Case Manager - Nursing

Responsible for coordinating the care and service of patient population; partner with the healthcare team to ensure all aspects of the patient’s clinical, psychosocial, and financial needs are adequately addressed in the transition of care plans; manage patients timely progression of care and safe transition to the next most appropriate level of care; conduct an in-depth case management assessment of a patient’s needs at the time of admission and throughout the patient’s stay; obtain and confirm information necessary for the development of a comprehensive discharge/ transition plan of care; conduct patient assessments and intervene to proactively prevent unnecessary readmissions; evaluate readmitted patients to identify causes of the readmission and implement strategies to prevent another unnecessary readmission; review all clinical findings and diagnostic reports to maintain a comprehensive understanding of the patient’s current plan of care; correlate the medical record findings with patient assessment findings and work with physicians to develop a comprehensive case management and transition plan of care; performs duties in a manner that promotes quality patient care/satisfaction, while promoting safety cost efficiency, and a commitment to the continuous quality improvement process; coordinate the patient’s care by monitoring the length of stay (LOS) of the patient’s hospitalization, lead and facilitate Patient Progression Rounds, and proactively work to meet expected length-of-stay and clinical targets/indicators; communicates with the healthcare team and patient/caregiver regarding any issues related to payer or financial issues that may negatively influence the patient’s post-acute care plan; develop, document, and update a discharge/transition plan through collaboration with the interdisciplinary healthcare team; facilitate discharges to other facilities as appropriate and in accordance with Care Management department and Transfer Center policy and procedures; oversee the administrative, operational, and financial operations of a unit of traditional registered nurses who deliver patient care; participate in the identification, collection and analysis of data trends related to length of stay, avoidable days, and readmission rates; identify clinical and/or operation barriers to patient care progression and addresses these barriers with healthcare team and department leadership as appropriate; collaborate with the Utilization Review Case Manager to monitor resource utilization and validate that the patient is in the most appropriate level of care based on Federal, State, and other payer guidelines; work closely with physicians, nurses, social workers, ancillary staff, and other members of the healthcare team to collaboratively communicate assessment finding and care transition recommendations to achieve targeted outcomes and meet all patient needs; document relevant discharge/transition planning information in the medical record according to departmental standards and policies; facilitate discharges to other facilities as appropriate and in accordance with Care Management department and Transfer Center policy and procedures; utilize and apply knowledge of patient/family education support, comprehensive discharge/transition planning, community healthcare resources, interdisciplinary healthcare team coordination, acute nursing care, research methodologies, EPIC HER, Quality care issue identification/resolution, social work patient care identification/referrals, risk assessments, Joint Commission accreditation standards, and chronic condition management (COPD/CHF) to perform duties; serve as an educational resource to patients/families, physicians, nurses, clinical staff, and others regarding case management services and the facilitation of effective and efficient patient care coordination; and participate in the development of Case Management practice standards and executes consistent standards of care and practice.

Location: 2799 W. Grand Blvd., Detroit., Michigan, 48202.

Salary: $87,921 per year

"DNS"

#LI-DNI"

Education: Bachelor’s Degree Nursing, Nursing Administration, or in a related field of study (will accept equivalent foreign degree);

Experience: Two (2) years in the position above, as a Charge Nurse, as a Nurse Leader, as a Clinical Educator – Nursing, as a Registered Nurse, or in a related occupation;

Other Requirements: Experience must include two (2) years use of all the following: patient/family education support, comprehensive discharge/transition planning, community healthcare resources, interdisciplinary healthcare team coordination, acute nursing care, research methodologies, EPIC HER, Quality care issue identification/resolution, social work patient care identification/referrals, risk assessments, Joint Commission accreditation standards, and chronic condition management (COPD/CHF); and must possess valid State of Michigan Nursing license.

Will also accept any suitable combination of education, training and/or experience.

Additional Information

• Organization: Henry Ford Hospital - Detroit Main Campus

• Department: Inpatient Case Management

• Shift: Day Job

• Union Code: Not Applicable

  Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.