REGISTERED NURSE CASE MANAGER

ABOUT CAMPBELL COUNTY HEALTH

Campbell County Health (CCH) is more than just a hospital—we are a comprehensive healthcare system serving northeast Wyoming. Our organization includes Campbell County Memorial Hospital, a 90-bed acute care community hospital in Gillette; Campbell County Medical Group, featuring nearly 20 specialty and primary care clinics—including locations in Wright and Hulett; and The Legacy Living & Rehabilitation Center, a long-term care facility. 

To be responsive to our employee’s needs we offer:

• Generous PTO accrual (increases with tenure)
• Paid sick leave days
• Medical/Dental/Vision
• Health Savings Account, Flexible Spending Account, Dependent Care Savings Account
• 403(b) with employer match
• Early Childhood Center, discounted on-site childcare
• And more! Click here to learn more about our full benefits package

JOB SUMMARY

The Registered Nurse (RN) Case Manager focuses on integrating care management, social services, discharge planning, utilization review and pre- and post- hospital services to ensure clinical efficacy and best outcomes for our patients. The RN Case Manager works to ensure the provision of quality health care along the continuum of care, decreases fragmentation, enhances the patient’s quality of life, efficiently utilizes patient care resources, maximizes cost containment opportunities, and improves successful post-hospitalization transition of care. This position guides the integrated team in the functions of care coordination, facilitation of referrals, education, discharge planning, utilization management, and advocacy.  

ESSENTIAL FUNCTIONS

• Completes assessment of patient and family in timely manner. Assessment is centered on readmitted patients, high-risk patients and/or resource intense patients. Patients will be triaged between the RN Case Manager, Case Manager, and Social Worker based on intensity of patient’s psychosocial, financial and discharge needs.
• Assesses patient/family adaptation to illness/disability and capacity to provide patient-centered needs. Completes assessment of patient’s clinical course to provide ongoing patient care coordination. Verifies patient’s need for acute hospital level of care. Identifies obstacles to discharge.
• Collaborates with physicians, nurses and other disciplines involved with care of the patient to foster a coordinated approach to patient care. Communicates with physician regarding the medical plan of care, anticipated discharge, and consideration of alternative setting.
• Facilitates and impacts process issues to avoid delays in patient care. Intervenes with appropriate individual/departments regarding delays in service that may have an impact on quality of care and/or length of stay. Provides feedback to supervisor regarding delays to constantly improve the process.
• Functions as a liaison to external agencies including home health/hospice, rehab/skilled facilities and assisted living/long term care facilities, public health, and any other identified needs throughout hospitalization.
• Maintains required and concise documentation for patients including physical and functional limitations, psychosocial characteristics, plan of care to address post-hospital, treatment, and post treatment care needs, educational needs and involvement in planning for care of patient and family, family/ social support systems, financial, economic, and discharged needs. Initiates referrals to disciplines with appropriate paperwork.
• Focuses on the patient’s goals and preferences and includes the patient and caregiver/family as active partners in the discharge planning for post-discharge care. The discharge planning process and plan must be timely, consistent with the patient’s goals for his/her treatment preferences, ensure effective transition of the patient from hospital to post-discharge care with effective arrangements made prior to discharge, and reduce the factors leading to preventable hospital readmissions.
• Assists patient and their families in selecting a post-discharge care provider, by sharing and using data on quality and resources use measures, as may be relevant to the patient’s goals of care and treatment preferences.
• Demonstrates commitment to work partners to help each other reach mutual goals and learn from each other. Demonstrates actions and behaviors that consistently promotes trust, respect, positive attitude and promotes team morale.
• Seeks peer and supervisor consultation regarding problematic cases or cases demonstrating deviations from the plan of care.
• Conducts self in professional manner, using Standards of Behavior as outlined by CCH.
• Maintains professional relationships with other departments, external organizations, service providers, physicians, and families of patients.
• Must be free from governmental sanctions involving health care and/or financial practices.
• Complies with the hospitals Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures. Works within the scope of the Wyoming Nurse Practice Act.
• Other duties as assigned. This list is non-exhaustive.

JOB QUALIFICATIONS

• Education
  • Graduate of an accredited school of nursing.
• Licensure
  • Wyoming RN licensure
• Experience
  • Minimum of 2 years in healthcare field preferred.