About The Position

The Registered Nurse Case Manager collaborates with the multidisciplinary care team to establish patient treatment plans and coordinate transitions between levels of care, promoting the best possible patient outcomes. The role facilitates efficient use of resources and identifies patient care needs throughout the continuum of care. This PRN position is based at Avera Queen of Peace Hospital and works Monday through Friday, 8 a.m. to 5 p.m., with at least one scheduled shift per week.

Requirements

  • Active Registered Nurse (RN) license in the state of practice, required upon hire.
  • Ability to work the specified hours.
  • Ability to perform the essential job functions satisfactorily, including adequate visual acuity and the ability to communicate effectively, hear, understand, and distinguish speech and other sounds.
  • Commitment to applying Avera’s mission, vision, core values, and social principles in service to patients, families, and the community.
  • Uphold Avera’s Communication, Attitude, Responsiveness, and Engagement (CARE) standards.

Nice To Haves

  • Specialty certification in an area of nursing practice.
  • One to three years of experience.

Responsibilities

  • Acts as a liaison with hospitals and other health care services, provides treatment advice, and advocates for patients with payor sources.
  • Identifies community resources that can assist with non-covered benefits, including medications, nutritional supplements, transportation, and durable medical equipment.
  • Provides patient care and assists providers as needed.
  • Completes documentation, obtains insurance prior authorizations, and coordinates scheduling of procedures, testing, and treatments.
  • Provides or assists with medical treatment teaching and follow-up care for patients and their families.
  • Assists with updating policies and procedures relevant to the area of responsibility.
  • Assists with reviewing and developing patient education materials.
  • May attend discharge planning meetings to coordinate post-procedure needs for discharged patients.
  • Maintains confidentiality and works effectively with team members to support an efficient work environment.
  • Complies with applicable safety principles, laws, regulations, and standards.
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