Travel Nurse RN - Case Management - $2,305 per week at Centura Health Corporation - 11600 W 2nd Pl , St. Anthony Hospital
Lakewood, CO
About the Job
- Obtains, reviews and analyzes information relative to discharge planning in accordance with hospital policy.
- Assesses/reassesses patient's clinical and psychosocial status, premorbid status, community services utilized, and diagnosis and treatment plan per Case Management referral.
- Through assessment process identifies community resources needed and facilitates referrals to agencies (local and state) or programs for assistance as needed.
- Educates patient and/or family on community resources available for assistance.
- Facilitates discharge planning working with patient, families and treatment team making any needed referrals/arrangements and documenting actions.
- Documents actions taken in progress notes and/or discharge planning-assessment form from initial visit through to D/C.
- Demonstrates professionalism in actions and job performance in accordance with mission and the social work code of ethics.
- Demonstrates and understands the needs of the following age specific categories: neonatal, pediatric, adolescent, geriatric and implements a discharge plan tailored to the age specific needs of the patient.
- Demonstrate special sensitivity toward different age groups, ethnic, cultural and disabling human diversity and human development.
- Conforms to standards of patient and family confidentiality according to hospital and NASW standards and HIPPA.
- Assesses patient's physical, psychosocial, cultural and spiritual needs through observation, interview, review of records and interfacing with interdisciplinary team and caregivers to ensure appropriate referrals.
- Reevaluates and makes adjustments to discharge plan as patients' condition changes.
- Ensures that appropriate arrangements for post-hospital care are made before discharge to avoid unnecessary delays in discharge.
- Assesses patient/family emotional, social and financial needs and assists in setting up community resources to meet these needs.
- Provides support to patients and families who are having difficulty coping effectively with changing medical conditions.
- Confirms treatment goals and anticipated plan of care through discussions with treatment team/review of documentation.
- Communicates treatment goals or best practices to treatment team including physician.
- Uses ECIN to facilitate electronic referrals for discharge planning.
- Uses supportive crisis intervention including illness, grief/loss in decision making process.
- Consults and communicates, as appropriate, with manager regarding difficult practice issues.
- Adheres to state and federal regulations pertaining to discharge.
- Implements discharge plan in accordance with physician direction and patient/caregiver agreement.
- Assesses patient/family learning style and appropriately teaches and documents understanding.
- Collaborates with interdisciplinary team to develop and implement holistic, individualized plan of care.
- Works in collaboration with Case Management Coordinator, Home Care Coordinator and Utilization Review to ensure seamless and timely delivery of services.
- Maintains updated referral resource lists.
- Assess, coordinates and evaluates discharge readiness with CM and use of resources and discusses variances on an as needed basis with treatment team.
Job Details
- Participates in Family Conferences and Interdisciplinary Team Meetings on an as needed basis with Case Manager.
- Reviews variance in plan of care concerning discharge planning with CM and/or CM supervisor as needed.
- Completes daily discharge planning verbal rounds with CM department to prioritize daily activities.
- Initiates discharge planning day one of referral to assist with LOS management.
- Works with third party payors and CM to satisfy discharge planning needs and obtain approval of post discharge plans.
- Implements plan and communicate possible options for d/c with regard to insurance benefits and contracted providers.
- Makes appropriate outside agency referrals.
- Follows through with all aspects of d/c planning across continuum of care.
- Provide supervision/preceptorship for department medical social workers pursuing advanced licensure
- Perform SBIRT evaluations, biopsychosocial assessments and crisis evaluations.
- Knowledge of community resources used for discharge planning, hospital operations, excellent communication/presentation skills, knowledge of third party payment systems, Medicare/Medicaid programs.
- Maintains current knowledge base of community services through continuing education.
- Ability to multi-task, set priorities and maintain organization.
- Computer skills.
Additional Details
