Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network Charlotte Hungerford Hospital is a bed general acute care community hospital located in Torrington Connecticut that serves as a regional health care resource for the residents of Litchfield County and Northwest Connecticut CHH offers personalized attention from an expert team of caregivers and physicians that utilize advanced technology and clinical partnerships in a convenient safe and comfortable patient environmentPOSITION SUMMARYPURPOSECare Management is a collaborative practice model including patients nurses social workers physicians healthcare team members caregivers and the community The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination The goals of the Care Management Team include the achievement of optimal health access to care and appropriate utilization of resources balanced with the patientrsquos right to self determinationIncumbents of this position are professional Registered Nurses that utilize the nursing process assessment planning intervention documentation and evaluation to determine and facilitate the most appropriate level of care and identification of discharge needs Collaborates with physician to ascertain medical treatment plan and with nursing other health care team members and health plans to fulfill the treatment plan in the highest quality cost effective manner Responsible for ensuring customer satisfaction patient family physician others maintaining patient confidentiality and being sensitive to the age and cultural specific patient needs for comfort privacy and generalized care ESSENTIAL FUNCTIONSDisplays and upholds CHH core values of dignity compassion service excellence community and integrity Consistently demonstrates caring for patients for one another and for the organization they are part of and contributes to building trust pride and camaraderie and collaboration with the Health Care TeamIncumbents of this position will strive to gain the respect and maintain the dignity of patients family members visitors and all Charlotte Hungerford Hospital Personnel Demonstrates a diplomatic and supportive attitude and presents the hospital in a positive manner to all persons above Promotes and contributes in a positive manner to inter and intra departmental relationships to ensure all needs of the patient are met Maintains confidentiality of all appropriate information and documentationResponsible for complete and thorough patient and family assessments for initial and on going care and discharge planning addressing physical psychosocial religious cultural and educational aspects Identifies and communicates appropriate information gathered from patient family chart community agencies and colleagues to other members of the multidisciplinary health care team Actively coordinates patient care including the sequencing and scheduling of tests procedures and consultations Works closely with physicians to coordinate hospital services from pre hospital through post discharge recovery Ensures patient and family understand the diagnosis and planned course of treatment and determines and communicates discharge needs Identifies gaps barriers to care and facilitates interdepartmental communications to expedite appropriate changes Additionally incumbents are responsible for assessing any financial needs of the patient family including assisting in the clarification of benefit plansAssists Social Worker Care Managers with highly clinical complex patient needsResponds expeditiously to emergency needs of patient and families in crisis by providing appropriate interventions necessary to support and stabilizeIn conjunction with patient family payers and other members of the health care team formulates and implements a discharge plan to address assessed needs and patientfamily concerns evaluates the effectiveness of the plan in meeting the established care goals and revises the plan as needed to achieve desired outcomesRefers patients to a variety of resources including but not limited to Visiting Nurse Agency Skilled Nursing facility Long Term Care Hospital Rehab Facility Hospice Care Durable Medical and Respiratory Care providersAssures Follow up care with Providers has been arranged with confirmation of the patientrsquos ability to access the scheduled appointmentTelephone Contact to patientrsquos who are at a high risk for readmission within hours of discharge to verify the follow up services has occurred as planned Patient and Family understand and are following their discharge instructions and Patient and family are able to follow up with their provider for evaluationPro actively advocates for patient care issues to ensure that overall quality and type of care is sensitive to each specific patientfamilyrsquos needsAnalyzes patient care trends and actively seeks out and collaborates with the care team to improve overall quality and efficiency of careSeeks out andor provides peer consultation about cases that are presenting problems and or experiencing significant deviations from the plan of care Attends and participates in extended stay rounds daily outcome planning rounds Case Management Team meetings and peer reviews regarding management of their caseloadParticipates in quality improvement and evaluation processes related to the Care Management function Abstracts data from the medical record to enable the review of selected hospital core measures or for review by external agencies such as the JCAHO CMS andor QIO Collects and trends a variety of data to identify avoidable hospital days andor process improvement opportunitiesMeet required job specific competencies for assigned unit including mandatory educational requirements Maintains professional growth and development through seminars workshops and professional affiliations to stay current on the latest trends related to position Participates in staff meetings educational programs and in service meetings to maintain competencies Complies with hospital policies and procedures related to safety infection control attendance sexual harassment dress code corporate compliance confidentiality and others Communicates to Administrative Director andor Management staff needs identified for self the unit and other team membersJOB KNOWLEDGE SKILL REQUIREMENT AND REQUIRED ATTRIBUTESStrong Communication and Interpersonal SkillsKnowledge of the Nursing ProcessAbility to manage multiple priorities and projects form initiation to completion within prescribed schedules and utilization of resourcesAbility to effectively utilize a variety of Microsoft Office Outlook and Meditech HCIS software Morrisey and Web based programs requiredSkilled in Motivational InterviewingAbility and willingness to follow the mission and values of the Charlotte Hungerford Hospital on a daily basisWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network Charlotte Hungerford Hospital is a bed general acute care community hospital located in Torrington Connecticut that serves as a regional health care resource for the residents of Litchfield County and Northwest Connecticut CHH offers personalized attention from an expert team of caregivers