Nursing Jobs in Pinconning, MI

Case Manager RN - Shattuck Rd (Saginaw)

apartment MyMichigan Health location_onMidland, MI

Summary Provides care management and care coordination for adult and pediatric patients with complex illness in the primary care setting under minimal supervision. Works with both moderate and high risk patients to optimize control of chronic conditions and prevent/minimize long term complications. Coordinates care across settings and helps patient/families understand health care options. In partnership with the primary care practice leadership team, the Care Manager leads care management within the team. The Case Manager (CM) accomplishes this through process improvement, workflow redesign, providing assistance with training, and delegating to other members of the team. The CM serves in an expanded health care role to collaborate with specialists, members of the health care team, and patients/families ensuring the delivery of quality, efficient, and cost-effective health care services. Assesses plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patients health status. Integrates evidence-based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient-centric, promoting quality and efficiency in the delivery of health care. Responsibilities (25%)* Collaborates with primary care provider (PCP), patient, and members of the health care team, including continuum of care settings and community. Responsible for developing a comprehensive individualized plan of care and targeted interventions. Continually monitors patient/family response to plan of care, and revises the care plan as indicated. (20%)* Identifies the targeted high-risk population within practice site(s) per PCP referral, risk stratification, and patient lists. Includes patients with repeated social and/or health crises. (20%)* Implements clinical interventions and protocols based on risk stratification and evidence-based clinical guidelines. (15%)* Assesses over time the health care, educational, and psycho-social needs of the patient/family. Uses standardized assessment tools such as depression screening, functionality, and health risk assessment. (10%)* Provides patient self-management support with a focus on empowering the patient/family to build capacity for self- care. (10%)* Implements systems of care that facilitate close monitoring of high-risk patients to prevent and/or intervene early during acute exacerbations. Other Duties And Responsibilities Demonstrates an understanding of care management, high-risk management, transitions of care, complex and chronic conditions, post-acute care options, and community management standards. Provides care management and coordination within the timeframe provided with the CM Program guidelines and the care plans. Conducts clinical assessments. Develops, monitors, and updates a person-centered care plan. Actively secures the necessary authorizations for the services that are the responsibility of the organization to ensure the member's timely access to the services identified in the person-centered care plan. Able to adhere to communicated care management productivity metrics, including caseload, engagement volume, and time to closure. Also adheres to quality standards for care management per policy, including appropriate cases opened, comprehensive documentation, actionable care plans, and appropriate cases closed in a timely fashion. Ensures the member receives the full scope of care coordination services, including comprehensive assessment completion as required. Coordinates across the interdisciplinary care team, including transitions of care to ensure safety and quality of clinical care. Demonstrates participation in multidisciplinary team rounds, as appropriate, to address utilization/resources and progression of care issues. Assists in developing and implementing an improvement plan to address issues. Implements goals and objectives that support overall strategic plans of the organization. Conducts incident reporting as required. Identifies gaps in care and takes action as necessary to close gaps in care. Outreaches to patients to engage in care management, coordination, and education. Offers and links patients, as appropriate, to health education, disease management, and wellness/prevention coaching. Educates members about available resources and services (e.g., value-added benefits) and assists the member in accessing those resources and services, if not already involved. Educates the client, family or caregivers, and members of the health care delivery team about treatment options, community resources, insurance benefits, and/or psychosocial concerns so that timely decisions can be made. Maintains objectivity in decision-making and utilizes facts to support decisions. Communicates and exchanges information with providers (e.g., PCP, specialists, labs, imaging facilities), and other care coordination entities as appropriate. Assists with bi-directional communication between state-driven coordination entities (if applicable), specialists, pharmacies, labs, and imaging facilities as needed in order to facilitate timely exchange of information. Facilitates clinical handoffs and participates in discharge planning activities with the inpatient facility to support a safe discharge placement and to prevent unplanned or unnecessary readmissions, ED visits, and adverse outcomes. Ensures member access to post discharge services as specified in the discharge and transition plan. Demonstrates an understanding of funding resources, services, clinical standards, and outcomes. Has an understanding of managed care trends, payer regulations, reimbursement, and the effect of utilization on the different methods of reimbursement. Demonstrates the ability to evaluate utilization/resource/clinical care management data to identify trends, develop action plans, and program modification for improved outcomes. Certifications and Licensures RN: Registered Nurse MI Required Education Education: Associates: BSN is preferred. Other Information Education, Experience, Training And Skills 2 years of case management experience is preferred. Three years of experience with adult medicine/pediatric patients in primary care/ambulatory care, home health agency, skilled nursing facility, or hospital medical-surgical setting, within the past five years. Knowledge of chronic conditions, evidence based guidelines, prevention, wellness, health risk assessment, and patient education. Health Plan/Payer Experience Is Preferred. Critical thinking and problem solving skills and ability to analyze complex data sets. Ability to manage complex clinical issues utilizing assessment skills and protocols Excellent assessment and triage skills. Ability to implement evidence base interventions and protocols for chronic conditions Demonstrates excellent communication--both verbal and written; dependable, self directed. Experience with managed care data systems and reporting. Must be able to type documentation concurrently during conversations. It is required of the care manager to document concurrently in the care manager platform as coordinating care with patients, providers, or other members of the care team. Proficiency in various word processing, spreadsheet, graphic and database programs, including Microsoft Word, Excel, Access, PowerPoint, Outlook, etc. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls. Other Comments

