Registered Nurse - Care Manager
About The Position
It's more than a career, it's a calling. Join a team where your work matters—every moment, every patient, every community. At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact. Apply today. SSM Health –We bring out the incredible in you, everyday. This role utilizes skilled intervention, clinical best practice knowledge and collaboration with the patient, physician and multidisciplinary treatment team to pace care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless clinical transition of patients through medically appropriate levels of care.
Requirements
- Graduate of accredited school of nursing or education equivalency for licensing
- Two years' experience as a registered nurse
- Computer savvy.
- Ability to work in a fully telephonic role.
- Critical thinking skills.
- Ability to work somewhat autonomously.
- Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
- Registered Nurse (RN) Issued by Compact State or Registered Nurse (RN) - Missouri Division of Professional Registration
- Registered Nurse (RN) Issued by Compact State or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
- Registered Nurse (RN) Issued by Compact State or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
Responsibilities
- Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program.
- Assesses all assigned patients and integrates family information from social work to collaboratively determine potential, actual and the next level of care needed.
- Holds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care.
- Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes.
- Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting.
- Actively participates in clinical performance improvement activities as assigned.
- Builds a network of positive working relationships that advocate for the patient.
- Documents clinical activity in the medical record and supports and coaches accurate clinical documentation by physicians and others.
- Pursues continuing education in area of expertise/leadership.
- Works in a constant state of alertness and safe manner.
- Performs other duties as assigned.
Benefits
- One week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
- Instant access to earned, unpaid base pay before payday through DailyPay (fees may apply).
- Upfront tuition coverage through FlexPath Funded for eligible team members.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
