DescriptionCase Manager Registered Nurse - Non-Exempt Position Summary
Monitors and manages patient care to promote continuity of care optimal outcomes patient satisfaction cost efficiency and regulatory compliance. Collaborates with the multidisciplinary team payors and community resources; leads discharge planning and utilization review activities. Reports to the Director or Manager of Department.
Essential Functions
- Consults regularly with nursing staff and the multidisciplinary team to evaluate patient status and appropriateness of care including admission length of stay transfers and discharge.
- Monitors patient and family satisfaction; responds to questions and complaints from patients families and payors.
- Leads and coordinates discharge planning including patient transfers to other facilities and referrals to community resources; provides discharge education.
- Performs chart reviews to identify and address issues related to service delivery patient outcomes and satisfaction compliance cost and reimbursement.
- Communicates effectively with providers payors and ancillary services to remove barriers and ensure timely care progression.
- Accurately documents case management activities plans and outcomes.
- Participates in performance improvement and required continuing education.
- Supports department operations by working alternate shifts/units as needed; may be assigned on-call.
- Performs other duties as assigned.
Additional Information
Patient Populations Served: Late Childhood Adolescent Young Adult Middle Adult Older Adult. Protected Health Information Accessed: Demographic Clinical Insurance Financial Complete Medical Record. Exposure: Occupational exposure to bloodborne pathogens may be present. Physical Requirements (typical): Frequent keyboard data entry sitting standing walking and repetitive hand/arm movements; occasional kneeling squatting pushing/pulling and lifting/carrying up to 25 lbs; rare climbing or running. Vision demands include near/far vision and depth perception (constant); color distinction frequent; smell and taste rarely required.
Knowledge Skills & Abilities
Education: Associates Degree in Nursing required; Bachelors Degree in Nursing preferred. License/Certifications: Current RN license in state of practice; BCLS required. Skills: Critical thinking and decisive judgment; ability to work with minimal supervision in stressful environments. Proficiency learning/navigating multiple clinical software systems. Effective English communication (read write speak and understand). Ability to complete the Skills Competency Checklist within 90 days of hire.
Required Experience:
Manager
DescriptionCase Manager Registered Nurse - Non-Exempt Position Summary Monitors and manages patient care to promote continuity of care optimal outcomes patient satisfaction cost efficiency and regulatory compliance. Collaborates with the multidisciplinary team payors and community resources; leads d...
DescriptionCase Manager Registered Nurse - Non-Exempt Position Summary
Monitors and manages patient care to promote continuity of care optimal outcomes patient satisfaction cost efficiency and regulatory compliance. Collaborates with the multidisciplinary team payors and community resources; leads discharge planning and utilization review activities. Reports to the Director or Manager of Department.
Essential Functions
- Consults regularly with nursing staff and the multidisciplinary team to evaluate patient status and appropriateness of care including admission length of stay transfers and discharge.
- Monitors patient and family satisfaction; responds to questions and complaints from patients families and payors.
- Leads and coordinates discharge planning including patient transfers to other facilities and referrals to community resources; provides discharge education.
- Performs chart reviews to identify and address issues related to service delivery patient outcomes and satisfaction compliance cost and reimbursement.
- Communicates effectively with providers payors and ancillary services to remove barriers and ensure timely care progression.
- Accurately documents case management activities plans and outcomes.
- Participates in performance improvement and required continuing education.
- Supports department operations by working alternate shifts/units as needed; may be assigned on-call.
- Performs other duties as assigned.
Additional Information
Patient Populations Served: Late Childhood Adolescent Young Adult Middle Adult Older Adult. Protected Health Information Accessed: Demographic Clinical Insurance Financial Complete Medical Record. Exposure: Occupational exposure to bloodborne pathogens may be present. Physical Requirements (typical): Frequent keyboard data entry sitting standing walking and repetitive hand/arm movements; occasional kneeling squatting pushing/pulling and lifting/carrying up to 25 lbs; rare climbing or running. Vision demands include near/far vision and depth perception (constant); color distinction frequent; smell and taste rarely required.
Knowledge Skills & Abilities
Education: Associates Degree in Nursing required; Bachelors Degree in Nursing preferred. License/Certifications: Current RN license in state of practice; BCLS required. Skills: Critical thinking and decisive judgment; ability to work with minimal supervision in stressful environments. Proficiency learning/navigating multiple clinical software systems. Effective English communication (read write speak and understand). Ability to complete the Skills Competency Checklist within 90 days of hire.
Required Experience:
Manager
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