RN Inpatient Case Manager, Full Time

1 month ago

Jonesboro, United States Kaiser Permanente Full time

SIGN-ON BONUS OF $10,000 AVAILABLE FOR ELIGIBLE EXTERNAL HIRES

Job Summary:

Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when appropriate. The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff. Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served.

Essential Responsibilities:

  • Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Communicates via huddles with hospitalist partner multiple times throughout the day.

  • Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements.

  • Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning. Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program.

  • Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues.

  • Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan.

Basic Qualifications:

Experience

  • Minimum two (2) years of experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience.

Education

  • Associates Degree Nursing.

License, Certification, Registration

  • Registered Professional Nurse License (Georgia)

  • Licensed Registered Nurse (Temporary - Georgia)

Additional Requirements:

  • Demonstrated advanced communication and interpersonal skills with all levels of internal & external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community.

  • Ability to collaborate effectively with multidisciplinary healthcare team.

  • Excellent time management skills with the ability to work successfully in a fast-paced environment. Must be self-directed, and have the ability to tolerate frequent interruptions and a demanding work load.

  • Functional knowledge of computers.

  • Experience with managed health care delivery including Medicare.

  • Experience in a payer environment highly desirable.

  • Knowledge of funding, resources, services, clinical standards, and outcomes is preferred.

  • Complex Case Management Certification preferred.

  • Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.

  • Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities.

  • Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.

  • Knowledge of healthcare benefits associated with various business lines.

Preferred Qualifications:

  • Minimum five (5) years of clinical nursing experience in a hospital setting.

  • Minimum five (5) years of professional practice experience in an acute care setting.

  • Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.

  • Bachelors Degree in Nursing, Health Care or Masters degree in Case Management.

COMPANY: KAISER

TITLE: RN Inpatient Case Manager, Full Time (Day-Weekend), Southwood

LOCATION: Jonesboro, Georgia

REQNUMBER: 1286314

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

  • RN Inpatient Case Manager, Full Time

    4 weeks ago

    Jonesboro, United States Health eCareers Full time

    SIGN-ON BONUS OF $10,000 AVAILABLE FOR ELIGIBLE EXTERNAL HIRESJob SummaryResponsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to...

  • Registered Nurse Case Manager

    6 days ago

    Jonesboro, Arkansas, United States University of Arkansas System Full time

    Position Overview:The RN III Cancer Center Navigator (RN Case Manager) plays a crucial role in enhancing wellness and achieving better health outcomes for a specific group of individuals dealing with chronic conditions and intricate health challenges. This position is dedicated to guiding patients in effectively utilizing healthcare services by offering...

  • Licensed Practical Nurse

    6 days ago

    Jonesboro, Arkansas, United States St Bernards Medical Center Full time

    Position OverviewThe role of the Licensed Practical Nurse (LPN) in Case Management Support is pivotal in ensuring the delivery of high-quality care to Home Health patients. This position operates under the guidance of a Registered Nurse (RN) and is integral to the coordination and management of patient care.Key ResponsibilitiesNursing Process Utilization:...

  • Personal Injury Case Management Specialist

    6 days ago

    Jonesboro, Arkansas, United States T. Madden & Associates, P.C. Full time

    Job OverviewWe are in search of a diligent and detail-focused Personal Injury Case Manager. The successful candidate will possess a strong background in managing personal injury claims, coupled with exceptional communication abilities and a proven capacity to handle multiple tasks efficiently. This position entails overseeing personal injury cases from their...

  • Personal Injury Case Management Specialist

    6 days ago

    Jonesboro, Arkansas, United States T. Madden & Associates, P.C. Full time

    Job OverviewWe are looking for a dedicated and detail-oriented Personal Injury Case Management Specialist to handle personal injury claims effectively. The successful candidate will possess a solid background in managing personal injury cases, exceptional communication abilities, and a strong capacity for multitasking. This position entails overseeing the...

  • School Case Private Duty Nurse RN

    2 days ago

    Jonesboro, Georgia, United States Aveanna Healthcare Full time

    About the RoleAveanna Healthcare is seeking a skilled and compassionate Registered Nurse (RN) to join our team as a School Case Private Duty Nurse. As a key member of our care team, you will provide high-quality, patient-centered care to medically fragile children and adults in the comfort of their own homes.ResponsibilitiesImplementation of Physician's...

  • Licensed Practical Nurse

    24 hours ago

    Jonesboro, Arkansas, United States St Bernards Medical Center Full time

    Position OverviewThe Licensed Practical Nurse (LPN) in Case Management Support plays a vital role in ensuring the delivery of quality care to Home Health patients. This position operates under the guidance of a Registered Nurse (RN) and is essential in coordinating and managing patient care effectively.Key ResponsibilitiesNursing Process Utilization: Employ...

  • Urology Full-Time position in Jonesboro, Arkansas

    3 months ago

    Jonesboro, United States Fidelis Partners Full time

    Urologist - Inpatient / Outpatient Full-Time Urologist / Hospital Employed Come practice big-city medicine in a city with a small-town feel. Curative is currently recruiting a Urologist to join a well-established, successful, and thriving hospital in Arkansas. Compensation/Benefits: * $500,000 +...

