Job Summary

This job opening is for (3) Temporary Float RN positions within the Central Staffing Resource Department (CSR) and Care Management

Wage: $55.00/hr. base rate
Evening Shift Differential is $5.00 per hour for 3p-7p and $4.00 per hour for 7p-11p
Night Shift Differential is $3.00 per hour
Weekend Differential is $5.00 per hour

Unit Specific Summary

The RN Case Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas.  The position is unique in that it combines clinical/quality considerations with regulatory/financial/utilization review demands.  The position creates a balance between individual clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes.

The RN Case Manager reports directly to the Manager of Care Management. The RN Case Manager works closely with the unit-based MPLAN team in reaching unit and organization goals including length of stay, care transitions, readmissions, and other quality initiatives.  In the emergency departments, the RN Case Manager works collaboratively with other members of the interdisciplinary team to develop and implement a comprehensive, integrated discharge plan from the emergency department(ED). The RN Case Manager will recommend and document patient classification of all admissions utilizing established criterion set.

Mission Statement

The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Responsibilities*

A. Within 24 hours of admission interview each patient/family for anticipated needs post hospitalization

B. Develop “plan for the day” and “plan for the stay” with providers, patient and nursing staff

C. Lead daily care coordination rounds to update the plan and facilitate implementation.

D. Initiate discharge plan including early referrals to homecare, DME and infusion services 

E. Prepare patient/family for discharge 

F. In collaboration with SW “partner” follow standard for routine patient/family conference

G. Ensure patient handovers to next level of care; work closely with Care Navigators in clinics, complex care Case Managers, homecare and sub-acute liaisons

H. Support nursing Model of Care by working closely with nursing managers and staff to achieve Patient Family Centered Care goals:  respect and dignity, information sharing, participation and collaboration

I. Facilitate increased volume of cases discharged by noon to improve capacity management

J. Collect “avoidable days” information; report findings in care management software, such as Allscripts

K. Participate in venues to reduce barriers to discharge

Principle responsibilities for RN Case Managers staffed in the emergency departments includes: 

L. Identify patients in need of Case Management services through case finding and collaboration with multidisciplinary team in the ED

M. Provide clinical and financial pre-admission screening of all unscheduled patients utilizing UMHS clinical standards and financial guidelines while also being in accordance with federal, states and payer guidelines

N. Acts as a patient advocate and communication link with other health care departments and community resources – both internally and externally 

O. Ensuring patients not meeting skilled care requirement but unable to return to prior living situation are discharged to appropriate level of care from ED with clear financial information to patients / families

P. RN CM’s working the ED’s during evening and night shift will support all EDs and AMOU. RN CM’s will also support any unanticipated urgent needs in the inpatient areas.

Utilization Review and Utilization Management

A. Conduct clinical review on admission; review every 3 days or as requested by payer

B. Determine patient classification with provider and ensure all patients placed in “ observation” classification are notified; For “inpatient” to “observation” cases, ensure Condition Code 44 billing requirements are met

C. Communicates with third party payers to obtain necessary authorization for reimbursement of services.

D. Obtain anticipated LOS from provider and ensure patient and multi-disciplinary team is aware

E. Refer defined cases for medical secondary review and share findings with providers

F. Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials; input into appeals; share findings with providers

G. Review all cases with readmission within 30 days; report findings in Care Management software such as Allscript

H. Identify opportunities for cost reduction and participate in appropriate utilization management venues

I. Conducts referrals and consultation with Physician Advisor

Nursing Specific Info

Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

* Please note that these positions do not qualify for UMHS benefits and specific terms and conditions of employment are negotiated at the department level. These positions are not covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union.

If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.

Required Qualifications*

RESUME REQUIRED (for both internal & external applicants): 
You must attach a complete and accurate resume to be fully considered for this position.

NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

Desired Qualifications*

Work Schedule

**Commitment is 32 hours per 4 week scheduling period, excluding coverage of incremental PTO**
Day, Evening and Night shifts are available; 8, 10 AND 12 HR BLOCKS AVAILABLE!
Location: University Hospital: Central Staffing Resources Specialty Cluster,  Adult Emergency Services

Please Note:

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Additional Information

TEMPORARY FLOAT NURSE GUIDELINES
1). All CSR employees are required to attend an annual educational Blitz to complete required
UM mandatories and compentencies (BCLS every 2 yrs, Cardiac Arrest and maintain all
other applicable certifications).
2). Temporary Float Nurses are expected to work all shifts requested unless no work is
available. It is the intention that all Temps will float to all units within the cluster speciality.
3). A Temporary Nurse should work 24 hours per 4 week schedule block. 
4.) Temporary Nurses in the CSR Clusters are NOT required to work weekends or holidays, but available.
5). Temporary Nurses will participate in a newly designed, streamlined, onboarding/orientation
program. However, the progression of orientation will be dependent upon clinical
competency, staffing needs of the individual units, and the number of hours worked by the
Temporary RN.

Additional Information

These temporary positions may meet eligibility requirements for health care benefits.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Selection Process

Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The Department of Nursing, like the University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status.   

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.