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Health Care Specialist, RN

Carle Health

Urbana, IL

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JOB DETAILS
SKILLS
Acute Care, Case Management, Certified Case Manager (CCM), Code Reviews, Conferences, Customer Relations, Discharge Plans, Documentation Plan, Durable Medical Equipment, Financial Regulations, Healthcare, Healthcare Providers, Home Care, Homeland Security, Hospice Care, Hospital, Java Swing, Medicine, Needs Assessment, Nursing, Patient Assessment, Patient Care, Patient Care Denials, Primary Care, Quality Management, Quality of Care, Registered Nurse (RN), Risk Management, Social Security Administration, Social Work, Time Management, Treatment Plan, Utilization Management
LOCATION
Urbana, IL
POSTED
1 day ago
Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital. Utilizes the five components of case management: assessment, coordination, monitoring, implementation, and evaluation. Multidisciplinary Rounds are completed daily with the care team at the patient's bedside which assists the team for timely planning and collaboration. Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)Illinois Department of Financial and Professional Regulation (IDFPR); Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA)American Case Management Association (ACMA); Nursing (Required), Work Experience: None Act as a liaison working with patient/family and physician to determine next level of care Coordinates the transition from inpatient care to post-hospital care, working with pre- and post- hospital providers to ensure responsive and appropriate care is provided post-discharge. Documents plan of care and utilization issues in appropriate locations, including but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients. Evaluates effectiveness of plan of care to ensure the progression toward desired patient outcomes. Initiates intervention, both pre-hospital, in-hospital, and post-hospital, for patients and families identified from a proactive initial admission assessment, as well as through referrals from members of the health care team. Initiates timely referrals to other health care team members (quality improvement, risk manager, social workers, physicians, Home Services, etc.) Performs nursing activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education. Proactively investigates coverage for post-hospital needs and presents options to the patient/family and provider. Provides oversight of acute setting plan of care to ensure coordination and completion of services to meet post-hospitalization needs. Arrange DME, Home Care, Hospice, Extended Care Facilities / Skilled Nursing Facilities, and Transportation Assist any patient/family care conferences. HRHC: make follow up appointments with primary care provider before patient discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. Obtain prior authorizations for swing bed patients, maintain the work ques, and address denials. RMH: make follow up appointments with primary care provider before patient discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health. Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers.

About the Company

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Carle Health