RN - Case Manager
4 weeks ago
- This position requires knowledge of Case Management policies and procedures and State and Federal regulations regarding medical necessity for admission and discharge screens.
- Knowledge of community resources and discharge planning, along with the technical skills necessary to demonstrate alternative care programs to patients and their families.
- Frequent interactive, interpretive and consultative associations are inherent to this position.
- The ability to retrieve, communicates, and presents data and information verbally and in written form is required.
- Strong interpersonal skills and the ability to communicate effectively with patients, families, nursing staff, physicians, associations and community resource liaisons are inherent to this position.
- Performs assessment of patient’s needs, plans interventions with objectives and goals from the assessment with implementation of case management activities to meet them. Coordinates the obtainment of community resources necessary to accomplish those goals in the case management plan with monitoring and an evaluation to determine effectiveness.
- Demonstrates the ability to provide interventions based on age-specific criteria and departmental patient care standards.
- Demonstrates knowledge of infection control guidelines and the following of the seven safety plans: safety, security, hazardous materials and waste, emergency preparedness, life safety, medical equipment, and utility systems.
- Provides the information to determine the medical necessity of all admissions and the need for continued stay, and identifying inappropriate or untimely services to focus on opportunities to reduce inappropriate patterns of utilization.
- Discharge planning assessment and coordination of all ages to begin in the pre-hospital phase, and coordinating the delivery of services to meet patient’s discharge needs.
- Observe professional ethics in maintaining confidential information acquired concerning the personal, financial, medical, or employment status of patients at Jackson Purchase Medical Center.
- Performs pre-certifications for insurance, HMO, etc. timely and accurately.
- Performs other job duties as needed.
Must be a Kentucky State Licensed Registered Nurse with a minimum of an Associate’s Degree. Required to have or obtain Case Manger Certification (ACM) within two years of hire date. Previous experience is preferred. BLC certification is required. Basic required skills include: organization, customer relations, grammar/spelling, computer training, the ability to follow written and oral direction, and the ability to read, write, speak, and understand English.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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