RN-Case Mgr-PRN

2 weeks ago


Los Alamos, United States Los Alamos Medical Center Full time

Los Alamos Medical Center is an outstanding place to work as a nurse as we are committed to our quality initiatives and a culture of safety, are invested in the growth of our staff. We support ongoing education, certifications and other ongoing learning, have a tuition reimbursement program, and extend numerous recognition programs to all of our staff. We focus on a family atmosphere and a collaborative and team-oriented practice model in nursing.

Assumes responsibilities for following compliance guidelines with federal, state, and local regulations within the department.

Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and appropriateness of medical care, including admission, length of stay, transfer, and discharge.

Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care.

Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.

Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.

Safeguards the patient's right to privacy by judiciously protecting information of the patient and medical record as per HIPAA guidelines.

Minimum Education:

High school diploma or equivalent required.

Associate's degree required.

Required Skills:

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Licenses:

Current NM RN licensure or appropriate compact RN licensure.

For CDI RHIT or preferred.

Previous case management experience preferred.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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