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RN Case Manager

Company: Children's Hospital (Omaha)
Location: Omaha
Posted on: May 24, 2020

Job Description:

When you work at Children's, you're part of a treasured place of healing in the Omaha community-and beyond. Join our team of highly engaged, caring professionals who believe deeply in the organization's mission-to improve the life of every child. We support equity, diversity and inclusion, and as you apply your skills and expertise to helping children, you too will have opportunities to grow your career. In 2021, we'll open the new Hubbard Center for Children, tripling our capacity to serve children.

When children are your everything, anything can be---

We're hiring a RN Case Manager for the Neurology / Neuromuscular Speciality Pediatric Clinic (SPC) to serve patients at both Children's and Nebraska Medicine. Act in an expanded health care role to collaborate across the continuum with assigned care team, inpatient case management, social work, primary care, members of community health care teams, and patients/families to ensure the delivery of quality, cost-effective health care services.

Essential Functions/Competencies
% of Time 95%

Identifies targeted, high-risk populations within clinic site(s) per Provider referral, risk stratification, registries, and/or patient lists.

  • Assesses the health care, educational, and psychosocial needs of the patient/family.

  • Uses standardized assessment tools such as psychosocial assessments, screenings, functional assessments, and health risk assessments
  • Develops individualized patient/family education plans. Instructs and counsels patient/family regarding acute/chronic illnesses, the use of prescribed treatments and medications, care coordination, and psychosocial needs
  • Provides patient self-management support with a focus on empowering the patient/family to build capacity for self-care and integrate health promotion into their lifestyle

    Responsible for developing a comprehensive, individualized plan of care and targeted interventions.

    • Implements clinical interventions and protocols based on risk stratification and evidence-based clinical guidelines
    • Continually monitors patient/family response to plan of care and revises the care plan as indicated

      Collaborates with Providers, patients, families, and members of health care teams across a continuum of care settings and the community.

      • Fosters a team approach and includes patient/family as active members of the team
      • Takes the lead in ensuring the continuity of care which extends beyond the clinic boundaries.
      • Serves as liaison to acute care hospitals, specialists, post-acute care services and community agencies
      • Provides follow-up with patient/family when patient transitions from one setting to another
      • Completes timely post-hospital follow-up activities including medication reconciliation, Provider or Specialist follow-up appointments, review of discharge instructions, condition specific education, coordination of care, and assists in problem solving barriers

        Maintains comprehensive medical record documentation on the appropriate information systems and databases using required documentation and billing guidelines.

        • Utilize EHR activities to manage preventative care for patients
        • Assist in the development of adequate workflows to ensure patient care needs are met
        • Proactively reach out to patients most in need of care by utilizing EHR reporting tools
        • Facilitate the use of bulk ordering and communications with groups of patients
        • Manage the care of high risk patients using EHR patient outreach tools, which may include but not limited to: managing health maintenance, creating and tracking patient goals and completing appropriate patient assessments via telephone

          Works with clinic and leadership to continuously evaluate process, identify problems, and propose/develop process improvement strategies to enhance care management and the Patient Centered Medical Home delivery of care model.

          Participates in teaching/coaching clinic staff in the management of patient conditions. Assesses staff educational needs and develops educational programs. Promotes opportunities and activities. Regular attendance at work is an essential function of the job Perform physical requirements as described in the Physical Requirements section SECONDARY FUNCTIONS/COMPETENCIES 5%

          Performs other duties as assigned 100%

          • Demonstrated written and verbal communication skills
          • Ability to apply the nursing process to acute patient care to achieve outcomes
          • Current knowledge of the healthcare environment, including community resources and financial systems
          • Working knowledge of basic computer programs such as word, excel. Knowledge of smart phone use


            • Bachelor's degree from an accredited college or university in nursing required
            • Minimum five years in nursing required, preferably in a pediatric setting


              • Current and valid Nebraska RN license/RN Compact license required
              • Certification in Basic Life Support required to work
              • Certification from a nationally recognized case management organization preferred


Keywords: Children's Hospital (Omaha), Omaha , RN Case Manager, Healthcare , Omaha, Nebraska

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