RN Case Manager

Jackson Hospital • Montgomery, AL

8d • Onsite

About The Position

Under the direction of the Manager, Clinical Resource Management, the Case Manager is responsible for the activities of utilization management, case coordination, and the development and implementation of a discharge plan for an assigned group of patients. The Case Manager serves as a resource for other members of the healthcare team and provides education to team members on issues related to the continuum of care, reimbursement, regulatory agency guidelines, and resource use. Through collaboration, the Case Manager assures that the treatment plan is implemented accurately, in a cost-effective and efficient manner in order to promote customer satisfaction and prevent delays in care and discharge. Responsible for reviewing severity of illness and intensity of service indicators to assure that appropriateness of care criteria is met. Documents reviews and discharge planning in the medical record and/or the computer system as appropriate; Collects and maintains data for tracking and reporting for outcome studies and performance improvement.

Requirements

• Registered Nurse
• 3 years of clinical experience.
• Current license required by the profession.
• Computer skills
• Effective communication skills (verbal and written)
• Time management skills
• Critical thinking skills
• Working knowledge of healthcare reimbursement
• Working knowledge of counseling
• Working knowledge of community resources
• Working knowledge of continuum of care
• Working knowledge of team building
• Training in patient assessment
• Training in home care planning
• Training in criteria review
• Ability to communicate verbally and in writing.
• Ability to assist in moving, lifting, pulling, pushing equipment with a minimum of 30 pounds.
• Ability to push/pull (75-100 lbs.) medical record cart.
• Ability to meet attendance requirement of the job.
• Manual dexterity necessary for typing, writing and manipulation of a mouse.

Nice To Haves

• 1-year minimum experience in case manager role
• Case Management Certification

Responsibilities

• Activities of utilization management, case coordination, and the development and implementation of a discharge plan for an assigned group of patients.
• Serve as a resource for other members of the healthcare team.
• Provide education to team members on issues related to the continuum of care, reimbursement, regulatory agency guidelines, and resource use.
• Assure that the treatment plan is implemented accurately, in a cost-effective and efficient manner.
• Review severity of illness and intensity of service indicators to assure that appropriateness of care criteria is met.
• Document reviews and discharge planning in the medical record and/or the computer system as appropriate.
• Collect and maintain data for tracking and reporting for outcome studies and performance improvement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level