RN Case Manager Casual

Essential Functions

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  Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies.
  
  



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  Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings.
  
  



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  Conducts or participates in comprehensive all-system needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population.
  
  



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  Develops and maintains accurate case records of each referred customer/patient.
  
  



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  Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems.
  
  



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  Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.
  
  



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  Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.
  
  

Physical Requirements

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  Work requires walking, standing, lifting, reaching, bending, and stooping.
  
  



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  Must lift a minimum of thirty-five pounds' shoulder high.
  
  



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  Ability to travel/drive between various locations is required for this position.
  
  



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  Requires frequent verbal and written communication in English.
  
  



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  Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate.
  
  



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  Must be able to respond quickly to changes in assignments.
  
  



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  Occasional intermittent noise and exposure to conditions such as dust, fumes, and chemicals.
  
  

Education, Experience and Certifications

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  BSN required. Masters preferred.
  
  



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  Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works.
  
  



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  Two years' experience required in health care.
  
  



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  Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company.
  
  



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  Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol.
  
  



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  Clinical competence in disease management and case management principles.
  
  



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  Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team.
  
  



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  Requires demonstrated knowledge and proficiency in appropriate tools.
  
  



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  BLS required per policy guidelines.
  
  



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  Two to Three years of Case management experience in an acute care hospital preferred
  
  



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  E
  
  
  xperienced in care coordination, community resources
  
  
  
  



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  Able to work independently