RN-Case Management/Care Coordination

Company: Yale New Haven Health
Location: Bridgeport
Posted on: March 29, 2025

Job Description:

RN-Case Management/Care Coordination at Yale New Haven Health summary:
The RN-Case Manager specializes in coordinating patient care to ensure quality medical services aligned with institutional objectives. They work within an interdisciplinary healthcare team to develop comprehensive care plans, promote continuous improvement, and assist in managing patient transitions from inpatient to outpatient care. With a focus on advocacy, efficiency, and compliance, the Case Manager actively addresses patient needs while ensuring resource optimization within the healthcare system.
Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We strive to achieve benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients.

The Case Manager is responsible and accountable for ensuring high-value patient care that is coordinated, efficient, and aligned with institutional clinical and financial objectives. In collaboration with the healthcare team, the Case Manager utilizes evidence-based practice to ensure that specific patient outcomes are reliably achieved and that resources are appropriately used within designated fiscal time frames. With our members of the health care team, the Case Manager participates in the ongoing evaluation of practice patterns and supports efforts to improve patient care and enhance the efficiency of operations. The Case Manager interacts with others in the identification of trends and barriers to all aspects of care. Through this interaction, the Case Manager identifies and works toward a resolution as a part of the multidisciplinary team.

EEO/AA/Disability/Veteran

Responsibilities

• 1. As part of the interdisciplinary health care team, coordinates and ensures the implementation of the plan of care, utilizing the principles of case management.
  • 1.1 Establishes a system for coordinating the care of a patient throughout the continuum of care, linking the inpatient care with outpatient care, services, and case management.
  • 2. Optimizes the efficiency of hospital systems which impact quality and/or length of stay
    • 2.1 Identifies and monitors compliance with documenting variances from established parameters in the clinical pathway or treatment plan.
    • 3. Utilizes information obtained from various resources available to:
      • 3.1 Ensure that each patient meets the clinical needs for admission, treatment, and discharge and initiates appropriate follow through with the health care team.
      • 4. Assist clinicians in documenting the appropriateness of admissions and continued stays
        • 4.1 Responsible for Medicare notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials.
        • 5. Ensures that an appropriate discharge plan is developed and implemented with the health care teams members to include:
          • 5.1 Identifying service, treatment, and funding options;
          • 6. Ensures that the discharge plan provides a continuum of care with the appropriate outpatient physician and needed services.
          • 7. Ensure that the appropriate outside agencies are contacted and necessary referrals are initiated and followed through.
            • 7.1 Links patient and family with the appropriate institutional or community resources, advocating on their behalf for scarce resources, and developing new resources where gaps exist in the service continuum.
            • 8. Works collaboratively with PSM and unit leadership team to actively involve clinical nurses in the assessment and planning for patient's discharge to facility.
            • 9. Along with other members of the health care team, acts as a patient advocate.
              • 9.1 Exhibits awareness of ethical/legal issues concerning patient care and strives to manage situations to reduce risk.Qualifications
                
                EDUCATION
                
                Minimum of a Baccalaureate degree in clinically related field. R.N. required
                
                EXPERIENCE
                
                Minimum of three (3) years of relevant clinical experience
                
                LICENSURE
                
                Active RN Licensure in Connecticut
                
                SPECIAL SKILLS
                
                Recent appropriate nursing experience, theoretical knowledge of the nursing process, case management and continuity of care. Advanced communication and interpersonal skills with all levels of internal and external customers. Ability to obtain and interpret information appropriate to patient needs and age. Advanced assessment and teaching skills. Leadership skills in planning and managing patient care as acquired through greater than 3 years of clinical nursing experience in an acute care hospital. Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics.
                
                PHYSICAL DEMAND
                
                50% sedentary; sitting, standing, walking from unit to unit, carrying records, speaking before groups. Must be able to speak and hear in a manner understood by most people. Must be able to communicate effectively by telephone.
                
                Additional Information
                
                Hours: Four 10 hour days/week. Sunday-Wednesday or Wednesday-Saturday with some flexibility.
                
                BSN required, minimum of 3 years of Med Surg RN or Emergency RN experience required. Case Management experience preferred. Epic knowledge a plus!
                
                Excellent communication skills and ability to work well within a team. Critical thinking skills essential as well as the ability to delegate and prioritize workflow.
                
                YNHHS Requisition ID
                
                134560
                
                Keywords:
                Case Management, Patient Coordination, Healthcare Team, Patient Advocacy, Care Plans, Quality Improvement, Clinical Experience, Med Surg RN, Epic Knowledge, Interdisciplinary Care
                

Keywords: Yale New Haven Health, Bridgeport , RN-Case Management/Care Coordination, Healthcare , Bridgeport, Connecticut