RN Case Manager

Banner Health•Pikeville, KY

13d•$44 - $73•Onsite

About The Position

Help move health care into the future. At Banner Health we are changing health care to make the experience the best it can be. If that sounds like something you want to be part of, apply today. Susanville is nestled within the Sierra Nevada Mountains. Enjoy four seasons with a host of year-round recreational opportunities. Explore the 2,700 square miles of public lands, with hiking, biking, cross country skiing, horseback riding, hunting, camping and off-road recreation activities. Click here to view the Susanville town and surrounding area. As the Case Manager , you will have the opportunity to provide comprehensive care coordination for patients as assigned. This position is accountable for clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. Case Managers cover units throughout the hospital and generally work in multiple areas each day. Case Managers are responsible for conducting initial assessments on patients, participating in daily multi-disciplinary rounds, communicating the discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a transitional care associate. Located in Susanville in northeast California, Banner Lassen Medical Center offers comprehensive care in a state-of-the-art facility to aid in the prevention, diagnosis, and treatment of illnesses. Our 25-bed medical center has a proud history of providing vital caring to the community since 1883. Though we are a small community hospital, we have invested in the latest medical equipment, including a 124-slice CT scanner, nuclear medicine, MRI, ultrasound, bone density and mammography. The hospital also offers infusion, respiratory therapy and cardiopulmonary services as well as laboratory services, inpatient and outpatient surgery and a 24-hour emergency department. Away from work, you'll find that our location at the foot of the scenic Sierra Nevada Mountains offers an unlimited variety of recreational activities, including fishing, camping, golfing, hiking and skiing. POSITION SUMMARY This position provides comprehensive care coordination for patients as assigned. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.

Requirements

RN: Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.
Requires current Registered Nurse (R.N.) license in state worked.
Social Worker: Requires a Master's Degree in Social Work.
Requires a Licensed Master Social Worker (LMSW) (equivalent) or Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date.
An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master’s Degree and be a Licensed Social Worker.
For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
Requires a proficiency level typically achieved with 2 years clinical experience.
Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills.
Must demonstrate ability to work effectively in an interdisciplinary team format.
May have to take rotating call based on the acute facility need.
For Case Management positions in acute facilities, Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.

Nice To Haves

Certification for CCM (Certified Case Manager) preferred.
Additional related education and/or experience preferred.

Responsibilities

Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.
Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of community resources relevant to health care, end of life dynamics, substance abuse, abuse, neglect, and domestic violence.
Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
May supervise other staff.
Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are entity based with no budgetary responsibility. Internal customers: Patients, families, all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.