RN Case Manager

LMH Health•Lawrence, KS

11d

About The Position

The RN Case Manager uses a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options and services that meet patients’ needs. The role uses communication and available resources to promote quality, cost-effective outcomes. The case manager works with patients, families, physicians, and the healthcare team to develop and adjust treatment and discharge plans, coordinate services, and advocate for patient and hospital interests. Regular and reliable attendance is an essential function of this position.

Requirements

Registered Nurse.
Current nursing license in the State of Kansas.
One year of hospital case management and/or managed care and discharge planning experience.

Nice To Haves

Bachelor of Science in Nursing.
Case Management Certification.
Three years of medical/surgical experience in a clinical setting.
Experience utilizing InterQual.

Responsibilities

Gather relevant information through chart review and patient interviews.
Identify barriers objectively, clarify realistic goals, and seek potential alternatives.
Work with patients, families, physicians, and the healthcare team to develop treatment and discharge plans that promote positive outcomes and cost-effective care.
Modify plans in response to treatment through ongoing monitoring and communication with the healthcare team.
Promote communication among healthcare team members, patients, families, and physicians.
Monitor and promote appropriate use of resources, patient status, and level of care.
Communicate with third-party payors to support payment and maximize benefits.
Support and educate patients, families, physicians, and the healthcare team about available resources and regulations.
Advocate for necessary funding, treatment alternatives, timelines, and coordination of health services, and reevaluate progress and goals.
Maintain regular and reliable attendance.