Presbyterian Healthcare Services

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INPATIENT CASE MANAGER - INPATIENT CARE MGMT

at Presbyterian Healthcare Services

Posted: 12/12/2018
Job Status: Full Time
Job Reference #: 17282
Keywords: nursing

Job Description

About Us

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state¿s largest private employer with approximately 11,000 employees.

 

Presbyterian¿s story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

 

We are part of New Mexico¿s history ¿ and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

 

Job Description 

Type of Opportunity: Full Time

FTE: 1.000000

Exempt: Yes

Work Schedule: Days

Location: Rev Hugh Cooper Admin Center

 

Education:
Essential:
* Associate Degree

Education specialization:
Essential:
* Nursing

 

Credentials:
Essential:
* Registered Nurse-NM

 

Requirements:
Bachelors degree in Nursing, Business, or Health related field preferred. RN license required. Five years experience in clinical nursing. A minimum of two years of recent experience in acute clinical, utilization review, or case management within the last 10 years. National certification preferred within 3 years of hire. Computer knowledge to include Windows, Word, Excel, and database systems. Ability to analyze trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit analysis, negotiation, & cost containment. Knowledge in referral coordination to community & private/public resources

 

Competencies and skills:
Nonessential:
* SKILL-Critical thinking and attention to detail.
* ICD 9 OR 10
* SKILL-Microsoft Office
* Clinical Judgment and Action: Uses clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the patient care situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines to manage patient care.\nCritical Elements of Clinical Judgment and Action Performance \n*Consistently uses the nursing process to structure and revise care\n*Anticipates, recognizes, and responds to changes in condition \n*Accurately communicates with healthcare team members to relay changes in patient status\n*Consistently provides care based upon need and urgency\n*Consistently applies patient safety principles \n*Develops, plans, and evaluate patient short and long term care goals. Charts problems, plans and goals appropriately in NICP\n*Consistently follows policies, procedures, standing order sets, care bundles, core measure practices\n*Consistently follows red rules: Patient identification and hand-washing\n*Seeks consultation if uncertain on how to respond to patient needs\n*Adjusts care to establish and support care goals\n*Integrates technology into daily care of patient by appropriate initiation of technology, maintenance, troubleshooting, and discontinuation \n*Consistently and accurately documents care per policies & standards \n
* Patient Advocacy: Works on behalf of the patient/family representing their concerns and helps resolve ethical and clinical issues that impact the patient situation.\nCritical Elements of Patient Advocacy Performance \n*Maintains patient confidentiality/personal/medical information\n*Identifies ethical and clinical issues\n*Acts with integrated healthcare team using appropriate resources to resolve ethical/clinical issues\n*Advocates for patient needs, values, and goals\n*Compliance with JC Rights and responsibilities of the Individual elements\n\n\n
* Clinical Inquiry: Uses high standards and evidence-based practices along with questioning, research and evaluation skills to provide informed and/or change practice\nCritical Elements of Clinical Inquiry Performance \n*Supports process/quality improvement initiatives and incorporation into practice\n*Follows and is informed on Department outcome measures\n*Actively participates in changes in practice/roll outs\n*Seeks advice and consultation on care from colleagues and interdisciplinary team\n
* Collaboration: Involves multidisciplinary team as well as patient/family to promote optimal and realistic goals and outcomes\nCritical Elements of Collaboration Performance\n*Provides and coordinates independent, interdependent, and dependent care interventions with interdisciplinary care team \n*Selects appropriate Screenings from HED to facilitate interdisciplinary care when needed \n*Appropriately delegates care, monitoring delegated team members care and responds as appropriate with the goal of optimizing care\n*Interactions with care team in respectful, professional manner\n
* Facilitation of Learning: Fosters patient/family learning to promote self-care using both formal and informal processes as applicable and at an appropriate level of understanding. \nCritical Elements of Facilitation of Learning Performance \n*Self: Completes all required learning modules, programs in specified time\n*Self: Uses available resources within system to enhance own continuous learning\n*Self: sets and achieves learning and performance goals yearly\n*Self: Consults, teaches, supports continuous learning with colleagues\n*Self: Actively seeks learning/mentorship \n*Patient: Assess patient's learning >* Response to Diversity: Uses holistic body, mind, spirit approach in provision of care by recognizing, appreciating, and incorporating cultural, spiritual, gender, race, ethnicity, life>* System Thinking: Manages environmental and system resources across the healthcare system and community to meet patient/family needs or provision of quality care. \nCritical Elements of Systems Thinking Performance \n*Utilizes internal and PHS resources to provide evidence-based care including policy, protocols, procedures, approved specialty resources\n*Incorporates all patient safety technology, tools, protocols, communications, and initiatives to optimize a safe patient environment\n*Deploy in the clinical environment processes to enhance care efficiency, cost containment\n*Plan, maneuver, and deliver services/technology that are available within the system to meet the care needs of the patient \n*Negotiates within the system to achieve the care needs of the patient\n
* Demonstration of high degree of independent problem solving and critical thinking skills.
* SKILL-Ability to deal with all levels of staff and management within the organization, board members, as well as the public, under highly stressful conditions.
* SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies. \n
* SKILL-Written communication

 

Summary:
Coordinating patient care across the continuum using assessment, care planning, implementation, coordination, monitoring and evaluation for cost effective and quality outcomes in a primarily inpatient setting

 

Benefits

Benefits are effective day-one (for .45 FTE and above) and include:

  • Competitive salaries<\>

  • Full medical, dental and vision insurance<\>

  • Flexible spending accounts (FSAs)<\>

  • Free wellness programs<\>

  • Paid time off (PTO)<\>

  • Retirement plans, including matching employer contributions<\>

  • Continuing education and career development opportunities<\>

  • Life insurance and short/long term disability programs<\><\>

     

    About New Mexico

    New Mexico¿s unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich life>

    Santa Fe¿s artists, and you get an eclectic mix of people, places and experiences that make this state great.

     

    Cities in New Mexico are continually ranked among the nation¿s best places to work and live by Forbes magazine, Kiplinger¿s Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

     

    New Mexico offers endless recreational opportunities to explore, and enjoy an active life>

     

    AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!