RN CASE MANAGER (Full-time)

Natchitoches Regional Medical Center • Natchitoches, LA

just now • Onsite

About The Position

The Case Manager assesses, plans, implements, coordinates, monitors and evaluates options to facilitate the continuum of care. The Case Manager provides a full range of case management services in collaboration with a multidisciplinary team. The Case Manager educates staff regarding effective allocation of the hospital’s resources while encouraging provision of high-quality patient care and is cognizant of regulations and policies of all review organizations relating to billing of the fiscal intermediaries.

Requirements

• Current RN license.
• Graduate of accredited school of Nursing.
• Minimum of 5 years clinical experience.
• Knowledge of CMS, DHH, TJC regulations and reporting mechanisms
• Able to work with a diverse patient and staff population with knowledge and sensitivity to cultural and spiritual influences impacting patient care
• Knowledge of state and federal programs and community resources that provide medical care and financial support to individuals
• Knowledge of basic computer skills
• Deductive reasoning and communication skills
• Teaching skills
• Ability to read, write, speak, understand and communicate effectively in English
• Ability to use appropriate discretion in handling confidential material and information

Nice To Haves

• Previous Case Management experience.

Responsibilities

• Manage interactions with patients, families, physicians, payors and other health care providers to meet designated clinical, operational and financial outcomes for aggregate patient populations.
• Assist physicians, patients, families, staff and other health care providers in providing care for patient populations that is appropriate, effective, and cost efficient.
• Attend and actively participate in all departmental and interdepartmental meetings relative to Case Management, Social Services and Utilization review functions.
• Documents Case Management plans in a clear and concise manner
• Educate physicians and staff regarding appropriate level of care / utilization issues.
• Maintains current knowledge of Case Management, Social Services, Utilization and Nursing issues through continuing education
• Acquires professional certification in area of Case Management within 2 years of hire
• Participates in professional activities in order to continue professional development.
• Will be required to cross train for Utilization Review duties.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree