Case Management Rn Jobs

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Director (RN) Case Management

Lifepoint Health•Price, UT
•Onsite

About The Position

The healthcare director of case management serves as a resource for the case management team and other departments, and reports to the CNO. This position also provides direct supervision of other case managers. The position holds a leadership position that requires clinical experience and an advanced degree. Individuals in this role must also possess comprehensive knowledge of the healthcare industry, familiarity with government regulations on healthcare plans, strategic planning skills, and an understanding of the operations of a healthcare organization. Case management nursing involves planning, assessing, monitoring, and managing patient care. An important goal of case management is to ensure that patients receive quality care in the most cost-effective manner. RNs working within the case management department of a healthcare organization are responsible for determining patient eligibility for certain treatments, coordinating patient services, and developing treatment plans. Case management nurses work with patients and their families to ensure that the treatment being received will lead to desired health results. Our Department embodies a culture of teamwork and effective communication, which are essential for providing specialized care to patients. This department provides clinical care for patients from Neonatal to Geriatric patients.

Requirements

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.
  • Comprehensive knowledge of healthcare principles and practices
  • Excellent critical-thinking, problem-solving, and analytical skills
  • Ability to lead and motivate others
  • Strong self-initiative and interpersonal communication skills
  • Fluency in the compliance and regulatory standards governing health plans and patient care
  • Proficiency with computers and a talent for research and data analysis
  • Previous experience in Case Management required
  • Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA).
  • Skilled in the application of policies and procedures.
  • Knowledge of Business Office Standards and Recommended Practices.

Nice To Haves

  • Customer service field preferred.

Responsibilities

  • Develops and implements departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements/objectives of the organization.
  • Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
  • Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
  • Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding.
  • Coordinates and directs internal/external audits.
  • Creates and fosters an environment that encourages professional growth.
  • Integrates evidence-based practices into operations and clinical protocols.
  • Regular and reliable attendance.
  • Perform other duties as assigned.

Benefits

  • Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
  • Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Ongoing learning and career advancement opportunities.

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