**It's more than a career, it's a calling** WI-St. Agnes Hospital **Worker Type:** Regular **Job Highlights:** + Department: Case Manager RN + Patient Population or Ratio: average 19-21 patients + Schedule: + Monday-Friday 8-430 onsite + Weekend PRN ~1-2 weekends a year + On-Call holiday rotation with other teammates + Skills, certs & experience you are looking for in a candidate: + RN + Three years' acute care experience + Case Management experience preferred but not required + Location address: St. Agnes Hospital 431 E. Division Fond Du Lac, WI Additional Job Duties: + Ensures compliance with Condition of Participation (CoP) discharge planning. + 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 of care. **Job Summary:** Assesses, develops, plans, implements, and evaluates patients discharge planning needs to next level of care in collaboration with interdisciplinary team. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Ensures compliance with Condition of Participation (CoP) discharge planning. + 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 of care. + 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 Service. + 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 patient populations. + Works in a constant state of alertness and safe manner. + Performs other duties as assigned. EDUCATION + Graduate of accredited school of nursing or education equivalency for licensing EXPERIENCE + Three years' acute care experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + 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 distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois + Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or + Registered Nurse (RN) - Missouri Division of Professional Registration State of Work Location: Oklahoma + Registered Nurse (RN) Issued by Compact State + Or + Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin + Registered Nurse (RN) Issued by Compact State + Or + Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services **Work Shift:** Day Shift (United States of America) **Job Type:** Employee **Department:** 8746080033 System Case Mgmt - WIS **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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