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Registered Nurse (Rn) - Case Manager

Job Summary: The RN Case Manager is a Registered Nurse managing a case load of patients within their geographical team service area, responsible for the accurate assessment of each patient’s status, problems and needs. The

Posted on September 24, 2017

MA Case Manager

Bluecross Blueshield Of Tennessee Chattanooga ,TN

Effective 11/1/16: Employees who are required to drive his or her personal vehicle or a rental vehicle on a routine basis\ will be automatically enrolled into the BCBST Driver Safety Program\. The employee will also be

Posted on September 24, 2017

Effective 11/1/16: Employees who are required to drive his or her personal vehicle or a rental vehicle on a routine basis\* will be automatically enrolled into the BCBST Driver Safety Program\. The employee will also be required to adhere to the guidelines set forth through the program\. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST\-Owned Vehicle” Policy; and maintaining an acceptable motor vehicle record \(MVR\)\. \*The definition for "routine basis" is defined as daily, weekly or at regularly schedule times\. This position is accountable for promoting interdependent collaboration with the member, physician/primary care manager, family and other members of the health care or case management team\. To accomplish this collaboration, the case manager will assess, implement, monitor, and evaluate available resources in an effort to promote quality, cost effective outcomes while meeting the individual’s health needs\. The case manager identifies appropriate providers and facilities in an effort to improve or maintain the social, emotional, functional and physical health status of the client, as well as enhance the coping skills of the family or other caregiver\. **Job Description:** **Job Duties & Responsibilities** _Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions\. \(Applies to position specific sections as well\)_ _The case manager will perform the six essential activities of case management\._ + **Assessment** – The case manager will collect in\-depth information about a person’s situation and functioning to identify individual needs in order to identify members at risk for high cost medical care and develop a comprehensive case management plan that will address those needs\. + **Planning** – The case manager will determine specific objectives, goals, and actions as identified through the assessment process\. The plan should be action oriented and time specific\. + **Implementation** – The case manager will execute specific intervention that will lead to accomplishing the goals established in the case management plan\. + **Coordination** – The case manager will organize, integrate, and modify the resources necessary to accomplish the goals established in the case management plan\. + **Monitoring** – The case manager will gather sufficient information from all relevant sources in order to determine the effectiveness of the case management plan\. + **Evaluation** – At appropriate and repeated intervals, the case manager will determine the plan’s effectiveness in reaching desired outcomes and goals\. This process might lead to a modification or change in the case management plan in its entirety or in any of its component parts\. **Case Management Functions** + Conduct a thorough and objective evaluation of the client’s current status including physical, psychosocial, environmental, financial, and health status expectation\. + As a client advocate, seek authorization for case management from the recipient of services \(or designee\)\. + Assess resource utilization and cost management; the diagnosis, past and present treatment; prognosis, goals \(short\- and long\-term\)\. + Identify opportunities for intervention\. + Set goals and time frames for goals appropriate to individual\. + Arrange, negotiate fees for, and monitor appropriate cases and services for the client\. + Maintain communication and collaborate with patient, family, physicians and health team members, and payer representatives\. + Compare the client’s disease course to established pathways to determine variances and then intervene as indicated\. + Routinely assess client’s status and progress; if progress is static or regressive, determine reason and proactively encourage appropriate adjustments in the care plan, providers and/or services to promote better outcomes\. + Establish measurable goals that promote evaluation of the cost and quality outcomes of the care provider\. + Report quantifiable impact, quality of care and/or quality of life improvements as measured against the case management goals\. + Participate in Inter\-reviewer Reliability to identify quality of care issues and criteria inconsistencies\. + Maintain requirements of documentation and caseload as reflected in audits to meet compliance with quality standards\. + Conduct case screenings using applicable tools to determine appropriate levels needed to meet member needs\. **Job Qualifications** **Education** + Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law\. + Musthave or be able to be licensed in multiple states if required **Experience** + Minimum of five \(5\) years health care experience with at least three \(3\) years of clinical experience, + Prefer two \(2\) years experience in Utilization Management, Case Management or Managed Care\. **Skills/Certifications** + Certified Case Manager \(CCM®\) credential preferred; required to take examination when eligible\. Case Managers must obtain a CCM certification within 2 years of hire as a case manager or they will no longer be able to perform case management functions + Excellent oral and written communication skills, with problem\-solving abilities\. + Basic PC computer skills required with emphasis on Microsoft Office applications preferred + Various immunizations and/or associated medical tests may be required for this position\. **Job Specific Requirements:** BBEX 10 AEP **Number of Openings Available:** 1 **Worker Type:** Employee **Worker Sub\-Type:** Regular **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. BCBST is an Equal Opportunity employer \(EEO\), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made\. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or membership in a historically under\-represented group\. **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** **Tobacco\-Free Hiring Statement** To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products in any form in Tennessee and where state law permits\. A tobacco\-free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community\. All offers of employment will be contingent upon passing a tobacco/nicotine test\. An individual whose test result is positive for tobacco/nicotine will be disqualified from employment and the job offer will be withdrawn\. Individuals who fail the tobacco/nicotine screening will be permitted to reapply for employment after 6 months, if tobacco/nicotine\-free\. Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree\.gov or 1\-800\-QUIT\-NOW\. About Us As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years\. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\.

