ID: Shift: 8H Days Description: Unit Notes:50 MILE RADIUS RULEFingerprint requirement .can be done remotely (takes approx 10-14 DAYS) or in person in Jackson, MS 1 week prior to assignmentDepartment:CM - Complex Case ManagerMiscellaneous Info & Examples if Needed General Certification Requirements (BLS, etc.)BLS, RN Case Manager Other Certifications/Specialty certifications requirementsCCM (Certified Case Manager)ACM (Accredited Case Manager)C-SWCM (Certified Social Work Case Manager)CBHCM (Certified Behavioral Health Case Manager)CCM preferred but not requiredPrefer RN, BSN Would consider ADN with extensive Complex Case Management experience. Case load/# patients per day/consults per day 15-20 EMR EPICWill use naviHealth to send referrals and plan to switch to EPIC Care Management over the next yearDo you require InterQual criteria or Milliman experienceNo, but need to have general understanding of discharge readiness Is this position for UR, discharge planning, or bothDischarge planning for complex patient populations, no UR piece to the role.Potential to plan discharge to a variety of setting including home, home with home health, SNF, LTAC, hospice, etc.What areas do they cover (Inpatient, Outpatient, ER, Home Care, etc.)Will cover all Inpatient units throughout the hospital Currently 15 CM's on the CM team, goal is to have 21 (18 general CM's and 3 Complex CM's).Social Work team consists of 15 full-time and 17 part-time Social workers.Common types of patients & job dutiesMedically and socially complex patients that require some "out of the box" thinking to get them moved. In addition to being medically complex discharges patients may have additional needs complicating the discharge such as psych diagnosis, requiring trach and vent management or be sex offenders.Mississippi is not a Medicaid expansion state so does not cover LTAC or skilled which increases the challenge in placing the complex patients upon discharge. UMMC has contracts with 5 local facilities with 10 beds reserved at each facility to assist with the complex placements, however specific criteria must still be met. Criteria has a limitation on financial assistance for only those uninsured or underinsured. Experience or 'Must have' skillsMust be RN Case manager with 5 years Acute Care Management experience with previous experience in large academic Medical Center hospital UMMC is the only level 1 trauma hospital in the state so will receive a variety of complex patients and those with no other hospital options.CM Manager/SupervisorDepartment does not have a CM Manager at this time. Will directly report to the Social Work Manager. Chief of Care Coordination is also providing department oversight as needed. Shifts & Scheduling (Do you allow self-scheduling Block scheduling)M-F 8-430p Weekend RequirementsNone Holiday Requirements Rotated as needed Scrub Color/Dress CodeAny color scrubs or business professional attire RT for DC PlanningWill consult with RT as need Pharmacy for DC PlanningWill consult with Pharmacy as needed Department Specific Orientation2 weeks (will include general facility orientation)Will work alongside CM team so will never be working alone.Additional Notes Additional QuestionsTell me about a situation where you had to think outside of the box to get a complex patient placed Notes obtained: Phone Implementation, Email, or On-SitePhone implementation with Laurel Isaac, Chief of Care Coordination 3.1.24 Notes entered by & Bregg RN 3.1.24 Notes updated by & date: Cancellation Listed Charting Systems Corporation - EpicCare Inpatient - EMR 2014 Certified EHR Suite BSN Required:No License to Trauma Level: Care Shift Notes: Required Guaranteed Hours: 40 hours per week Contract Weeks:91
