St. Luke's is proud of the skills, experience and compassion of
its employees. The employees of St. Luke's are our most valuable
asset! Individually and together, our employees are dedicated to
satisfying the mission of our organization which is an unwavering
commitment to excellence as we care for the sick and injured;
educate physicians, nurses and other health care providers; and
improve access to care in the communities we serve, regardless of a
patient's ability to pay for health care.
The RN Care Manager coordinates the overall progression of care,
resource utilization, and discharge planning for designated patient
populations across the continuum of care. Works with the providers,
social workers and multi-disciplinary care teams to facilitate the
achievement of desired patient, quality, and financial
JOB DUTIES AND RESPONSIBILITIES:
- Assesses the patient's needs, goals, and barriers in relation
to the patient's clinical condition, psychosocial environment, and
- Collaborates with the multidisciplinary team to plan, implement
and evaluate the patient's plan of care through rounding or other
- Collaborates with the patient, family or other caregivers, and
multidisciplinary team to design a discharge plan respective of the
patient's needs and goals. Re-evaluates and revises discharge plan
of care as additional information is obtained or goals change.
- Proactively considers options such as palliative care, home
care and other services that work to keep the patient as healthy as
possible in the outpatient setting, minimizing the risk of
- Works as a team with other members of care management,
including but not limited to: Social workers, assistants,
coordinators, utilization management staff, and director.
- Facilitates communication among all treatment team
- Manages length of stay by proactively identifying and
mitigating issues and barriers to care and a successful discharge
- Monitors risk assessment using available tools and implements
discharge interventions accordingly, minimizing risk of
- Identifies patients with an unplanned readmission and completes
root cause analysis.
- Collaborates with Outpatient Care Managers to identify patients
for handover and post discharge follow up.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for one to two hours at a time, walk on all surfaces for
up to five hours a day, and climb stairs. Must be capable of
driving a car and have the ability to finger and handle objects
frequently. Occasionally firmly grasp, twist, and turn objects with
hands and fingers. May be required to lift, carry, push, and/or
pull objects weighing up to 75 pounds. Occasionally stoops, bends,
squats, kneels and reaches above shoulder level. Staff must have
the ability to hear as it relates to normal conversations and high
and low frequencies and to touch as related to telephone and
Graduate of professional nursing program required. Registered
Nurse with current license to practice in the State of Pennsylvania
or seeking Pennsylvania licensure through reciprocity. NJ RN
licensure required for Warren Campus. Advanced degree preferred.
BSN preferred, MSN and/or Case Management Certification
TRAINING AND EXPERIENCE:
Extensive clinical knowledge. 3-5 years of acute care
experience. Previous care management experience is preferred.
Experience in the use of InterQual/Milliman criteria preferred.
Basic computer skills required. Ability to establish and maintain
collaborative and effective working relationships required.
Please complete your application using your full legal name and
current home address. Be sure to include employment history for the
past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume,
including all work history, education, and/or certifications and
licenses, if applicable. It is highly recommended that you create a
profile at the conclusion of submitting your first application.
Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity