RN Case Manager Casual

Job Title

Essential Functions

• 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.
• 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.
• 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.
• Develops and maintains accurate case records of each referred customer/patient.
• Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems.
• Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.
• 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

• Work requires walking, standing, lifting, reaching, bending, and stooping.
• Must lift a minimum of thirty-five pounds' shoulder high.
• Ability to travel/drive between various locations is required for this position.
• Requires frequent verbal and written communication in English.
• Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate.
• Must be able to respond quickly to changes in assignments.
• Occasional intermittent noise and exposure to conditions such as dust, fumes, and chemicals.

Education, Experience and Certifications

• BSN required. Masters preferred.
• 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.
• Two years' experience required in health care.
• Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company.
• Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol.
• Clinical competence in disease management and case management principles.
• 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.
• Requires demonstrated knowledge and proficiency in appropriate tools.
• BLS required per policy guidelines.
• Two to Three years of Case management experience in an acute care hospital preferred
• Experienced in care coordination, community resources
• Able to work independently