illness, engagement in risky behavior (i.e. substance abuse), limited finances and/or physical disabilities 9. Provides crisis and supportive counseling to enhance the patient’s and families problem solving and coping skills. Facilitates the completion of advance directives, living wills, durable power of attorney and/or guardianship 10.Refers patients who require extended care post discharge to long term care, skilled nursing and/or acute rehab facilities; once bed is found, makes all arrangements for transfer 11. Collaborates with community agencies to provide services to assist with housing, financial, transportation, psychosocial, educational, home health, and home medical equipment needs of patients and families post discharge 12.Identifies, tracks and records potentially avoidable days (PAD’s); intervenes to prevent or decrease PAD’s as appropriate
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