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Permanent - Case Manager - Registered Nurse - seven openings
2 months ago
Under the general supervision of the Case Management Director, acts as a patient advocate/ Case Manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost-effective patient outcomes.
Essential Functions include but are not limited to:
- Knowledge of and works within the CMS Conditions of Participation for Discharge planning
- Timely assessment of patients identified with discharge planning needs
- Development and implementation of discharge plans for each patient targeting optimal cost and quality outcomes
- Re-evaluation for discharge needs upon change of condition of the patient or caregiver's ability to care for the patient
- Maximizes care coordination efforts and collaborates with the healthcare team to promote efficient movement through the continuum of care
- Identifies and mitigates delays in the delivery of care
- Effective and appropriate communication with the healthcare team, patient, and family
- Timely, appropriate, and accurate documentation of the discharge plan, patient progress to plan, and communication with the healthcare team, patient, and family in the medical record
- Assists the Director of Case Management with collection of data for the UM Committee and other reports
- Escalates cases appropriately
- As required, collaborates with payers to ensure authorization for discharge plan needs
- Participates in Interdisciplinary Rounds
- Displays effective communication skills
- Assists the Director of Case Management with other job duties as requested
- Demonstrates knowledge of HIPAA guidelines and utilizes them in all aspects of communication
- Associate degree in Nursing required. Bachelor's Degree in Nursing is desirable.
- The Registered Nurse must possess a license to practice in the state of Georgia.
- 5+ Years in case management. Experience in other related healthcare settings considered.
- BLS - American Heart Association
SKILLS/ABILITIES/COMPETENCIES REQUIRED:
•Maintains and updates clinical knowledge and skills.
•Participates in relevant continuing education programs.
•Knowledge of and dedication to the highest patient care and provide the utmost service excellence to all patients.
•Ability to take initiative and to exercise independent judgment, decision-making and problem-solving expertise.
•A can-do, team oriented attitude is essential, as the ability to work independently and to interact easily with physicians, other managers and staff throughout the department and hospital.
•Effective interpersonal/communication, organizational, and the flexibility to handle multiple tasks.
Requirements:
•COVID vaccine with 2 Shots & Booster.
ABOUT HEALTHCARE STAFFING PLUS
Healthcare Staffing Plus is a US based national per diem, local contract, and locum tenens agency. We are located in the beautiful rolling hills of southern Indiana just outside of Louisville, KY.
With close to 24 years of non-clinical healthcare experience that includes 16 years of solid medical staffing and recruiting experience, we deliver on our promise of adhering to strict and ethical recruiting standards handled with the utmost professionalism. Never resting on our laurels of sourcing candidates thoroughly and presenting our clients only the cream of the crop.
