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RN, Case Manager, Mary
2 months ago
UofL Health - Mary & Elizabeth Hospital is a 298-bed, full-service hospital that has served generations of patients in south Louisville. Our hospital offers a wide range of services, including vascular, orthopedic, cardiac, neurological, surgical, and rehabilitative care, as well as 24/7 emergency services.
Our MissionAs an academic health care system, we are committed to transforming the health of the communities we serve through compassionate, innovative, patient-centered care.
Job SummaryWe are seeking a skilled RN, Case Manager to join our team at Mary & Elizabeth Hospital. The successful candidate will be responsible for promoting optimal management of clinical resources, conducting timely initial admission assessments, and coordinating patient care.
Responsibilities- Promote optimal management of clinical resources by conducting timely initial admission assessments based on clinical indicators and anticipated service needs.
- Validate patient demographics and payor source.
- Utilize and contribute to the development of the multidisciplinary clinical assessment of patients on an on-going basis during the patient's admission to ensure the quality and appropriateness of patient care.
- Implement, reassess, and evaluate patient condition and coordinates plan of care daily.
- Develop patient-specific plan of care based on the individual needs of the patient, conversations with providers and other staff, and documentation in the electronic medical record (EMR).
- Coordinate the 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 a liaison or facilitator for the patient and interdisciplinary healthcare team in the management of unusual or question 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.
- Licensed or eligible for license in Kentucky.
- Basic Life Support (BLS) accredited by the American Heart Association (AHA).
- Bachelors 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.
- Minimum two years experience performing utilization review and/or quality assurance activities in an acute care facility or HMO/PPO/PRO preferred.
