STAFF NURSE (TEMP): Central Staffing Resources Specialty Cluster, Care Management

Mission Statement

The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Job Summary

This job opening is for (4) Temporary Float RN positions within the Central Staffing Resource Department (CSR) and Care Management

Wage: $55.00/hr. base rate

Evening Shift Differential is $5.00 per hour for 3p-7p and $4.00 per hour for 7p-11p

Night Shift Differential is $3.00 per hour

Weekend Differential is $5.00 per hour

Unit Specific Summary

The RN Case Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. The position is unique in that it combines clinical/quality considerations with regulatory/financial/utilization review demands. The position creates a balance between individual clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes.

The RN Case Manager reports directly to the Manager of Care Management. The RN Case Manager works closely with the unit-based MPLAN team in reaching unit and organization goals including length of stay, care transitions, readmissions, and other quality initiatives. In the emergency departments, the RN Case Manager works collaboratively with other members of the interdisciplinary team to develop and implement a comprehensive, integrated discharge plan from the emergency department(ED). The RN Case Manager will recommend and document patient classification of all admissions utilizing established criterion set.

Responsibilities*

Within 24 hours of admission interview each patient/family for anticipated needs post hospitalization
Develop “plan for the day” and “plan for the stay” with providers, patient and nursing staff
Lead daily care coordination rounds to update the plan and facilitate implementation.
Initiate discharge plan including early referrals to homecare, DME and infusion services
Prepare patient/family for discharge
In collaboration with SW “partner” follow standard for routine patient/family conference
Ensure patient handovers to next level of care; work closely with Care Navigators in clinics, complex care Case Managers, homecare and sub-acute liaisons
Support nursing Model of Care by working closely with nursing managers and staff to achieve Patient Family Centered Care goals: respect and dignity, information sharing, participation and collaboration
Facilitate increased volume of cases discharged by noon to improve capacity management
Collect “avoidable days” information; report findings in care management software, such as Allscripts
Participate in venues to reduce barriers to discharge

Principle responsibilities for RN Case Managers staffed in the emergency departments includes:

Identify patients in need of Case Management services through case finding and collaboration with multidisciplinary team in the ED
Provide clinical and financial pre-admission screening of all unscheduled patients utilizing UMHS clinical standards and financial guidelines while also being in accordance with federal, states and payer guidelines
Acts as a patient advocate and communication link with other health care departments and community resources – both internally and externally
Ensuring patients not meeting skilled care requirement but unable to return to prior living situation are discharged to appropriate level of care from ED with clear financial information to patients / families
RN CM’s working the ED’s during evening and night shift will support all EDs and AMOU. RN CM’s will also support any unanticipated urgent needs in the inpatient areas.

Utilization Review and Utilization Management

Conduct clinical review on admission; review every 3 days or as requested by payer
Determine patient classification with provider and ensure all patients placed in “ observation” classification are notified; For “inpatient” to “observation” cases, ensure Condition Code 44 billing requirements are met
Communicates with third party payers to obtain necessary authorization for reimbursement of services.
Obtain anticipated LOS from provider and ensure patient and multi-disciplinary team is aware
Refer defined cases for medical secondary review and share findings with providers
Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials; input into appeals; share findings with providers
Review all cases with readmission within 30 days; report findings in Care Management software such as Allscript
Identify opportunities for cost reduction and participate in appropriate utilization management venues
Conducts referrals and consultation with Physician Advisor

Required Qualifications*

Current Michigan licensure as a Registered Nurse in the State of Michigan
Two (2) or more years recent Care Management experience
Current AHA BLS provider certification
Bachelor's Degree in Nursing or Associates/diploma in Nursing and a Master's Degree in Nursing

RESUME REQUIRED (for Both Internal & External Applicants)

You must attach a complete and accurate resume to be fully considered for this position.

NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

Desired Qualifications*

Demonstrated flexibility
Demonstrated ability to work effectively with an interdisciplinary health care team
Demonstrated positive verbal and written communication skills
Demonstrated positive attitude
Demonstrated team player skills
Demonstrated accountability and dependability
Demonstrates expertise in communication and problem solving skills within all levels of the health care team, as evidenced by interviews, documentation, writing skills, and references
Ability to work in a team atmosphere utilizing effective delegation skills.
Demonstrated problem solving skills
Demonstrates accountability/dependability as evidenced by completion of mandatories and unit based competencies within an established time frame
Experience floating to multiple units
Knowledge of the University of Michigan Hospital nursing policies and practice
Demonstrates participation in continuous quality improvement process with documented results
Experience with family centered care philosophy
Takes initiative in seeking professional growth
Experience with Inter-Qual
Experience with AllScripts

Nursing Specific Info

Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

Please note that these positions do not qualify for UMHS benefits and specific terms and conditions of employment are negotiated at the department level. These positions are not covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union.

If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Work Schedule

**Commitment is 32 hours per 4 week scheduling period, excluding coverage of incremental PTO**

Day, Evening and Night shifts are available; 8, 10 AND 12 HR BLOCKS AVAILABLE!

Location: University Hospital: Central Staffing Resources Specialty Cluster, Adult Emergency Services

Please Note

Expected to float to like units where competent and qualified in times of decreased activity
Inability to work for three (3) months consecutively will lead to automatic termination from employment at Michigan Medicine.
No guarantee of work at any time, and shifts can, and sometimes will be cancelled.
No weekend requirement, but may be scheduled for weekends
Variable shifts

Additional Information

These temporary positions may meet eligibility requirements for health care benefits.

Additional Information

TEMPORARY FLOAT NURSE GUIDELINES

All CSR employees are required to attend an annual educational Blitz to complete required

UM mandatories and compentencies (BCLS every 2 yrs, Cardiac Arrest and maintain all

other applicable certifications).

Temporary Float Nurses are expected to work all shifts requested unless no work is

available. It is the intention that all Temps will float to all units within the cluster speciality.

A Temporary Nurse should work 24 hours per 4 week schedule block.
Temporary Nurses in the CSR Clusters are NOT required to work weekends or holidays, but available.
Temporary Nurses will participate in a newly designed, streamlined, onboarding/orientation

program. However, the progression of orientation will be dependent upon clinical

competency, staffing needs of the individual units, and the number of hours worked by the

Temporary RN.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.

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RN Med Surg

Corewell Health Farmington Hills, MI

Corewell Health is now offering a $12,000 sign on bonus for this full-time,12-hour night position on 5 North! About the unit 5 North is a 38-bed unit caring for a wide variety of medical and surgical patients. The unit can accommodate patients who need telemetry (monitored remotely) and pulse oximetry. The patient/nurse ratio is adjusted based on acuity. Our nurse’s partner with universities to help student nurses succeed through precepting, support, and role modeling. Our goal is to provide all patients the highest quality health care services that are delivered efficiently, effectively, and compassionately while welcoming their families. About Farmington Hills Hospital Recognized by U.S News and World Report as one of the nation’s high-performing facilities for multiple procedures and conditions and has been recognized as a Magnet-designed hospital for nursing excellence. This hospital has grown in size and capabilities over the decades to become a Level II trauma center, serving the community since 1965. It also serves as the base teaching hospital for Michigan State University. Scope of work The RN, under the ANA scope of practice utilizes the framework of the nursing process to provide professional nursing care by incorporating patient-family centered care principles to assess, plan, implement, evaluate, and discharge. The RN provides quality patient care under the direction of the Nurse Leader according to Corewell Health policies and procedures and recognizes the impact of nursing care and patient/family partnerships on patient outcomes. The RN partners with and utilizes patient/family input and goals in planning plan of care and develops teaching strategies for patient/family; documents education and learning appropriately in health record. Qualifications Associates in Nursing Required Bachelors in Nursing Required within 5 years Graduates from a non-accredited school of nursing must have at least one year of acute care experience or at least two years of experience in a licensed health care role and must have successfully passed the NCLEX licensure examination. MI Registered Nurse (RN) Required AHA or ARC Basic Life Support (BLS) Required How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here . On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Farmington Hills Hospital- 28050 Grand River Ave - Farmington Hills Department Name Employment Type Full time Shift Night (United States of America) Weekly Scheduled Hours 40 Hours of Work Days Worked Weekend Frequency CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.