CASE MANAGER RN

US:NV:Carson City | Nursing Support | Part Time Description US:NV:Carson City Case Management Part Time Day Shift Summary This individual is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources while respecting patient’s right to self-determination This individual has the overall responsibility for ensuring that care is provided at the right level, right time and with the right resources The Case Manager collaborates with medical staff, interdisciplinary team, and external resources to assess, coordinate, implement, and evaluate services required to promote quality outcomes and efficient resource management Qualifications Required Minimum 2 years of acute care hospital patient care experience required Preferred 2 years of experience as acute care case manager Current unrestricted register nurse license in the State of Nevada Organizational skills, excellent verbal & written communication skills, ability to lead, coordinate diverse group in fast paced environment, critical thinking, problem solving and negotiation skills Preferred Bachelor of Science in Nursing Ability to obtain Accredited Case Manager (ACM) certification US:NV:Carson City Case Management Part Time Day Shift Summary This individual is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources while respecting patient’s right to self-determination This individual has the overall responsibility for ensuring that care is provided at the right level, right time and with the right resources The Case Manager collaborates with medical staff, interdisciplinary team, and external resources to assess, coordinate, implement, and evaluate services required to promote quality outcomes and efficient resource management Qualifications Required Minimum 2 years of acute care hospital patient care experience required Preferred 2 years of experience as acute care case manager Current unrestricted register nurse license in the State of Nevada Organizational skills, excellent verbal & written communication skills, ability to lead, coordinate diverse group in fast paced environment, critical thinking, problem solving and negotiation skills Preferred Bachelor of Science in Nursing Ability to obtain Accredited Case Manager (ACM) certification Essential Functions Promotes current National Standards for case management Transition management – assigns appropriate length of stay, participates in readmission prevention, transition level of care and patient satisfaction Utilization management – Screens for accurate medical necessity using approved evidenced based criteria, application of supporting medical necessity and denial prevention utilizing physician advisor when necessary Assists staff in care coordination and demonstrating efficient throughput while assuring care is sequenced and at appropriate level of care Develops a case management plan consistent with patient needs as identified through the assessment process; Seeks input and validation of the plan with the patient and/or family and interdisciplinary care team; Identifies and manages complex discharge needs Accurately conducts a thorough, objective assessment of patient’s current status, including psychosocial, physical, financial, educational needs, treatment course and services needed Compliance with state and federal regulations, The Joint Commission’s standards, Center for Improvement in Healthcare Quality (CIHQ), Conditions of Participation and hospital policy Maintains current knowledge of disease processes, available resources, and treatment options appropriate to patient population Collaborate with interdisciplinary team to promote patient throughput and efficient use of resources Continuously demonstrates a positive attitude and understanding of case management philosophy, supports team building, and is motivated to fulfill department objectives Assure patient/family/significant other/caregiver education is completed to support post-acute care needs and documented in electronic medical records Documents all activity according to policy, including the electronic automated systems Precept new staff members and is a resource to all staff Participation in department quality improvement initiatives and projects as assigned Performs other related duties as assigned #J-18808-Ljbffr