RN Case Manager

PWW Recruiting, Llc. Richmond , IN 47374

Posted 2 weeks ago

overview

Required skills and experience:

1. Current and unencumbered license to practice as a Registered Nurse specific to that state the employee is assigned to work by the Company. BSN preferred.

2. Minimum of one (1) year of experience as a registered nurse; Home Health or Hospice experience preferred.

3. Current CPR certification.

4. Valid Drivers License and reliable transportation and agency required liability insurance to complete home visits.

What you need to know:

1. This is a Full-Time opportunity in Hospice care. Day shift: M-F Day time hours- 8am- 5pm. On call is rotating.

2. Very competitive benefits including company car!

3. Works in cooperation with the family/caregiver and IDT to meet the emotional needs of the patient/family/caregiver.

4. Coordinate the total Plan of Care and maintains continuity of patient care by liaising with appropriate staff and the physician.

5. Will cover Richmond, IN including Muncie and Ohio boarder.

key qualifications

patient types

Adult

licenses and certifications

RN, NLC

minimum education

Bachelors, Associates

years experience

1+ years

travel requirements

Local

schedule details

Day

perks

Full benefits

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
RnCase Manager

Reid Hospital & Health Care Services

Posted 1 week ago

VIEW JOBS 1/10/2021 12:00:00 AM 2021-04-10T00:00 Overview The Case Manager is accountable for the organization, sequence of services, and resources that are medically necessary and appropriate for the achievement of patient care outcomes within effective time frames. The Case Manager coordinates with the interdisciplinary team to expedite medically appropriate, cost-effective patient care. The Case Manager applies clinical expertise and medical appropriateness criteria to resource utilization, care coordination, and transition/discharge planning; advises the healthcare team, and provides intervention as needed to achieve optimal outcomes. The Case Manager applies the use of data in his/her practice; identifying where to focus efforts, the measurement of progress towards identified outcomes, and as an educational tool. This individual possesses excellent interpersonal, negotiation, influence, and organizational skills and works to effect positive practice changes that lead to improved value in patient care delivery. Responsibilities * Conducts utilization review/management as outlined in the UR Plan and assigned duties. * Performs initial review same day, no later than next day, evaluating patient's condition and treatment plan for medical necessity, clinical appropriateness, completeness, and progression; Initiates transition/discharge planning. * Anticipates an appropriate length of stay based on the initial review and plans concurrent reviews accordingly. * Using established criteria reviews for appropriateness of continued stay and transition readiness ensuring all days are covered (approved for reimbursement). Accepts no pended days from payers. * Complies with all utilization review regulations and payer agreements. (e.g. Medicare Hospital Issued Notices of Non-Coverage, Detailed Notice of Discharge) * Facilitates the patient's plan of care in a proactive manner providing any necessary anticipatory guidance to the healthcare team members and patients/family. * Reviews the patient's plan of care with the patient's physicians, Social Worker, nurses, healthcare team, and payer (as applicable). Offers suggestions, coordinates care, determines the transition plan with the interdisciplinary team, identifies and resolves variances. * Works to avoid or overturns payer or internal denials concurrently by proactively resolving any clinical and operational barriers. * Works collaboratively with the Social Worker and refers complex home discharges and placements. * Utilizes the designated physician advisor(s) to address challenges, provide education, and address internal barriers. * Coordinates patient care conferences as necessary. * Serves as a consultant to staff, physicians, management and other health care professionals sharing knowledge regarding standards of care and best practices to ensure successful implementation of the patient's plan of care. * Collaborates with all disciplines to address cost reduction opportunities related to use of resources. * Ensures timely execution of the patient's discharge/transfer plan. * Documents appropriate interventions in the patient's medical record and Case Management information system. * Collects, utilizes, and trends process and outcomes data for identification of problems related to efficiency and quality of care issues as directed. * Trends, analyzes, and reports outcomes, clinical process and variance data to appropriate audiences. * Participates in process and outcome improvement activities, such as protocol development, and helps facilitate approved practice changes. * For assigned population attends appropriate physician and Nurse leader meetings to report on trends, outcomes and statistics. Receives and acts on feedback from physicians and nursing management related to Case Management. * Achieves length of stay and resource consumption targets for the assigned patient population. * Performs other duties as assigned to accomplish the goals of the organization. Qualifications Education Required: Minimum of an Associate's degree in nursing, Bachelor's degree preferred Experience Required: Minimum of 5 years' experience required in a healthcare setting Experience Preferred: Acute care nursing and case management /discharge planning experience preferred, knowledgeable of HFAP standards, government and private insurance benefits, e.g. Medicaid, Medicare, DRGs, managed care and working knowledge of clinical review guidelines Schedule Details Day shift. 36 hours weekly. 7:00a - 7:30p. Reid Hospital & Health Care Services Richmond IN

RN Case Manager

PWW Recruiting, Llc.