RN Case Manager

Healthier Mississippi People LLC • Canton, MS

121d

About The Position

To coordinate the comprehensive care for a specific patient population maintaining seamless, cost-effective, and quality patient care. To coordinate a multi-disciplinary team to provide quality patient care to a specified patient group and their families. To evaluate patients for appropriateness and medical necessity. To assess and coordinate efforts to meet resource management expectations and enhance patient outcomes while monitoring the cost of effective patient care. To perform job duties in accordance with the medical center's purpose.

Requirements

• Three (3) years of RN experience, one (1) year of which is in case management, utilization review, utilization management, or performance improvement.
• Valid RN license.
• RN case management certification preferred.

Responsibilities

• Performs and documents a comprehensive assessment for a specified group of patients whose diagnosis; procedures; and social, psychological, or financial needs indicate they would benefit from case management.
• Participates in the coordination and development of a plan of care with patients, family, and the interdisciplinary team.
• Reassesses and documents clinical needs and case management interventions.
• Facilitates coordination, timeliness, and appropriate resource for the patient's need.
• Coordinates and implements specific case management activities or interventions to achieve the goals set forth in the case management plan.
• Exhibits a positive and professional attitude as exhibited in behavior and productivity.
• Leads case management activities within specific patient/service populations.
• Monitors patient progress to determine the effectiveness of interventions and the interdisciplinary plan and impacts a change in the plan at the patient's condition or circumstances change.
• Evaluates appropriateness and medical necessity of the plan of care.
• Facilitates actions to move patients to the appropriate level of care as indicated.
• Collaborates with the social worker and other team members to discuss patients in need of services, resources, or support.
• Utilizes reports, data, and schedules to evaluate measures required to reflect.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 51-100 employees