Registered Nurse (RN) Case Manager

Foundation Health•Fairbanks, AK

1d•Onsite

About The Position

Provides comprehensive care coordination for assigned patients. Assesses each patient’s plan of care and develops, implements, monitors, and documents resource utilization and the patient’s progress through care. Facilitates options and services to meet health care needs, with the intensity of coordination adjusted to patient needs and payer requirements. Accountable for the quality of clinical services delivered by the employee and others, and identifies and resolves barriers to effective patient care. Fairbanks Memorial Hospital is a non-profit, Joint Commission-accredited facility owned by the Greater Fairbanks Community Hospital Foundation. It has 152 licensed beds and serves as the primary referral center for residents of Alaska’s interior. The hospital describes its clinical environment as having a strong patient-to-nurse ratio and a Shared Leadership Infrastructure.

Requirements

Bachelor’s degree in case management or health care, or the associated knowledge normally obtained through completion of such a degree.
Current Registered Nurse (R.N.) license in the state where the employee works.
For acute care assignments, Basic Life Support (BLS) certification.
Clinical experience sufficient to achieve the required proficiency level, typically five years.
Working knowledge of care management, acute care and/or home care environments, community resources, and resource/utilization management.
Critical thinking, problem-solving, effective communication, and time management skills.
Ability to work effectively in an interdisciplinary team.
For acute care assignments, ability to work flexible hours and take rotating after-hours call.
For Foundation Registry and Travel positions, at least one year of experience in an acute care hospital and/or home care setting, including work in an acute care and/or home care setting within the past 12 months as a Case Manager in the specialty area.

Nice To Haves

Certified Case Manager (CCM) certification.

Responsibilities

Manage individual patients across the health care continuum to achieve optimal clinical, financial, operational, and satisfaction outcomes.
Lead process improvement activities for patient populations to achieve optimal outcomes.
Collaboratively develop and manage interdisciplinary patient discharge plans and communicate plans across the continuum of care.
Evaluate medical necessity and appropriateness of care to optimize patient outcomes.
Assess admissions and continued stays using standard criteria.
Identify issues that may delay discharge and facilitate their resolution.
Establish and promote collaborative relationships with physicians, payers, and other health care team members.
Collect and communicate timely, relevant information to payers and others to meet utilization and regulatory requirements.
Educate internal health care team members about case management and managed care concepts, and facilitate integration of these concepts into daily practice.
May supervise other staff.
Perform work according to established policies, procedures, regulatory and accreditation requirements, and applicable professional standards.
Provide customers with an excellent service experience by consistently demonstrating the organization’s core and leader behaviors.