and physicians that utilize advanced technology and clinical partnerships in a convenient safe and comfortable patient environmentPOSITION SUMMARYPURPOSECare Management is a collaborative practice model including patients nurses social workers physicians healthcare team members caregivers and the community The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination The goals of the Care Management Team include the achievement of optimal health access to care and appropriate utilization of resources balanced with the patientrsquos right to self determinationIncumbents of this position are professional Registered Nurses that utilize the nursing process assessment planning intervention documentation and evaluation to determine and facilitate the most appropriate level of care and identification of discharge needs Collaborates with physician to ascertain medical treatment plan and with nursing other health care team members and health plans to fulfill the treatment plan in the highest quality cost effective manner Responsible for ensuring customer satisfaction patient family physician others maintaining patient confidentiality and being sensitive to the age and cultural specific patient needs for comfort privacy and generalized care ESSENTIAL FUNCTIONSDisplays and upholds CHH core values of dignity compassion service excellence community and integrity Consistently demonstrates caring for patients for one another and for the organization they are part of and contributes to building trust pride and camaraderie and collaboration with the Health Care TeamIncumbents of this position will strive to gain the respect and maintain the dignity of patients family members visitors and all Charlotte Hungerford Hospital Personnel Demonstrates a diplomatic and supportive attitude and presents the hospital in a positive manner to all persons above Promotes and contributes in a positive manner to inter and intra departmental relationships to ensure all needs of the patient are met Maintains confidentiality of all appropriate information and documentationResponsible for complete and thorough patient and family assessments for initial and on going care and discharge planning addressing physical psychosocial religious cultural and educational aspects Identifies and communicates appropriate information gathered from patient family chart community agencies and colleagues to other members of the multidisciplinary health care team Actively coordinates patient care including the sequencing and scheduling of tests procedures and consultations Works closely with physicians to coordinate hospital services from pre hospital through post discharge recovery Ensures patient and family understand the diagnosis and planned course of treatment and determines and communicates discharge needs Identifies gaps barriers to care and facilitates interdepartmental communications to expedite appropriate changes Additionally incumbents are responsible for assessing any financial needs of the patient family including assisting in the clarification of benefit plansAssists Social Worker Care Managers with highly clinical complex patient needsResponds expeditiously to emergency needs of patient and families in crisis by providing appropriate interventions necessary to support and stabilizeIn conjunction with patient family payers and other members of the health care team formulates and implements a discharge plan to address assessed needs and patientfamily concerns evaluates the effectiveness of the plan in meeting the established care goals and revises the plan as needed to achieve desired outcomesRefers patients to a variety of resources including but not limited to Visiting Nurse Agency Skilled Nursing facility Long Term Care Hospital Rehab Facility Hospice Care Durable Medical and Respiratory Care providersAssures Follow up care with Providers has been arranged with confirmation of the patientrsquos ability to access the scheduled appointmentTelephone Contact to patientrsquos who are at a high risk for readmission within hours of discharge to verify the follow up services has occurred as planned Patient and Family understand and are following their discharge instructions and Patient and family are able to follow up with their provider for evaluationPro actively advocates for patient care issues to ensure that overall quality and type of care is sensitive to each specific patientfamilyrsquos needsAnalyzes patient care trends and actively seeks out and collaborates with the care team to improve overall quality and efficiency of careSeeks out andor provides peer consultation about cases that are presenting problems and or experiencing significant deviations from the plan of care Attends and participates in extended stay rounds daily outcome planning rounds Case Management Team meetings and peer reviews regarding management of their caseloadParticipates in quality improvement and evaluation processes related to the Care Management function Abstracts data from the medical record to enable the review of selected hospital core measures or for review by external agencies such as the JCAHO CMS andor QIO Collects and trends a variety of data to identify avoidable hospital days andor process improvement opportunitiesMeet required job specific competencies for assigned unit including mandatory educational requirements Maintains professional growth and development through seminars workshops and professional affiliations to stay current on the latest trends related to position Participates in staff meetings educational programs and in service meetings to maintain competencies Complies with hospital policies and procedures related to safety infection control attendance sexual harassment dress code corporate compliance confidentiality and others Communicates to Administrative Director andor Management staff needs identified for self the unit and other team membersJOB KNOWLEDGE SKILL REQUIREMENT AND REQUIRED ATTRIBUTESStrong Communication and Interpersonal SkillsKnowledge of the Nursing ProcessAbility to manage multiple priorities and projects form initiation to completion within prescribed schedules and utilization of resourcesAbility to effectively utilize a variety of Microsoft Office Outlook and Meditech HCIS software Morrisey and Web based programs requiredSkilled in Motivational InterviewingAbility and willingness to follow the mission and values of the Charlotte Hungerford Hospital on a daily basisEDUCATIONMaintains current license as a Registered Nurse in the State of Connecticut Bachelorrsquos degree in Nursing preferredEXPERIENCE Minimum of years acute care hospital experience requiredCare Management experience preferred Case Management certification ACM or CCM Strongly preferredWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentEDUCATIONMaintains current license as a Registered Nurse in the State of Connecticut Bachelorrsquos degree in Nursing preferredEXPERIENCE Minimum of years acute care hospital experience requiredCare Management experience preferred Case Management certification ACM or CCM Strongly preferredWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your moment