The Nurse Case Manager, in collaboration with the multidisciplinary team is responsible for assessing, planning, implementing, and evaluating patients, incorporating the clinical, psychosocial, and family factors specific to the care and disease management plan. Communicates and manages the transitions of care and assists patient and family to navigate the health care systems. Recognize and intervene to secure resources necessary for the care and safety of the patient and family across the continuum of care.
- Provides assessment and evaluation of patient for clinical, psychological and social factors that may contribute to their disease process and may require specific or complex continuing care needs and supportive services.
- Interfaces with patient, physicians, nurses, social workers, other hospital departments, community based facilities, services and financial institutions as necessary, to affect changes in the management of cases, monitoring delivery of services and/or to secure the necessary resources.
- Responsible for the review of each patient clinical course in the record. The proper documentation supports status and corresponding physician orders to support the admission as inpatient or to meet the criteria for observation status. Matching the order to the status. Clinically look at the status to see if appropriate if not communicates changes (sending Clinicals) to the designated members of the care team and other hospital departments as needed.
- Effectively and proactively communicates with the insurers to provide the needed and or requested documentation to support the patients stay. Proactively manages and communicates issues to the appropriate hospital departments.
- Provides support to the patient and families and provides evaluation and coordination with care planning and patient safety while arranging for transitional care and discharge planning needs.
- Bases care management actions by applying principles of purposeful, organized thinking to make sound clinical judgment/decisions.
- Documents measurement and evaluation of financial, clinical, functional and satisfaction outcomes as patient progresses towards desired goals.
- Evaluates and responds to the learning needs of clients, clinicians and community.
- Manages the care of simple to complex multi-system patients by using time and resources efficiently.
EDUCATION AND EXPERIENCE:
- Graduate from an accredited school of nursing and baccalaureate degree in a related field.
- Licensed and currently registered as a professional nurse in Massachusetts.
- Certification required: BLS
- Certification recommended: In Case Management, or Specialty.
- Acute Care Facility experience of 3 years in a clinical specialty or Case Management, Discharge planning, Quality Improvement and Utilization Review. Demonstrates effective interpersonal, organizational and motivational skills. Demonstrates ability to function as a team player. Proficient in written and verbal communication.
Massachusetts Eye and Ear is proud to be an equal-opportunity employer and is committed to providing a workplace free from harassment or discrimination. All employment decisions are made without regard to race, color, age, gender, gender identification, sexual orientation, religion, marital status, sex, pregnancy or conditions related to pregnancy, national origin/ancestry, citizenship, disability, military status, genetic information, or any other basis prohibited by law. These protections extend to all management practices and decisions, including recruitment and hiring practices, appraisal systems, promotions, training, and career development programs.
MEI Mass Eye and Ear Main Building Boston
243 Charles Street