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Case Manager-Inpatient
2 months ago
Join us and become a vital member of our dynamic Case Management team. You will also discover a culture of teamwork, professionalism, and mutual respect, and most importantly a life changing career.
Kingman Regional Medical Center (KRMC) is located in beautiful northwest Arizona. Experience the magic of Kingman's stunning Arizona sunsets and thrive in an outdoor enthusiast's dream destination with picturesque mountain ranges, nearby lakes, vibrant parks, and plenty of outdoor activity. Kingman is an incredible community to live, work, thrive, and play
Position Purpose: In collaboration with providers, screens patients to identify and support the delivery of the most appropriate level of care and service through the acute care episode and across the continuum to support an effective discharge plan. The acute care Case Manager works collaboratively with interdisciplinary teams both internal and external to the organization to improve patient care by assuming a leadership role in driving desired clinical and financial outcomes through effective utilization and monitoring of healthcare resources.
Hours/Shift: Full Time/Days M-F 8:00am - 4:30pm; may occasionally work weekends and holidays
Benefits: We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:
- Exceptional Colleagues
- Join us and you'll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability
- Our leaders demonstrate their commitment by gathering feedback, supporting, and empowering team members to do their best work through regular leadership rounding
- Health and Well-Being
- Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
- Generous Paid Leave Accruals and PTO Cash Out Opportunities
- 403b Retirement Plan with Employer Contributions
- Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
- Employee Identity Theft Protection
- On-site daycare exclusive to our employees’ children of all ages
- Employer Paid Employee Wellness Center Membership with fitness classes, personal training, indoor pool, racquetball, and basketball courts
- Career Growth and Development
- Tuition Reimbursement/Scholarships for full-time employees
- As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
- So much more
Key Responsibilities:
- Ensures the active involvement of the patient and or family in the evaluation process and provides assistance with planning and arranging post-hospital services.
- Performs discharge planning/quality of care by participating in multidisciplinary rounds to assist with the development of care plans. Serves as an advocate for patients and protects patient rights as they pertain to ethical and legal issues of confidentiality during the case management process. Ensure implementation of the plan and appropriate education is provided to ensure a safe transition of care.
- Identifies appropriate community resources for each assigned patient and works collaboratively with patients, families, multidisciplinary team members, and community agencies to achieve desired patient outcomes.
- RN Case Managers may perform utilization reviews to determine medical necessity for admission, continued stay, appropriate utilization of resources, and level of care.
- Communicates medical necessity information with the requesting Payers and whether required post discharge services are covered by the patient’s payer and informs the patient of coverage determinations.
- Participates in multidisciplinary rounds to share information and facilitate the healthcare team in meeting the patient’s medical and psychosocial needs.
- Completes review process, conducts assessments, and evaluations of admitted patients for medical, physical, psychological factors that may contribute to disease process and may require specific or complex continuing care and/or supportive services.
- Determines which cases will require medical staff review and/or UR management intervention.
- Communicates with attending physician, expected length of stay, Medicare guidelines and individual variances.
- Proficiently utilizes MCG and applies clinical guidelines and criteria appropriately to make utilization determinations.
Qualifications:
- Required Experience: At least 1+ years in acute hospital setting or 3+ years in sub-acute setting
- Education: Graduate from an accredited school of nursing or Bachelor in related behavioral/social science field
- Licensure: If RN, valid AZ RN license
- Certification: BLS from American Heart Association or American Red Cross
- Preferences: ACMA or CCM Certification is desired
Work Requirements: Able to handle multiple priorities simultaneously, use technical business office equipment, sit, stand and walk 3-5 hours per shift; Possess customer service excellence, strong oral and written communication skills. Expected duties have routine potential for exposure to blood, body fluids or tissues.
About Us:Kingman Regional Medical Center (KRMC) is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. As a 235-bed multi-campus healthcare system, our medical center includes more than 1,900 employees, 270 physicians/allied health professionals, and 150 volunteers. KRMC is recognized as an innovator in rural healthcare, a teaching hospital, and a member of the Mayo Clinic Care Network. We provide a full continuum of highly technical and specialized medical services to meet the healthcare needs of our community. Year after year the Leapfrog Group has awarded KRMC an "A" Grade for Patient Safety. We strive to provide a culture of safety, integrity, teamwork, accountability, respect and appreciation through recognition, career growth, and employee celebrations throughout the year for all of our staff. Kingman Regional Medical Center is a great place to work, come join our team
