Assistant Nurse Case Manager - FT - Day Shift

HOURLY RANGE: $42.30 - $57.14

AREA OF COVERAGE- POPULATION HEALTH

DISTINGUISHING FEATURES OF THE CLASS: The work involves collaborating with physicians and other clinical staff to develop and coordinate the plan of care for a specific caseload of patients at Erie County Medical Center Corporation (ECMCC). The incumbent advocates for the patient and family, assuring that the established standard of care and expected outcomes are achieved in a timely manner and with the appropriate use of resources. The work is performed under the general supervision of a higher-level professional nurse administrator. Supervises lower level professional, paraprofessional and clerical staff assigned to patient care cases. The incumbent performs related work as required.

Typical Work Activities

Provides comprehensive management of each patient’s transition from admission through discharge;

Collaborates with physicians and interdisciplinary team to develop and implement best practice models and standards for each individual patient and for specific diagnoses;

Develops, implements and monitors the patient’s interdisciplinary plan of care; revises goals and plans as needed based on changes to the patient’s clinical condition;

Individualizes care coordination and discharge plans based on the patient’s social and economic situation, family resources, functional abilities, knowledge needs, potential risk factors and complications and special concerns or issues;

Assesses and evaluates each patient’s plan of care on a daily basis;

Communicates with third party payers to provide initial and concurrent reviews for authorization of hospital stay;

Coordinates the discharge plan within the interdisciplinary team to assure the availability of resources in support of safe and timely discharge and delegates appropriate actions and tasks to team members;

Identifies barriers to care coordination, discharge and potential avoidable hospital days; reports and discusses barriers with departmental leadership and/or Physician Advisors as needed to facilitate resolution and expedite appropriate care;

Collaborates and communicates with key members of each patient’s team, involved parties in pursuing desired patient outcomes and discharge plan and with patient/family about progress toward expected outcomes and satisfaction with care delivered;

Completes assessment tools as required;

Consults with appropriate parties to balance care and cost according to internal and external data sources;

Attends and participates in interdisciplinary meetings, mandatory and reorientation programs, and departmental Performance Improvement activities.

FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITITIES AND PERSONAL CHARACTERISTICS: Good knowledge of the principles and practices of professional nursing; good knowledge of current nursing practices and techniques used to provide total patient care; good knowledge of case management including care coordination, utilization review/medical necessity, discharge planning and transitional management; good knowledge of Patient Review Instrument (PRI) assessment; ability to work with and gain the trust and confidence of patients and patients’ family or caregivers; ability to establish and maintain effective working relationships; tact; courtesy; capable of performing the essential functions of the position with or without reasonable accommodation.

Minimum Qualifications

• Possession of a Bachelor’s Degree in Nursing, Health Administration, Human Services or a closely related field and two (2) years of ambulatory and/or behavioral health and/or medical/surgical registered professional nursing experience; or:
• Possession of an Associate’s Degree* in Nursing, Health Administration, Human Services or a closely related field and four (4) years of ambulatory and/or behavioral health and/or medical/surgical registered professional nursing experience; or:
• An equivalent combination of training and experience as set by the limits of (A) and (B).
  
  

Special Requirements

Possession of a license and current registration to practice as a Registered Professional Nurse as issued by the New York State Department of Education at time of appointment and maintenance throughout duration of appointment; and

Possession Of Basic Life Support (BLS) Certification From An ECMCC Approved Provider At Time Of Appointment And Maintenance Throughout Period Of Employment; And

Possession of a Certification as a Patient Review Instrument (PRI) Assessor as issued by the New York State Department of Health by completion of the probationary period and maintenance throughout duration of appointment.

NOTE*: Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside the United States and its territories, you must provide independent verification of equivalency. A list of acceptable companies who provide this service can be found on the Internet at http://www.cs.ny.gov/jobseeker/degrees.cfm. You must pay the required evaluation fee.

NOTE 2: Verifiable part time and/or volunteer experience will be pro-rated toward meeting full time experience requirements.