Registered Nurse Case Manager

2 weeks ago

Louisville, Kentucky, United States UofL Health Full time
Position Overview

Join the UofL Health Family

Location: Louisville, KY

Shift Options: Full Time, Day Shift

UofL Health is a comprehensive regional academic health system comprising multiple hospitals, medical centers, and specialized institutes, employing over 13,000 healthcare professionals dedicated to enhancing community health through innovative and compassionate care.

Key Responsibilities

As an RN Case Manager, you will be instrumental in the Care Coordination Department, executing the following duties:

  • Conduct thorough initial assessments to optimize clinical resource management, ensuring appropriate hospital care levels.
  • Engage in ongoing multidisciplinary evaluations to maintain high standards of patient care.
  • Develop and adjust individualized care plans based on patient needs and interdisciplinary collaboration, ensuring accurate documentation in the electronic medical record (EMR).
  • Facilitate patient discharge planning in coordination with relevant internal and external providers while safeguarding patient confidentiality.
  • Maintain precise and professional documentation as part of the Quality Review Audit process.
  • Advocate for patients and families with respect and confidentiality, addressing their needs effectively.
  • Act as a liaison between patients and the healthcare team, educating staff on the RN Case Manager's role and providing resources as needed.
  • Refer complex cases to appropriate management when necessary, ensuring all patient care needs are met.
  • Deliver essential discharge documentation to patients as required.
  • Address and complete consultations related to case management in the EMR.

Additional Responsibilities:

  • Collaborate with social workers to identify and address social and financial challenges faced by patients.
  • Make referrals to social services for patients exhibiting high-risk indicators.
  • Participate in departmental meetings and committees to enhance team communication and project involvement.
  • Engage in continuous professional development through educational opportunities and literature review.
  • Provide guidance to physicians and staff regarding payer issues, documentation, and compliance matters.
  • Support physicians in clinical management and operational efficiency.
  • Adhere to all organizational policies and standards of conduct.
  • Ensure compliance with HIPAA regulations to protect patient privacy.
  • Perform other related duties as assigned.
Qualifications

Required Qualifications:

  • Current licensure or eligibility for licensure in Kentucky.
  • Basic Life Support (BLS) certification from the American Heart Association (AHA).
  • Bachelor's degree in nursing or related field preferred.
  • A minimum of 5 years of experience in care management within an acute care setting, with strong organizational and communication skills.

Preferred Qualifications:

  • Certification in a nursing specialty or Certified Case Manager (CCM) designation.

Benefits & Perks:

  • Competitive salary and comprehensive benefits package.
  • Paid time off including vacation, sick days, and holidays.
  • Tuition assistance for employees and their families.
  • 401K plan with employer matching contributions.

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