RN Case Manager NE

Banner Health • Edison, NJ

8d • $36 - $60 • Onsite

About The Position

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

This role focuses on managing Workers’ Compensation cases and coordinating with providers and clinical teams to support outcomes for injured workers. It is suited to a detail-oriented, self-directed professional who collaborates effectively and delivers strong communication and customer service. The position does not involve direct patient care. Training takes place at East Morgan County Hospital and Sterling Hospital; after training, the work location is East Morgan Hospital in Brush, Colorado.

The position is part-time, 24 hours per week, with a flexible schedule of either three eight-hour shifts or four six-hour shifts. The listed work shift is day. The estimated pay range is $36.14–$60.23 per hour.

Requirements

• Bachelor’s degree in case management or health care, or the knowledge normally obtained through completion of such a degree.
• Current Registered Nurse (R.N.) license in the state where the work is performed.
• Basic Life Support (BLS) certification for assignments in an acute care setting.
• 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, communication, and time-management skills.
• Ability to work effectively in an interdisciplinary team.
• For acute care assignments, ability to work flexible hours and take rotating after-hours call.
• For Banner Registry and Travel positions, at least one year of acute care hospital and/or home care experience, including work as a Case Manager in the specialty area within the past 12 months.

Nice To Haves

• Certified Case Manager (CCM) credential.
• Additional related education and/or experience.
• A Certificate in Occupational Medicine Work Comp is described as an advantage in the introductory description.

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 to improve clinical, financial, operational, and satisfaction outcomes.
• Collaboratively develop and manage interdisciplinary patient discharge plans and communicate plans across the continuum of care.
• Evaluate medical necessity and appropriateness of care; assess admissions and continued stays using standard criteria; identify discharge delays and facilitate resolution.
• Build collaborative relationships with physicians, payers, and health care team members; collect and communicate timely information to meet utilization and regulatory requirements.
• Educate internal health care team members on case management and managed-care concepts and facilitate their integration into daily practice.
• May supervise other staff.
• Determine how to accomplish functions within established procedures and consult a supervisor about unusual situations.

What This Job Offers

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