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Mary Buckley, RN Care Manager

Our RN Care Managers are there every step of the way to ensure the highest quality is provided for our patients. My name is Mary Buckley. I'm a nurse case manager at CHI Health Mercy Council Bluffs in Council Bluffs, Iowa. A nurse case manager is responsible for developing a solid and safe discharge plan for patients who are leaving the hospital who need resources to make sure that when they leave, all of their cares have been provided for. We have to have excellent communication skills to work with the interdisciplinary team members, which include the physicians. We get together with them, work with them, make sure that whatever orders need to be implemented are in place at the time of discharge. We have to have a very good sense of the community resources that are in our various communities so that we can refer our patients back to those resources so that services can be provided. What is a typical day at work like for an RN Care Manager? A typical day in a nurse case manager's position is it we start by screening the patients and we do that by asking several questions as we look over their charts. We then determine whether we need to see that patient upfront in person or whether we can do a chart review. We work very closely with positions we get together every day in what we call the huddle and we determine what a reasonable discharge date is and services that they need before they are discharged. We also determine, during the day, what we need to most impact or how we most impact the patient and family because they have to approve whatever plan we have established. What advice would you give to someone applying to be an RN Care Manager? Well I would say apply, apply and apply! It's a very exciting position, it is fast-paced and requires critical thinking skills, you have autonomy in the decisions that you are making about the resources that patients need, that families need upon discharge, you're creating discharge plans that are complex. Sometimes you have patients that have no needs and sometimes you have patients that have multiple needs and that's a very exciting plan of care to put together. You get to work with physicians very closely, interdisciplinary team members very closely, and then you hear about the job that you're doing with administration that is also involved. It's a very exciting position. I I love my position as a case manager.