RN Case Manager - PRN

Lifepoint Health • Elko, NV

3d

About The Position

Your experience matters Northeastern Nevada Regional Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Manager joining our team, you’re embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you’ll contribute A Case Manager who excels in this role: Works with patients, family members, area hospital staff, physicians and other community agencies to obtain referrals and provide case management for patients including: screening, pre-admission and admission process and care plan management and coordination. Assists with the development, assessment, implementation, and monitoring of a comprehensive plan of care for patients meeting our high-risk screening criteria by screening on designated programs, coordinating an interdisciplinary team approach to service, and resource delivery beginning on a admission basis and follows through placement into follow up after care in collaboration with the hospital team. Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and appropriateness of medical care, including admission, length of stay, transfer and discharge. Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients. Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement. Counsels and interviews patients/family members and conducts an appraisal of social, emotional and economic complications to provide the physician and the health care team with recommendations and information which will assist in development of the plan for the patient’s care upon referral. Provides information to patients/families regarding financial concerns and general information and counsels patients/families surrounding the issues of illness, loss, grief, bereavement, and anger. They also advise, counsel, teach and support patients and/or family members in assuming responsibility/advocacy for personal health care needs, decision making and ongoing planning and service coordination. Serves as an advocate and liaison between patient/family and physician and monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care. Obtains third party payer admission authorization if necessary. Coordinates follow up care to ensure appropriate services are provided to clients. Documents and maintains accurate patient records related to patient referrals, admissions, care plan management and discharges.

Requirements

• Current state RN license
• One year of acute care experience
• American Heart Association Certifications: Basic Life Support (BLS) within 90 days of hire.

Nice To Haves

• Case Management, Discharge Planning, Insurance and Utilization Review Experience Preferred
• Strong Technical Computer Skills

Responsibilities

• Works with patients, family members, area hospital staff, physicians and other community agencies to obtain referrals and provide case management for patients including: screening, pre-admission and admission process and care plan management and coordination.
• Assists with the development, assessment, implementation, and monitoring of a comprehensive plan of care for patients meeting our high-risk screening criteria by screening on designated programs, coordinating an interdisciplinary team approach to service, and resource delivery beginning on a admission basis and follows through placement into follow up after care in collaboration with the hospital team.
• Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and appropriateness of medical care, including admission, length of stay, transfer and discharge.
• Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources.
• Provides discharge education and resource referrals to patients.
• Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
• Counsels and interviews patients/family members and conducts an appraisal of social, emotional and economic complications to provide the physician and the health care team with recommendations and information which will assist in development of the plan for the patient’s care upon referral.
• Provides information to patients/families regarding financial concerns and general information and counsels patients/families surrounding the issues of illness, loss, grief, bereavement, and anger.
• They also advise, counsel, teach and support patients and/or family members in assuming responsibility/advocacy for personal health care needs, decision making and ongoing planning and service coordination.
• Serves as an advocate and liaison between patient/family and physician and monitors patient and family satisfaction.
• Responds to questions and complaints from patients, family members, and payors regarding care.
• Obtains third party payer admission authorization if necessary.
• Coordinates follow up care to ensure appropriate services are provided to clients.
• Documents and maintains accurate patient records related to patient referrals, admissions, care plan management and discharges.

Benefits

• Financial & Career Growth: 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees