We have excellent opportunities for Case Management RNs to join our team at both our Pennington and Trenton, NJ locations.
Assesses patients on assigned units based on policy. Assessments to include review of the treatment plan, determination of the appropriate level of care, assessment of discharge needs, and initiation of the discharge plan process. Collaborates with the social worker regarding patients' complex social and discharge needs.
Develops and implements a discharge plan proactively through collaboration with physicians, patients, families, multidisciplinary team members and other external caregivers (as applicable) to facilitate a seamless transition from one level of care to another across the healthcare continuum.
Attends daily rounds on assigned unit with team members to ensure that the multidisciplinary plan of care is consistent with the patient's clinical course, continuing care needs and covered services as evidenced by documentation of care needs and interventions.
Reassesses continually the plan of care and discharge needs of the patient, and collaborates with the members of the multidisciplinary team to modify the plans as needed based on the patient's changing needs as evidenced by weekly documentation in the progress notes.
Maintains a working knowledge of behavioral responses to illnesses and other areas (community resources, payer requirements) to facilitate the patient's movement along the healthcare continuum as demonstrated by participation in ongoing continued education with a minimum of 15 CEUs per year.
Maintains appropriate documentation in the medical record and in computer systems as required by policy or departmental practice.
Makes all appropriate referrals needed to implement the discharge plan, which include LTACH, post-acute facilities and home care, on a timely basis. Follows up to ensure that the services needed by patients/families are in place prior to discharge.
Identifies, develops and implements strategies to reduce length of stay and resource consumption.
Handles daily assessment of patient hospital course to proactively identify issues with completion and reporting of diagnostic testing, completion of treatment appropriate for the acute episode of care, facilitation of appropriate level of care, and appropriate utilization of resources, discussing estimated LOS for diagnosis and communicating the discharge plan.
Works collaboratively with the multidisciplinary team when issues are identified to facilitate appropriate interventions. Collects accurate data on the variances for analysis on daily reports.
Identifies accurately issues that have a negative impact on patient care and reports these issues in a timely manner to the responsible entity. Identifies accurately and advises appropriate manager/director when physician or patient issues require legal, ethical or administrative interventions. Participates in performance improvement activities in the management of patient care as demonstrated in monthly PI reports.
Valid NJ RN license.
Three years of experience in a clinical nursing environment.
Experience in case management field, including utilization review, discharge planning, outcomes management, assessment care planning and care coordination.
Word-processing and spreadsheet skills.
About Capital Health: Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Comprising two hospitals (our Regional Medical Center in Trenton and Capital Health Medical Center – Hopewell), our Hamilton outpatient facility and various primary and specialty care practices across the region, Capital Health is a dynamic healthcare resource accredited by DNV GL - Healthcare.
A four-time Magnet®-recognized health system for nursing excellence, Capital Health serves as a Level II regional trauma center, comprehensive stroke center, regional perinatal center (including a Level III NICU), and emergency mental health screening center. We also offer the region's first and most experienced Pediatric Emergency Department and most recently, New Jersey's first Autism-Friendly Pediatric Emergency Department. Capital Health takes great pride in our innovative programs, such as our Capital Institute for Neurosciences; nationally accredited Center for Comprehensive Breast Care; Center for Digestive Health; Marjorie G. Ernest Joint Replacement Center of Excellence; award-winning Cancer Center; and our Heart & Vascular Institute, which includes the region's first accredited Chest Pain Center.
We offer competitive compensation and benefits that include:
Low employee expense for medical and dental insurance
403b savings and retirement program
Educational assistance program
Find out why our 3000+ employees have chosen Capital Health.