RN Case Manager NE

Banner Health • Edison, NJ

6d • Onsite

About The Position

The RN Case Manager provides comprehensive care coordination for assigned patients, including assessing care plans and developing, implementing, monitoring, and documenting resource use and patient progress. The role facilitates options and services that meet patients’ health care needs, with the intensity of coordination adjusted to patient needs and payer requirements. The position is accountable for the quality of clinical services and identifies and resolves barriers to effective care.

In this role, the nurse manages Workers’ Compensation cases and collaborates with providers and clinical teams to support outcomes for injured workers. The position is focused on case management rather than direct patient care. The schedule is part-time, 24 hours per week, with a flexible arrangement of three eight-hour shifts or four six-hour shifts. Training takes place at East Morgan County Hospital and Sterling Hospital; after training, the work location is East Morgan County Hospital in Brush, Colorado.

Requirements

• Bachelor’s degree in case management or health care, or equivalent knowledge normally obtained through completing such a degree.
• Current Registered Nurse (R.N.) license in the state where the employee works.
• Typically 3–5 years of clinical experience.
• 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, Basic Life Support (BLS) certification is required.
• For acute care assignments, ability to work flexible hours and take rotating after-hours call.

Nice To Haves

• Certified Case Manager (CCM) credential.
• Certificate in Occupational Medicine Work Comp.
• Additional related education and/or experience.

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.
• Collaboratively develop and manage interdisciplinary patient discharge plans and communicate those plans across the continuum of care.
• Evaluate the medical necessity and appropriateness of care, assess admissions and continued stays using standard criteria, and facilitate resolution of issues that may delay discharge.
• Build collaborative relationships with physicians, payers, and other health care team members.
• Collect and communicate timely, pertinent information to payers and others to fulfill utilization and regulatory requirements.
• Educate internal health care team members on case management and managed care concepts and facilitate their integration into daily practice.
• Identify and resolve barriers that may hinder effective patient care.

What This Job Offers

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