RN Case Mgr-Hospital & ED-M-M

Children’s Hospitals and Clinics of Minnesota•Minneapolis, MN

3d•Onsite

About The Position

The RN case manager promotes efficient and effective service delivery through enhanced communication and coordination of the patient specific plan of care. Ensures the established standard of care and expected outcomes are achieved in a timely manner while facilitating appropriate resource utilization and enhancing customer satisfaction. The case manager proactively communicates with members of the healthcare team to ensure appropriate medical necessity for patients in beds; communicates with payers and patient/family/healthcare team regarding payer information as necessary. Ensures that care moves through the episode of care in a timely and efficient manner.

Requirements

Current MN RN license.
Current BLS certification.
BS/BA in nursing or ADN with BS/BA in relevant health care major.
2 years current nursing experience, pediatric preferred.
Demonstrated ability to gather data, evidence, and best practice to be able to present a cogent argument to physicians and payers related to level of care, continued stay, and plan of care progression.
Ability to challenge respectfully and negotiate successfully for optimal patient outcomes.
Demonstrated problem solving ability which employs anticipation, creativity, resourcefulness and sound judgment to make recommendations for change/plan based on data and clinical knowledge.
Demonstrated ability to function as part of a team and form positive, collaborative relationships with social work, hospital staff, patients, families and post-acute providers.
Demonstrated critical thinking skills to anticipate needs, establish priorities, meet deadlines, and effectively manage a caseload of work.
Demonstrated experience in prioritizing and delegating work.
Demonstrated ability to engage all staff (nurses, management, physicians and ancillary staff) to facilitate a collaborative environment.
Demonstrated ability to coach and mentor colleagues and other disciplines.
Proficient with computers and programs.

Nice To Haves

Case Management certification recommended.

Responsibilities

Promotes efficient and effective service delivery through enhanced communication and coordination of the patient specific plan of care.
Ensures the established standard of care and expected outcomes are achieved in a timely manner while facilitating appropriate resource utilization and enhancing customer satisfaction.
Proactively communicates with members of the healthcare team to ensure appropriate medical necessity for patients in beds.
Communicates with payers and patient/family/healthcare team regarding payer information as necessary.
Ensures that care moves through the episode of care in a timely and efficient manner.