RN

Psych

Contract

Registered Nurse RN Mental Health

apartment MyMichigan Health location_onMidland, MI

Summary This position functions as a Registered Nurse (RN) providing direct care to patients on the Mental Health Unit using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. This position functions as a team member and resource to others. The RN delegates, oversees and provides direction to Mental Health Counselors. The RN is responsible for meeting the needs of all types of psychiatric patients, including those with medical complications. Responsibilities (25%)* Provides high quality, evidence based nursing care to patients using neurobiological and cognitive-behavioral frameworks and techniques. (25%)* Using the nursing process, completes assessments, provides interventions and evaluates patient outcomes according to the appropriate pathway guidelines. (20%)* Provides education to patients on illness, coping alternatives and relapse prevention. (15%)* Delegates, oversees and provides direction to Mental Health Counselor team members. (15%)* Takes initiative to provide appropriate activities for patients when needed (such as during evenings or weekends). Certifications and Licensures Credential: RN: Registered Nurse Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: FINGERPRINT: Fingerprinting Essential: true Credential: RECIPIENT RIGHTS: Recipient Rights Equivalent Experience: Mandatory Recipient Rights training within 30 days of hire and annually. Essential: true Credential: ICHAT: iChat(annually on Hire Date) Equivalent Experience Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Management Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Essential: true Required Education Education: Associates Degree in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information Other Duties And Responsibilities Communicates information accurately and effectively (verbal and written) to treatment team, to patient, to family, to other appropriate agencies. Demonstrates interest and pursues advancement of clinical skills (asks questions, seeks feedback, shares articles, attends continuing education opportunities, enrolls in classes). Monitors and manages the milieu in order to maintain a safe environment. Identifies and intervenes appropriately in any potential crisis. Possesses crisis intervention skills. Keeps updated on the use of nonphysical as well as physical management techniques and implements using sound judgment and according to established current policy. Conducts groups - provides individual education as appropriate. Maintains patient dignity and rights. Collaborates effectively with other departments and agencies on behalf of the patient. Documents according to policy. Monitors and documents changes in patient status. Participates in performance improvement projects. Completes admission assessments in an accurate, complete, and timely manner. Correctly completes basic nursing tasks such as obtaining vital signs, weight, I&O, specimen collection and assistance with personal care. Correctly assesses and utilizes seclusion and restraints and documents according to policy. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Conveys a positive attitude and works with others to constructively solve identified problems. Knowledgeable about mental health code and is a patient advocate. Knowledge and ability to work with probate courts and attorneys to resolve patient legal issues. Follows hospital policy and procedures. Has working knowledge of computers, phones, and the equipment on the unit. Responds to all disasters and codes promptly and correctly. Administers medications as ordered. Obtains and transcribes physician orders. Completes nursing assessments, performs ongoing assessments and communicates patient status and changes to physician and other team members as appropriate. Attends treatment team meetings. Provides nursing treatments, such as dressing changes, to all patients. Provides medication teaching. Completes nursing duties in accurate, timely, and thorough manner. Is a team leader when needed for decision-making regarding patient, family, or milieu issues. Experience, Training And Skills Good interpersonal skills, ability to take initiative, to work as a team, and to work with a variety of patients' needs. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Knowledge of psychiatric-mental health nursing as normally acquired through one or more years of experience in mental health nursing preferred. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.