Case Manager RN (Registered Nurse)

Hca, Hospital Corporation Of America Chattanooga ,TN

Parkridge Medical Center has served the community for nearly 40 years. Over the years, we have built a reputation for advanced technology and compassionate care, making us a hospital of choice for patients seeking quality

Posted on September 24, 2017

Case Manager RN, Lmsw Kindred Hospital Chattanooga

Kindred Healthcare Chattanooga ,TN

Kindred Transitional Care Hospitals has a career opportunity for you as a Case Manager As a division of Kindred Healthcare, we play a vital role in the recovery process for chronic, critically ill and medically complex

Posted on September 23, 2017

Kindred Transitional Care Hospitals has a career opportunity for you as a Case Manager As a division of Kindred Healthcare, we play a vital role in the recovery process for chronic, critically ill and medically complex patients who require acute care and rehabilitation over an extended period. Your career growth begins when you join an interdisciplinary team, where doctors, nurses, therapists and other experts work together to form individualized care plans for our patients and residents. Opportunities through our development programs, training seminars and university partnerships, not only allow for continual career growth but emphasize our commitment to investing in our employees and developing future healthcare leaders. The goal of our team is to deliver intensive, multidisciplinary care and transition patients’ home or to a lower level of care as quickly and safely as possible. Each employee’s dedication is essential to meet and exceed the needs of each patient, resident and family we serve. Ranked as one of Fortune magazine’s “Most Admired Healthcare Company” for 8 years, Kindred welcomes you to join our team and build a career that touches lives. As a Case Manager / CM you will : Coordinate management of care for a specified patient population in a single hospital. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning. Case Manager, Case Management, CM, Utilization Review, CCMC, RN, Registered Nurse, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals, ACLS, ANA, Acute care, Admissions Nurse, Admission Nurse, BLS, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management, case manager, critical care, ER, Emergency Room, Healthcare, health care, Homecare, home care, home health, homehealth, hospital, ICU, intensive care unit, MSN, medical, medical care, med surg, med-surg, medicare, Nurse, Nurse Care Manager, Nurse Job, Nurse Jobs, oncology RN, oncology nurse, oncology registered nurse, palliative care nurse, ortho nurse, ortho RN, ortho registered nurse, palliative care RN, palliative care registered nurse, registered nurse, RN Job, RN Jobs, Registered Nurse Job, Registered Nurse Jobs, Nursing, Oasis, PRN, PDM, progressive care nurse, rehab RN, rehab registered nurse, rehab nurse, Registered Nurse, Registered Nurse Case Manager, RN, R.N., RN Case Manager, skilled visit, staff RN, staff nurse, staff registered nurse, step down unit, step-down unit, step down unit RN, tele, telemetry, telemetry nurse, telemetry RN, travel nurse, travel RN, travel registered nurse, visit nurse, hospital nurse. hospital RN MON-HD LI-HD As a Case Manager / CM you will have: Appropriate minimum degree for preferred licensure or certification or commensurate experience in a related healthcare field. Healthcare professional licensure preferred as Registered Nurse, Respiratory Therapist, Physical Therapist, Occupational Therapist or Social Worker. Appropriate certification in Case Management preferred; for example, Commission for Case Manager Certification (CCMC); Association of Rehabilitation Nurses (ARN) certification. Three years clinical experience. Prefer experience in Case Management, Quality Management, Utilization Review, or discharge planning. If you are a current Kindred/RehabCare employee Click Here .

Full Time Home Health RN Case Manager

Gentiva, An Affiliate Of Kindred At Home Chattanooga ,TN

Tracking Code 38808 Job Description I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at

Posted on September 22, 2017

Tracking Code 38808 Job Description I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva , delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including non-medical personal assistance, skilled nursing and rehabilitation and hospice and palliative care. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families. I believe in working for a company that cares as much as I do. We offer a unique employment package that includes: Unprecedented opportunities for career growth. Clinical ladder for professional credentialing and advancement. Innovative specialties with cutting-edge training and development. Flexible full-time, part-time and PRN positions. I believe my work is my calling. As a Home Health RN Case Manager , you will: Provide admission, case management, and follow-up skilled nursing visits for home health patients. Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation. Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers). Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility. Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation. Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care. Required Skills Qualifications Diploma, Associate or Bachelor Degree in Nursing Minimum of one year nursing experience preferred Strong med surg, ICU, ER, acute experience Home Health experience a plus Current and unrestricted Registered Nurse licensure Current CPR certification Strong organizational and communication skills Required Experience Keywords: ACLS, ANA, Acute care, Admissions Nurse, Admission Nurse, BLS, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management, case manager, critical care, ER, Emergency Room, Healthcare, health care, Homecare, home care, home health, homehealth, hospital, ICU, intensive care unit, MSN, medical, medical care, med surg, med-surg, medicare, Nurse, Nurse Care Manager, Nurse Job, Nurse Jobs, oncology RN, oncology nurse, oncology registered nurse, palliative care nurse, ortho nurse, ortho RN, ortho registered nurse, palliative care RN, palliative care registered nurse, registered nurse, RN Job, RN Jobs, Registered Nurse Job, Registered Nurse Jobs, Nursing, Oasis, PRN, PDM, progressive care nurse, rehab RN, rehab registered nurse, rehab nurse, Registered Nurse, Registered Nurse Case Manager, RN, R.N., RN Case Manager, skilled visit, staff RN, staff nurse, staff registered nurse, step down unit, step-down unit, step down unit RN, tele, telemetry, telemetry nurse, telemetry RN, travel nurse, travel RN, travel registered nurse, visit nurse MON All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin. To learn more, please contact your local recruiter at (toll free) 1.866.GENTIVA Job Location Chattanooga, Tennessee, United States Position Type Full-Time/Regular

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