Atrius Health
Healthcare
CMRNAmbulatoryNurseCaseManager(MNA)
“CMRN-Ambulatory Nurse Case Manager (MNA) at Atrius Health. Skills: Case management, Transitional care, Patient advocacy. Provide transitional care coordination. Ensure safe transitions of care”
What You'll Achieve.
Ensure smooth discharge process; Ensure continuity of care; Meet or exceed expectations; Ensure appropriateness of services; Expedite transitions of care; Ensure optimal preparation for discharge; Improve communication and collaboration; Address issues or concerns; Ensure legal, regulatory, billing purposes; Promote efficiency, productivity, satisfaction
Industry & Context.
Problem solving
Weekend or holiday coverage
What They're Looking For.
Must Have
Bachelor of Science in Nursing, 24-48 hour assessment, Subsequent review every 7 days
Nice to Have
Epic medical record access
What You'll Do.
Provide transitional care coordination
Ensure safe transitions of care
Coordinate patient transitions
Conduct medical record review
Conduct initial assessment
Perform subsequent review
Provide educational material
Perform needs assessments
Educate patients/families
Assess patients for readmission risk
Communicate identified risks
Facilitate review of readmission factors
Explore ACH reduction opportunities
Access Epic medical record
Assess patients for HTM/RPM
Initiate referral to program
Collaborate with case manager
Facilitate advance care planning
Facilitate communication
Schedule post-hospital visit
Provide patient/family education
Coordinate with provider networks
Improve communication and collaboration
Communicate with Manager
Maintain accurate records
Participate in service recovery
Promote problem identification
Build relationships with providers
Provide information and education
Promote specialty programs
Assist with referral coverage
How You'll Work.
Team & Collaboration
External customers; Atrius Health practice; Hospital-based case manager; Practice based primary care team; Transition of care team; Clinical partners; Internal/external partners; Manager and Case Manager
Communication Scope
Patient education; Provider education
Applying for this CMRN-Ambulatory Nurse Case Manager (MNA) role?
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