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RN Case Manager

SSM Health • Bridgeton, MO 63044 • Posted 4 days ago

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In-person • Full-time • Mid Level

Job Highlights

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The RN Case Manager at SSM Health DePaul Hospital - St. Louis supports patients by ensuring they are discharged safely, identifying and working through any barriers to discharge with the patient and care team. This role involves assessing, developing, planning, implementing, and evaluating patients' discharge planning needs in collaboration with an interdisciplinary team. The position focuses on compliance with Condition of Participation (CoP) discharge planning, identifying and escalating gaps or barriers related to inpatient and observation length of stay, and developing plans for high-risk readmission patients.

Responsibilities

  • Ensures compliance with Condition of Participation (CoP) discharge planning.
  • Identifies and escalates gaps/barriers related to inpatient and observation length of stay.
  • Assesses patients at high risk for readmission and develops a plan with the multidisciplinary team regarding discharge planning to next level of care.
  • Participates with other members of the team regarding opportunities for improvement in standard work.
  • May be responsible for utilization management process, ED case management process, admission process, and acting as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.).
  • Applies evidence-based practice and scientific knowledge in health care to nursing practice.
  • Demonstrates professional nursing standards and uses the ANA Code of Ethics for Nurses to guide responses to patient needs.
  • Works in a constant state of alertness and safe manner.
  • Performs other duties as assigned.

Qualifications

Required

  • Graduate of accredited school of nursing or education equivalency for licensing
  • Three years' acute care experience
  • State of work location registration for RN (e.g., Illinois, Missouri, Oklahoma, Wisconsin)
  • Compliance with Condition of Participation (CoP) discharge planning
  • Ability to identify and escalate gaps/barriers related to inpatient and observation length of stay
  • Experience in assessing patients at high risk for readmission and developing discharge plans
  • Participation in opportunities for improvement in standard work
  • Knowledge of utilization management process, ED case management process, admission process
  • Ability to act as a case manager liaison with post acute providers

About SSM Health

SSM Health is a not-for-profit health system operating in Illinois, Missouri, Oklahoma, and Wisconsin, providing high-quality, compassionate care. They specialize in pediatric care, with award-winning services like the SSM Health Cardinal Glennon Children's Hospital in St. Louis, offering over 60 specialties including top NICU and Cardiology & Heart Surgery programs. With various specialized centers and convenient locations, SSM Health is dedicated to delivering exceptional care to children and families.

Full Job Description

It's more than a career, it's a calling

MO-SSM Health DePaul Hospital - St. Louis

Worker Type:

Regular

Job Highlights:

Case Manager RN at SSM Health DePaul Hospital - St. Louis

At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.

Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.

The role of the RN-Case Manager supports our organization by ensuring patients are discharged from the hospital safely, identifying any barriers and working through those with the patient and care team.

Job Summary:

Assesses, develops, plans, implements, and evaluates patients discharge planning needs to next level of care in collaboration with interdisciplinary team.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

  • Ensures compliance with Condition of Participation (CoP) discharge planning.
  • Identifies and escalates gaps/barriers related to inpatient and observation length of stay.
  • Assesses patients at high risk for readmission. Identifies root cause for readmission. Develops plan and collaborates with multidisciplinary team regarding discharge planning to next level of care.
  • Participates with other members of team regarding opportunities for improvement in standard work.
  • May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.).
  • Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service.
  • As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model. Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations.
  • Works in a constant state of alertness and safe manner.
  • Performs other duties as assigned.


EDUCATION

  • Graduate of accredited school of nursing or education equivalency for licensing


EXPERIENCE

  • Three years' acute care experience


PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois

  • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)


State of Work Location: Missouri

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Missouri Division of Professional Registration


State of Work Location: Oklahoma

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)


State of Work Location: Wisconsin

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8746060033 System Case Mgmt -STL

Scheduled Weekly Hours:
40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

Benefits

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

  • Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
  • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
  • Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.