  • Aveanna Healthcare Private Duty Nurse RN

    3 weeks ago

    Jonesboro, United States Health eCareers Full time

    Aveanna Healthcare Private Duty Nurse RN - Teenager School CaseApplyRefer a FriendBackJob DetailsRequisition #:196736Location:Jonesboro, GA 30236CategoryNursingSalary$42.00 per hourPosition DetailsRN School CaseAveanna Healthcare Is Proud To Assist Our Patients Reach New Milestones, Improve Health Conditions, And Gain Confidence And Independence In Their...

  • Aveanna Healthcare Private Duty Nurse RN

    4 weeks ago

    Jonesboro, United States Aveanna Healthcare Full time

    RN School CaseAveanna Healthcare Is Proud To Assist Our Patients Reach New Milestones, Improve Health Conditions, And Gain Confidence And Independence In Their Lives. We Match All Our Nurses To Their Patients Based On Skill, Age, Health Condition, And Acuity Level. We Currently Have a Contract In Place To Provide Continuous Care To a Medically Fragile...

  • Case Manager

    3 months ago

    Jonesboro, United States Nitelines USA, Inc Full time

    Nite Lines USA is looking for a Case Manager to join our team!  This position will be working for DFCS in Clayton County. The position will be PRN - Duration of assignment 90 days. Must have child welfare experience.  Social Services Specialist 1 Job Description: Under general supervision, the Social Services Specialist 1 provides investigative and...

  • Full Time Med-Peds Physician

    3 months ago

    Jonesboro, Arkansas, United States Enterprise Medical Recruiting Full time

    Med/Ped physician to join multispecialty group in Jonesboro, AREnterprise Medical Recruiting is assisting an established 90+ provider multispecialty group in Jonesboro, AR with the recruitment of a BC/BE Internal Medicine/Pediatrics (Med/Ped) physician for a full time, permanent, and employed position. Join a network of 25 full time Family Medicine...

  • Inpatient PM&R Program Director Jonesboro, AR

    3 weeks ago

    Jonesboro, United States Encompass Health Full time

    ENCOMPASS HEALTH REHABILITATION HOSPITAL of JONESBORO ARKANSASEncompass Health Rehabilitation Hospital of Jonesboro is a 90-bed acute medical rehabilitation hospital that offers comprehensive inpatient rehabilitation services. Designed with patient care in mind, Encompass Health Jonesboro offers its patients the highest trained staff in Northeast Arkansas...

  • Urology Full-Time position in Jonesboro, Arkansas

    3 months ago

    Jonesboro, Arkansas, United States Fidelis Partners Full time

    Urologist - Inpatient / OutpatientFull-Time Urologist / Hospital EmployedCome practice big-city medicine in a city with a small-town feel. Curative iscurrently recruiting a Urologist to join a well-established, successful, andthriving hospital in Arkansas.Compensation/Benefits:* $500,000 + Production Sign-on bonus Relocation Full benefits packageSchedule:...

  • Full Time Hospitalist Physician

    2 months ago

    JONESBORO, United States Curare Group, Inc. Full time

    Great location in Arkansas has need for BE/BC physician as Hospitalist who enjoys block schedules; rotating week on days, week off, week on nights. Great annual salary of $230k and quarterly bonus of $30,000 AND additional WRVU bonuses could put you well over $300k annual salary. They also offer 10 days CME and relocation expenses up to $7,000. If...

  • Licensed Practical Nurse

    16 hours ago

    Jonesboro, Arkansas, United States St Bernards Medical Center Full time

    Position OverviewThe Licensed Practical Nurse (LPN) in Case Management Support plays a crucial role in the delivery of home health services. Under the guidance of a Registered Nurse (RN), this position is dedicated to utilizing the nursing process to effectively coordinate and manage the care of patients receiving home health services.Key...

  • Gastroenterology Full-Time position in Jonesboro, Arkansas

    3 months ago

    Jonesboro, United States Fidelis Partners Full time

    We are seeking a Gastroenterologist to join our practice that offers a blend of big-city medicine with a small-town atmosphere. You will be a part of a diverse medical staff that serves the NE Arkansas and SE Missouri communities. If you are passionate about this opportunity, we encourage you to apply! _Practice Details:_ ...

  • Gastroenterology Full-Time position in Jonesboro, Arkansas

    3 months ago

    Jonesboro, Arkansas, United States Fidelis Partners Full time

    We are seeking a Gastroenterologist to join our practice that offers a blendof big-city medicine with a small-town atmosphere. You will be a part of adiverse medical staff that serves the NE Arkansas and SE Missouri communities.If you are passionate about this opportunity, we encourage you to apply_Practice Details:_ Located in the largest Medical Center in...

  • Aveanna Healthcare Private Duty Nurse LPN

    2 months ago

    Jonesboro, United States Aveanna Healthcare LLC Full time

    LPN School Case Aveanna Healthcare is proud to assist our patients reach new milestones, improve health conditions, and gain confidence and independence in their lives. We match all our nurses to their patients based on skill, age, health condition, and acuity level. We currently have a contract in place to provide continuous care to a medically fragile...

  • Aveanna Healthcare Private Duty Nurse LPN

    3 weeks ago

    Jonesboro, United States Health eCareers Full time

    Aveanna Healthcare Private Duty Nurse LPN - Teenager School CaseApplyRefer a FriendBackJob DetailsRequisition #:196737Location:Jonesboro, GA 30236CategoryNursingSalary$36.00 per hourPosition DetailsLPN School CaseAveanna Healthcare Is Proud To Assist Our Patients Reach New Milestones, Improve Health Conditions, And Gain Confidence And Independence In Their...