Care Manager II RN

WHAT WE NEED

Multi-tasking patient coordinators

WHO WE ARE LOOKING FOR

At Franciscan Health, each patient's hospital stay is as unique as the patient. Care standards, patient needs and physician orders all come into play in determining a patient's care plan. At the center of all the assessing, planning, coordinating and evaluating are our Case Managers. The very best in communicators, these managers work with physicians, patients and families to optimize patient care.

Are you a good collaborator? Do you have experience and knowledge of medical conditions and levels of care? Do you thrive on following standards to ensure patient care is optimized from admission to discharge? We need your skills.

WHAT YOU WILL DO

• This is a .6 D/E with Holidays and Weekends

• Position located at Carmel Facility

• Utilize information from patient interview, patient's chart, written and verbal reports to make appropriate assessment based on information received.

• Discuss Post OP care options with patient including options for physical therapy, care destination, insurance criteria for care, and needed medical equipment and assistive devices.

• Use assessment information received to develop appropriate post-operative discharge care plan for patient.

• Provide communication of specific patient needs and care plan to appropriate health care professionals via EMR documentation, emails, phone calls, and text messages.

• Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment.

• Collaborate with other departments and with staff within the department to develop, implement, and maintain efficient clinical programs.

• Continue personal education to improve practice.

• Keep up to date on insurance and CMS regulation and guideline changes.

WHAT IT TAKES TO SUCCEED

• Prior RN and/or Case Management experience.

• Maintain composure, even in very difficult situations.

• Customer service skills.

• Healthcare Financing Administration (HCFA) Quality Management Guidelines.

• Established Medical Practice Standards.

• Knowledge of Managed Care requirements under the Medicare/Medicaid and other third party payor programs.

• Develop effective relationships with patients, hospital departments, and other external parties.

• Develop own ways of working effectively and efficiently.

• Knowledge of Pharmaceutical terminology, generic and trade names, and ICD coding.

• Knowledge of terminology used in diagnosis and classification of illnesses, injuries, and disabilities.

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.