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RN Care Manager
2 months ago
- Utilize your RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies.
- Interact with patients, professionals, and the community to achieve continuity of care, coordination of services, and to document plans of care across multiple care settings.
- Conduct or participate in comprehensive needs assessments for identified patients; knowledgeable of appropriate care-related services to match identified needs, disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population.
- Develop and maintain accurate case records of each referred customer/patient.
- Document fully and accurately; knowledgeable of and utilize accurate computer databases and documentation systems.
- Maintain knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.
- Demonstrate leadership in the professional practice of nursing, evaluating your own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules, and regulations.
Work requires walking, standing, lifting, reaching, bending, and stooping. Must lift a minimum of thirty-five pounds' shoulder high. Ability to travel/drive between various locations is required for this position. Requires frequent verbal and written communication in English. Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate. Must be able to respond quickly to changes in assignments. Occasional intermittent noise and exposure to conditions such as dust, fumes, and chemicals.
", "Education, Experience and Certifications": "Bachelor of Science in Nursing (BSN) required. Master's degree preferred. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Two years' experience required in healthcare. Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company. Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol. Clinical competence in disease management and case management principles. Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team. Requires demonstrated knowledge and proficiency in appropriate tools. BLS required per policy guidelines.
", "Language": "en-US"}