UPMC Registered Nurse Case Manager in Ebensburg, Pennsylvania
Are you a compassionate Registered Nurse looking to make a difference with your career? If so, you might be a great fit on our team! We're looking for an experienced Registered Nurse to provide excellent in-home patient care throughout Cambria County. This position works 8:00 AM - 4:00 PM with a weekend rotation. On-call and after-hour coverage is needed on occasion.
This position is eligible for a $5,000 sign-on bonus.
Adhere to infection control principles, standards, policies and procedures.
Conduct a comprehensive patient assessment(s), initial, reassessment, discharge and ongoing of the client's needs, including OASIS assessment at appropriate time points. (G171, G172, G331, G335)
Achieve and maintain OASIS assessment accuracy.
Communicate findings to ordering physician.
Validate medical diagnoses and submit preliminary ranking.
Identify and prioritize the problems/needs of patient.
Establish a physician-directed, individualized treatment plan in conjunction with Utilization Management staff.
Demonstrate support of the Agency's Mission, Principles, and Values, Ethics, & Standards of Behavior
Educate and require adherence to performance improvement processes and initiatives
Establish and manage patient Plan of Treatment for all disciplines/services, from assessment to discharge under direction of physician for a defined caseload.
Obtain physician orders for all service and treatment.
Execute the plan of treatment and revise as necessary in conjunction with the ordering physician. (G162, G173)
Coordinate services with other disciplines (G176).
Inform the physician and other staff of changes in patient condition (G176).
Determine preliminary ranking of medical diagnoses and assure accuracy ongoing.
Expand knowledge and expertise through educational resources and literature review
Maintain and protect customer and Agency confidentiality
Maintain personal productivity by demonstrating satisfactory attendance and punctuality
Manager third party authorization process to avoid bad debt.
Provide third party payer updates as requested for visit authorization within the specified time frames.
Assure third party payer authorizations are obtained for specific payers.
Verify third party payer coverage with patient on an ongoing basis.
Model and mentor effective leadership and management
Plan and coordinate care to meet ongoing needs at time of discharge.
Complete Discharge Instructions.
Promote personal and co-worker safety during work duties
Provide clinical services and/or treatments requiring substantial and specialized nursing skill. (G174)
Complete all education requirements.
Maintain Agency specialty clinical competencies.
Represent and participate in Agency professional and community activities as requested
Responsible for achievement of optimal patient outcomes.
Identify and prioritize the problems/needs of the patient.
Develop individualized, patient specific, measurable/realistic outcomes.
Initiate appropriate preventive and rehabilitative nursing procedures. (G175)
Consult with supervisor when variances to outcomes and/or utilization patterns are identified.
Educate the patient and family in meeting nursing and related needs. (G177)
Utilize appropriate patient teaching methods that are age specific, culturally sensitive, language specific, and appropriate to level of education and physical disability.
Identify, initiate and coordinate referrals to internal and external resources, including specialty staff.
Evaluate outcomes of care and validate declines.
Responsible for concise, accurate and timely documentation of patient observations, care, treatment and outcome attainment. Prepare clinical and progress notes. (G176)
Responsible for meeting/exceeding Customer Service initiatives.
Initiate activities to report and/or resolve customer complaints.
Establish and maintain customer relationship focus with all internal and external customers.
- Responsible to manage the provision of safe and effective care for a defined caseload.
Assure continuity of care.
Prioritize patients for emergency preparedness.
Maintain productivity standards.
Instruct, direct and document supervision of License Practical Nurse in patient plan of care. (G178)
Develop and modify Home Health Aide Plan of Care as indicated.
Assign Home Health Aide to a specific patient.
Document supervision of Home Health Aide services according to regulation.
Review HHA documentation to assure compliance to HHA plan of care.
Observe care being provided in the home during initial supervisory visit to assure adherence to care plan, rights, and safety.
Graduate of a School of Nursing accredited by NLN required.
Bachelors Degree in Nursing is preferred.
Minimum of one year work experience.
Internal: Minimum 1 year satisfactory performance as RN II preferred. Demonstrated OASIS competency. Competency in a minimum of one clinical specialty area.
Competency in a Windows based environment.
Access to transportation in the Agency service area with valid Pennsylvania drivers license and auto liability insurance.
Licensure, Certifications, and Clearances:
Cardio Pulmonary Resuscitation
Act 33 Child Clearance
Act 34 Criminal Clearance
Older Adult Protective Services Act
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities