RN Case Manager - Intermediate (HOPD Neurosurgery Clinics)
About The Position
Manages cases to enhance the quality of patient management and satisfaction. Promotes continuity of care and cost effectiveness through integrating functions of case management, utilization review and management, and discharge planning. Responsibilities Assists with the provision of ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs; accountable for the care, coordination and discharge planning of all patients. Helps to coordinate the integration of social services/case management functions into the patient care, discharge, home planning processes, external service organizations, agencies and healthcare facilities. Acts as patient advocate; investigates and reports adverse occurrences; evaluates patient satisfaction and quality of care provided. Conducts review for appropriate utilization of services from admission through discharge; ensures that patient tests are appropriate and necessary, completed within the established timeframe and that results are promptly available. Performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery. Communicates with physicians at regular intervals and develops effective working relationships; assists physicians to maintain appropriate cost, case, and desired patient outcomes. Participates in the development and implementation of patient care policies and protocols. Performs all other duties as assigned.
Requirements
- Knowledge in a supervisory or quality assurance position in a healthcare environment.
- Case management experience.
- Knowledge as Registered Nurse in a clinical care setting.
- Good interpersonal skills.
- Utilizes influencing/motivational interviewing skills.
- Ability to speak, read, write, and communicate effectively.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
- Ability to work independently without supervision.
- Ability to manage multiple priorities, effective organizational and time management skills along with strong teamwork skills.
- Effective computer skills using Microsoft Office (Word, Excel, PowerPoint, etc.) and database software.
- Demonstrated aptitude and/or proficiency in the use of Electronic Medical Record and Case Management software.
- Demonstrated aptitude and/or proficiency in using Microsoft Office (Word, Excel, PowerPoint, etc.) and database software.
- Associate's Degree in nursing is required.
- Current Texas Registered Nurse License is required.
- CPR/BLS required.
Nice To Haves
- Epic experience highly desirable.
Responsibilities
- Assists with the provision of ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs
- Accountable for the care, coordination and discharge planning of all patients
- Helps to coordinate the integration of social services/case management functions into the patient care, discharge, home planning processes, external service organizations, agencies and healthcare facilities
- Acts as patient advocate
- Investigates and reports adverse occurrences
- Evaluates patient satisfaction and quality of care provided
- Conducts review for appropriate utilization of services from admission through discharge
- Ensures that patient tests are appropriate and necessary, completed within the established timeframe and that results are promptly available
- Performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery
- Communicates with physicians at regular intervals and develops effective working relationships
- Assists physicians to maintain appropriate cost, case, and desired patient outcomes
- Participates in the development and implementation of patient care policies and protocols
- Performs all other duties as assigned.
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What This Job Offers
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
