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RN Case Manager

2 months ago

Little Rock, Arkansas, United States Arkansas Heart Hospital Full time
Job Summary

We are seeking a skilled RN Case Manager to join our team at Arkansas Heart Hospital. As a key member of our healthcare team, you will be responsible for utilizing the nursing process to assess, plan, and evaluate the care of a designated case load of patients, ensuring clinical and financial outcomes are achieved.

Key Responsibilities
  • Maximize positive financial outcomes for designated case types
  • Develop and demonstrate organizational skills and effective time management
  • Compare and contrast resource utilization before and after planned changes
  • Identify and implement changes/strategies to improve profitability of targeted case types
  • Ensure optimization of reimbursement through proper coding
  • Monitor and analyze variances from standard and individualized clinical paths
  • Assess efficiency and cost effectiveness of interdepartmental systems
  • Identify and communicate problems/inefficiencies in interdepartmental operations
  • Participate in the investigation and collaborate with attending physicians in case denials and appeal process
Requirements
  • Graduate of an accredited program of nursing required: RN required; BSN preferred
  • Current state issued license required. Nurse may have license from a state within Nursing Compact
  • Minimum of 2 years clinical experience in cardiovascular nursing preferred. Two years of case management experience preferred
What We Offer

As a valued member of our team, you will have the opportunity to work in a dynamic and supportive environment, with a focus on delivering high-quality patient care and achieving excellent clinical and financial outcomes.