Clinical Resource Manager Part-Time Days
Clinical Resource Manager Part-Time Days
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Job Description
Employment Type:
Part timeShift:
Day ShiftDescription:
At Saint Alphonsus Health System we are looking for people who are living out their calling. We want you to be passionate about coming to work and challenged to achieve your potential. Living by these virtues we pride ourselves on exceptional service and the highest quality of care.We are looking to hire a Clinical Resource Manager for our Medical Center in Nampa Idaho!
The Saint Alphonsus Medical Center in Nampa located at the corner of I-84 and Garrity Boulevard offers state-of-the-art best-in-class healthcare to residents of Canyon County. This 100-bed hospital that spans more than 240000 square feet features a complete diagnostic center 6-suite surgical operating theatre pre/post-operative holding and recovery rooms 10-bed short stay observation unit spacious and private patient rooms and an 18-bed intensive care unit. Built with preventive and ambulatory health in mind the facility accommodates the latest information technology updated diagnostic and treatment technology and an environment proved to reduce patient stress and recovery times.
About Nampa: As the third largest city in Idaho Nampa provides the amenities of big city living while still maintaining a down to earth authentic quality. Located in the heart of the Treasure Valley Nampa offers plenty to those looking for an affordable place to live and work. The range of entertainment options is as vast as the natural attractions that draw thousands to the area each year for camping skiing hiking and river adventures. Vineyards and wineries near Nampa provide romantic excursions throughout the year while its historic downtown is filled with unique shops and restaurants. Known for being a family-friendly community Nampa also offers a quality of life that cant be beat.
About this position: As a Clinical Resource Manager you will provide concurrent assistance and support to physicians and other clinical members of the health care team in coordinating the delivery of services for a select group of patients. You will also help achieve quality clinical and cost outcomes incorporate real-time contacts with medical staff hospital personnel and outside organizations to establish specific treatment cost and transition targets and facilitate transition planning.
Knows understands incorporates and demonstrates the Organizations Mission Vision and Values in behaviors practices and decisions. .
Demonstrates knowledge and skills to competently care for all assigned age groups (Neonate Child Adolescent Adult Geriatric as applicable).
Ensure the accuracy of documenting services and supplies provided to the patients.
Completes a screening/assessment of physician assigned cases to determine medical necessity/status determinations and transition needs.
Reassesses monitors and modifies as appropriate.
Uses established criteria to determine correct level of care for acute patients entering the facility.
Performs continued stay reviews as needed and requested by third party payers and Medicaid.
Responsible for appeals denials as appropriate. Utilizes physician advisor referral as appropriate.
Will adhere to department established process in reviewing 30 day re-admissions.
Follows established patient choice policy.
Documents assessment of primary and back up plans along with communications to patient family and care team.
Participates in care coordination activities for those patients identified as requiring case management interventions to decrease fragmentation increase communication and ensure effective implementation of a transition plan.
Works collaboratively with healthcare team members to efficiently allocate resources.
Documents and accurately completes data elements in electronic database.
Documents interventions taken to meet the needs of their individual patients in Power Chart.
Actively participates in department staff meetings and department sub teams.
General Requirements:
Colleague must have an RN license as defined by their primary work state (Idaho or Oregon) issued prior to hire date. Those colleagues hired before January 1 2020 must provide licensure or proof of application in process in their secondary state by August 28 2020. Individuals hired in this role after January 1 2020 must provide licensure or proof of application in their secondary state by August 28 2020 or within six months of hire whichever date is later.
BSN required
3-5 years of varied hospital clinical experience required.
Experience in case management home health and/or insurance industry preferred.
About Saint Alphonsus
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health. Visit to learn more about the benefits culture and career development opportunities available to you at Saint Alphonsus Health System.
Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race color religion gender marital status national origin age disability sexual orientation or any other characteristic protected by law
Trinity Healths Commitment to Diversity and Inclusion
Trinity Health employs about 133000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations our colleagues are trained to recognize the cultural beliefs values traditions language preferences and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Healths dedication to diversity includes a unified workforce (through training and education recruitment retention and development) commitment and accountability communication community partnerships and supplier diversity.
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Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
Manager
Employment Type
Part-Time
