Case Manager (RN) - LHMI - Soc Work

Lake Huron Medical Center • Port Huron, MI

4d

About The Position

Lake Huron Medical Center is a 139-bed community hospital that provides a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties including emergency services, primary stroke center, cancer care, surgical services, physical therapy and rehabilitation services, pulmonary rehabilitation, and specialized diabetes programs. Lake Huron Medical Center is affiliated with Lake Huron Medical Group which offers patient-centered care through primary and specialty care physician practices located throughout the Blue Water Area. Raising the bar for quality health care, Lake Huron Medical Center received the Leapfrog Group's grade "A" in hospital safety, Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval® for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more at www.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is proud to be part of a system recognized as one of America's Greatest Workplaces for 2024 by Newsweek and Plant-A Insights Group! This prestigious honor is based on over 1.5 million comprehensive company reviews from more than 250,000 employees, highlighting our commitment to creating a positive and supportive work environment. Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Requirements

• Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
• Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
• Current BCLS (AHA) certificate upon hire and maintain current;
• Experience and knowledge in basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hires and maintain current.

Nice To Haves

• Five years acute care nursing experience preferred.
• At least one year experience in case management, discharge planning or nursing management, preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

• Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
• Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
• The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees