Case Manager RN - Pediatrics/NICU

Duties and Responsibilities:

1. Accountable for developing and coordinating the implementation of Discharge Plan A and alternative Plan B, including documentation in the medical record.

2. Holds, interprets, and integrates the patient's story into the overall multidisciplinary plan of care

3. Coordinates/facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes within a target LOS

4. Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting

5. Uses the Physician Advisor per protocol for complex issues related to physician practices or behaviors. Determines next steps for the patient and physician with the Physician Advisor.

6. Leads or co-leads Care Coordination Rounds per policy and refers patients for Complex Care Rounds

7. Actively participates in clinical performance improvement activities as assigned

8. Builds a network of positive working relationships that advocate for the patient

9. Conduct team meetings for all unplanned readmissions that occur within 30 days

10. Complete whatever paperwork is necessary to facilitate the patient's transition through levels of care.