The RN Case Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient, psych and emergency department patient care areas for patients with mental health needs. The position is unique in that it combines clinical/quality considerations with regulatory/financial/utilization review demands. The position creates a balance between individual clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes. This position coordinates medical transitions of care with patients in the medical units, emergency departments, and inpatient psych units that the psych provider team is following or consulted on.
Organizational Relationships The RN Case Manager reports directly to the Clinical Nursing Director of Care Management. The RN Case Manager works closely with the psych provider teams in reaching unit and organization goals including length of stay, care transitions, readmissions, and other quality initiatives. In the emergency departments, the RN Case Manager works collaboratively with other members of the interdisciplinary team to develop and implement a comprehensive, integrated discharge plan from the emergency department(ED). The RN Case Manager will recommend and document patient classification of all admissions utilizing established criterion set.
Characteristic Duties and Responsibilities
Care Coordination and Discharge Planning
Consult with psych team to determine patients that need care coordination on the inpatient units, in the EDs, and inpatient psych.
Develop a transitions of care plan for patients as appropriate.
Lead care coordination rounds to update the plan and facilitate implementation.
Initiate discharge plan including early referrals to homecare, DME and infusion services
Prepare patient/family for discharge
In collaboration with SW “partner” follow standard for routine patient/family conferenceEnsure patient handovers to next level of care; work closely with Care Navigators in clinics, complex care Case Managers , Social Work, OBRA, Community Mental Health, homecare and sub-acute liaisons
Support nursing Model of Care by working closely with nursing managers and staff to achieve Patient Family Centered Care goals: respect and dignity, information sharing, participation and collaboration
Facilitate increased volume of cases discharged by noon to improve capacity management
Collect “avoidable days” information; report findings in care management software, such as Allscripts
Participate in venues to reduce barriers to discharge
Obtain anticipated LOS from provider and ensure patient and multi-disciplinary team is aware
Identify opportunities for cost reduction and participate in appropriate utilization management venues
Actively participates in the performance planning, competency and individual development planning process
B. Maintains current knowledge of case management, utilization management, and discharge planning , as specified by federal, state, and private insurance guidelines
Bachelor’s Degree in Nursing or
Associate’s Degree/Diploma in Nursing and a Master’s degree in Nursing
Current State of Michigan Board of Nursing licensure
Minimum of 5 years of acute and/or psychiatric care nursing experience
A minimum of 1 year of successful experience in at least one of the following classifications: nursing management; case management; clinical care coordination; demonstrated advancement in clinical career ladder.
Knowledge of community resources to coordinate safe discharge from the emergency departments
Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and or teams, across disciplines
Excellent communication and negotiation skills as demonstrated in oral and written forms
Ability to work in a collaborative “partnership” model with Social Workers and other members of the interdisciplinary team, both internal and external
Organizational and time management skills, as evidence by capacity to prioritize multiple tasks
NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position
Two years hospital discharge planning experience
Master’s degree in nursing or other health related field
Case Management Certification such as ACM or CCM
Excellent analysis and data management and PC skills
Ability to work in autonomous and self-directed manner
Experience with InterQual criterion set
Experience with Allscripts
Experience with quality improvement initiatives
Two years home care or skilled home health experience
Nursing at Michigan offers a competitive salary with excellent benefits!
Salary range for Registered Nurses- $63,918.40- $101,108.80
Evening Shift Differential- $2.35 per hour
Night Shift Differential- $3.20 per hour
Weekend Differential- $1.75 per hour
The benefit package includes:
Excellent medical, dental and vision coverage
2:1 Match on retirement savings and immediate vesting
Generous Paid Time Off Allowances
Robust Tuition and Certification support programs
Large offering of no cost CEs and professional development for advancement
Hours: 40 Shift: Day shift, 8 hour shifts with weekend and holiday commitments Location: UMH Care Management- Psychiatric Focus
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
The University of Michigan is an equal opportunity/affirmative action employer.
Internal Number: 167852
About University of Michigan - Ann Arbor
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.