RN Case Manager - Inpatient Care Coordination

About the role

Make a difference. Presbyerian Hospital is hiring a RN Case Manager that will provide clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length of stay, and promote efficient utilization of resources. In collaboration with the interdisciplinary team, the case manager supports the physician in facilitating patient care with the objective of enhancing the quality of patient outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. How you grow, learn and thrive matters here. - Educational and career development options, including tuition and certification reimbursement, scholarship opportunities - Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern) - Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions) - Malpractice liability insurance - Loan forgiveness through the New Mexico Higher Education Department - EPIC electronic charting system Type of Opportunity: PRN FTE: 0.00 Job Exempt: No Work Shift: Days (United States of America)

Responsibilities

• RN Case Manager - Inpatient
• Type of Opportunity: Per Required Need
• FTE: 0.001000
• Exempt: No
• Work Schedule: Days
• Days 8 hour or 10 hour
• Presbyterian Hospital - On-Site
• Questions about this role? Schedule a call with a recruiter here .
• Applies approved clinical criteria to monitor appropriateness of admissions and continued stays to ensure a clear status determination. Refers cases and issues to Case Management Medical Director based on departmental standards.
• Demonstrates skill in communicating with physicians the necessary documentation required to demonstrate medical necessity. Elevates to Supervisor and/or Medical Director all patients not meeting criteria after discussion with physician.
• Demonstrates skill in educating patient, family and interdisciplinary team regarding post-acute care options, status determination, and other care coordination services.
• Presents and actively participates in complex rounds, discharge planning huddles, process improvement teams, department specific initiatives and department meetings.
• Identifies patients and families with complex psychosocial issues and refers them to the Social Worker as appropriate. Demonstrates skill and success in collaboration with Social Work partner.
• Facilitates and leads patient/family and provider care conferences as needed.
• Documents results of assessments, status assignment, and interventions and discharge planning in the medical record according to departmental policies and procedures.
• Ensures safe care to patients adhering to policies, procedures, and standards within budgetary specifications, including time management, supply management, productivity and accuracy of practice.

Requirements

• RN IMM Case Management I
• Associates Degree in nursing required.
• *BSN within 5 years of hire date.
• Current State of New Mexico Registered Nurse licensure required.
• 2 years clini

Benefits

Additional Information

Location Address: 1100 Central Ave SE Albuquerque, NM 87106-4930 Compensation Pay Range: Minimum Offer $34.68 Maximum Offer $52.95

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