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Clinical Nurse Case Manager
2 months ago
Position: Registered Nurse Case Manager
Role Overview:
As a Registered Nurse Case Manager, you will play a pivotal role in facilitating patient care from the initial admission through to discharge. Your responsibilities will include:
- Guiding patients through the healthcare continuum, ensuring seamless transitions at every stage.
- Communicating with insurance providers regarding patient clinical status and obtaining necessary approvals for extended care.
- Monitoring and adhering to quality standards as outlined by performance improvement initiatives.
- Assessing patients' discharge planning requirements and directing their care accordingly.
- Evaluating resource utilization to optimize patient outcomes while addressing educational and psychosocial needs.
- Assisting in the collection and analysis of data for quality improvement efforts.
- Participating in infection control monitoring and reporting.
- Acting as a patient advocate to address and resolve any concerns.
- Collaborative Environment: Our organization thrives on teamwork, combining the expertise of healthcare professionals to enhance patient care.
- Comprehensive Services: We offer a wide array of medical and surgical services, ensuring diverse opportunities for professional growth.
- Specialized Expertise: Our facility is recognized for its proficiency in various medical fields, providing a platform for you to expand your skills.
- Commitment to Excellence: We are dedicated to delivering high-quality surgical care in a supportive and safe environment.
- Continuous Learning: We prioritize the education and development of our staff, keeping you informed on the latest advancements in healthcare.
- Advanced Technology: Experience a state-of-the-art facility equipped with cutting-edge medical technology, enhancing both patient care and your professional experience.
Education:
- Graduate of an accredited nursing program; BSN preferred.
- Current RN licensure is mandatory.
- Case Management certification is preferred but not required.
- Current BLS certification is required.
- A minimum of two (2) years of experience in acute care settings is required.
- Previous experience in case management is preferred.
- Ability to work independently and efficiently.
- Proficient in Microsoft Word and Excel is preferred.
- Willingness to learn necessary computer applications.
- Ability to adapt positively to changing environments and diverse personalities.
- Proficient in utilizing Electronic Health Records for documentation.
- Commitment to maintaining confidentiality in all patient interactions.
- Collaborate with various departments to ensure optimal patient care.
- Work effectively with insurance companies and Medicare to secure appropriate reimbursement for services rendered.
- Keep senior management informed of any issues related to patient care.
- Coordinate with physicians and their offices to ensure accurate patient status and aftercare instructions.
- Serve as a resource for senior management in patient care matters.
