Registered Nurse - Care Manager

Rochester Regional Health • Rochester, MN

7d • $82,742 - $113,568 • Onsite

About The Position

As a Registered Nurse – Care Manager, your excellent interpersonal, leadership and collaboration skills ensure the appropriate allocation of hospital resources while maintaining the quality of care.

Requirements

• Diploma or Associate’s Degree in Nursing
• Registered Nurse license in New York State.
• Basic Life Support (BLS) certification.

Nice To Haves

• Three (3) years of acute hospital care, case management or utilization management experience preferred
• Excellent oral and written communication and interpersonal skills
• Good understanding of medical management techniques and processes
• Knowledge of federal and state regulations (DOH, Medicaid/Medicare)
• Strong organizational and problem-solving skills
• Knowledge of third party payor and/or managed care payment principles helpful
• Bachelor’s Degree in Nursing preferred.
• At least 6 months RN experience preferred

Responsibilities

• Evaluate hospital admissions to assure care is medically necessary and delivered at the most appropriate level; actively participate in the concurrent review process and communicate/intervene with third party payors to ensure reimbursement for services are provided while maintaining quality of care
• Collaborate with providers, patients and families to address concerns and identify safe, effective discharge plans; intervene to identify and facilitate early referral for discharge planning; facilitate the discharge process by working with the healthcare team to identify alternative solutions to minimize system delays while ensuring a safe discharge plan
• Coordinate and participate in the development, implementation and revisions of evidence based clinical pathways and guidelines; participate in driving clinical and administrative compliance with care guidelines and core measures; identify and recommend actions for improvement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree