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RN - Case Manager/Continuing Care Coordinator (Emergency Department)

Company: Beth Israel Deaconess Hospital - Plymouth
Location: Plymouth
Posted on: September 8, 2019

Job Description:

Duties/ResponsibilitiesScreens ED patients for appropriateness of admission and determines appropriate level of care.Offers alternative care settings when admission is not warranted.Identifies continuing care needs through assessment, interdisciplinary care rounds and/or requests.In collaboration with patients, families and community services establishes a coordinated discharge plan based on the patient's transition needs.Coordinates continuing care services to include skilled nursing, durable medical equipment and community services.Interfaces with aftercare providers to ensure smooth transition with the post discharge plan of care.Conducts ongoing assessment to determine the continued need for acute care, and appropriateness/timeliness of treatments/procedures to optimize reimbursement.Collaborates with the UR team regarding level of care determination/LOS.Coordinates continuing care for SDC, ED and other outpatient areas on request.Covers the inpatient units as staffing dictates It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.Experience/Knowledge/Skills RequiredCurrent MA RN licenseBachelors Degree in Nursing or current enrollment in a BSN program with completion no later than 18 months after hire date.A minimum of 3 years case management experience in an acute or post acute setting.ED case management experience preferredAbility to identify appropriateness of patients admission and level of care needs (inpatient and observation) utilizing Interqual criteria. Knowledge of Interqual and Allscripts systems preferred. Strong interpersonal and negotiations skills demonstrated by a positive attitude, pleasant, professional and cooperative demeanor with patients, physicians, fellow employees, and insurance companies. Computer skills, including Microsoft Outlook, Word, Excel and Meditech. Ability to work independently.

Keywords: Beth Israel Deaconess Hospital - Plymouth, Plymouth , RN - Case Manager/Continuing Care Coordinator (Emergency Department), Executive , Plymouth, Massachusetts

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