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Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Penn Presbyterian Medical Center (PPMC) has an outstanding opportunity for a PRN RN Case Manager to join the Case Management team and work alongside some of the best medical providers in Philadelphia.

PPMC, the Philadelphia region’s top Level 1 Trauma Center, has an outstanding record of medical accomplishments, placing our patients at the core of everything we do. The “how” is important to us – how we treat our patients and each other, how we raise the bar every day to achieve excellence and how we contribute to the health of the community around us. PPMC has a community feel but is also part of the larger academic and research-based institution that is Penn Medicine. By joining PPMC, you get the best of both worlds and a genuine commitment to your professional growth and development.

Summary:

+ Monitors appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor, with timely coordination of home care, DME, placements, hospice, community resources, transportation, and quality data collection and risk management referral.

Responsibilities:

+ Utilization management activities:Monitor appropriate use of internal resources, communication with interdisciplinary care team and Physician AdvisorDischarge planning activities: timely coordination of home care, DME, placements, hospice, community resources, transportationQuality data collection and risk management referralWorks with patient and family to assure provision of choice in post hospital settingEducates patient / customers regarding scope and limitations of health care / insurance benefitsRespects each patient’s / customer’s personal dignity, right to privacy and confidentialityCommunicates expected discharge time frameKeeps current with new providers, new technologies and treatment modalities, and new resources using internet and other sourcesRecognizes and provides care based on the unique chronological issues and needs of the older adult.Interacts with the patient and family in a developmentally appropriate manner.Discharge Planning:Completes timely and detailed assessment of patient and family social, emotional and/or discharge needs and health care benefitsDevelops and facilitates specific plan to address problems and/or concerns identified by patients, families and health care teamIdentifies and consistently documents delays; elevates issues appropriatelyEffectively communicates discharge plan with patients, families and health care teamDocuments ongoing assessments and plan of care in patient record (Canopy)Successfully assists patient in moving to the next level of care with transfers to home, agencies, and facilities and with referral to appropriate community resourcesParticipates and drives accountability in daily interdisciplinary meetingsUtilization Management:Adheres to guidelines to satisfy 3rd party payer requirementsEducates team in appropriate documentation to reflect Intensity of service (IS) / Severity of Illness (SI) and plan of careProactively addresses level of care issues to ensure appropriate care settings and timely patient flow; elevates issues appropriatelyEnters all review activity in Canopy concurrentlyAccounts for all patient days accurately in CanopyEnters review indicating “pending” status of case if outcome not determined and accounts for all cases assigned on a daily basisCollects and submits data as indicatedCompletes readmission screen as indicatedQuality Improvement and Risk Management:Collects and submits data as indicatedCommunicates with service line / clinical effectiveness team membersIdentifies and appropriately communicates risk management issuesWorks with department leadership to develop and implement solutions to issues identified by the Case Management and Social Work DepartmentNew Technology / Computer Systems:Keeps current with new systems (MedView, On Base, SafetyNet, Sunrise, etc.)Incorporates technology into daily assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet)

Credentials:

+ Active RN PA license in good standing required

Education or Equivalent Experience:

+ Bachelor's Degree in Nursing required

+ 2+ years Clinical Experience preferred

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 266478