Company: SSM Health
Posted on: January 16, 2022
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" Assesses, develops, plans, implements, and evaluates patients
discharge planning needs to next level of care in collaboration
with interdisciplinary team.
Ensures compliance with Condition of Participation (CoP) discharge
Identifies and escalates gaps/barriers related to inpatient and
observation length of stay.
Assesses patients at high risk for readmission. Identifies root
cause for readmission. Develops plan and collaborates with
multidisciplinary team regarding discharge planning to next level
Participates with other members of team regarding opportunities for
improvement in standard work.
May also be responsible for: utilization management process, ED
case management process, admission process, and act as a case
manager liaison with post acute providers (skilled nursing
facilities, rehab, home health, etc.).
Applies the existing body of evidence-based practice and scientific
knowledge in health care to nursing practice, ensuring that nursing
care is delivered based on patient's age-specific needs and
clinical needs as described in the department's Scope of
As an SSM Health nurse, I will demonstrate the professional nursing
standards defined in the professional practice model. Uses the ANA
Code of Ethics for Nurses to guide his/her response to the current
and evolving health and nursing needs of our patients and our
Works in a constant state of alertness and safe manner.
Performs other duties as assigned.
Graduate of accredited school of nursing
Three years' acute care experience
Frequent lifting/carrying and pushing/pulling objects weighing 0-25
Frequent sitting, standing, walking, reaching and repetitive
foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20
inches or less) and far (20 feet or more) and to identify and
Frequent use of hearing and speech to share information through
oral communication. Ability to hear alarms, malfunctioning
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and
Occasional lifting/carrying and pushing/pulling objects weighing
Keywords: SSM Health, Norman , RN-Case Manager, Executive , Shawnee, Oklahoma
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