RN Case Manager, Frazier Rehab, PRN

3 weeks ago


Louisville, Kentucky, United States UofL Health Full time
Job Summary

We are seeking a skilled RN Case Manager to join our team at UofL Health. The ideal candidate will have experience in utilization management, discharge planning, and case management in an acute care setting.

The RN Case Manager will be responsible for conducting initial admission assessments, identifying patients who do not meet criteria, and ensuring patients receive the most appropriate level of care. The candidate will also participate in daily rounds to coordinate care with other members of the healthcare team and provide optimal health care/discharge planning.

Responsibilities
  • Conduct timely initial admission assessments based on clinical indicators and anticipated service needs for appropriate level of hospital care
  • Validate patient demographics and payor source
  • Implement, reassess, and evaluate patient condition and coordinates plan of care daily
  • Develop patient specific plan of care based on individual needs of patients, conversations with providers and other staff, and documentation in electronic medical record (EMR)
  • Coordinate discharge needs of patients with necessary internal and external providers while protecting patient information
  • Perform timely, professional, and appropriate documentation as reflected in the Quality Review Audit process
  • Advocate for patient/family needs in a respectful, non-judgmental, and confidential manner
  • Serve as liaison or facilitator for patient and interdisciplinary healthcare team in the management of unusual or questions cases
  • Appropriately refer cases to manager/director of care coordination, CAO, or medical director when intensity of service or severity of illness is not present and is unable to be resolved
  • Ensure delivery of Discharge Medicare Important Message (IM) and Medicare Outpatient Observation Notice (MOON), where applicable
  • Acknowledge, address, and complete are Consults to Case Management on respective units in EMR
Qualifications
  • Licensed or eligible for license in Kentucky
  • Basic Life Support (BLS) accredited by the American Heart Association (AHA)
  • Bachelor's degree from accredited college or University or RN with a Bachelors Degree in Business or Health Care Administration preferred
  • Must have 2-3 years experience as an RN plus utilization management or discharge planning/case management experience


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