RN Case Manager

Maria Parham Health

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Health is equipped for every health care need one can encounter. We are fully licensed by Joint Commission, the College of American Pathologists, and Rated Highest In-Patient Safety from Leapfrog.

Where We Are:

Henderson offers a great outdoors, including the region’s largest lake, providing endless hours of fun boating, fishing, water skiing, and camping. Throw in great golfing, hunting and two fantastic recreational organizations and you may find yourself having a hard time deciding what to do next!

Why Choose Us:

· Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

· Competitive Paid Time Off, PTO cash out, and PTO donation programs

· Employee Assistance Program – mental, physical, and financial wellness assistance

· Loan Repayment and Tuition Reimbursement/Assistance for qualified applicants

· Robust employee recognition and awards programs

· And much more…

Position Summary

The RN Case Manager is responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of patients. The RN Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post-acute reentry. The RN Case Manager leads the interdisciplinary team in developing complex discharge plans.

Reports to:Director ofCase Management

Responsibilities of the Position

Facilitates patients care plan as called for in the plan of care.

Leads daily discussions regarding patients regarding patients’ progression along the continuum.

Works collaboratively as a leading member of the health team to ensure appropriate use of hospital resources, patient satisfaction, and achievement of quality of care, manages input from all healthcare professionals and conducts assessments to determine patient’s healthcare and transitional needs.

Evaluates and ensures appropriateness of admissions and continued stay using evidence-based criteria.

Collaborates and manages outcomes with the payers through ongoing written and verbal communications through appropriate parties.

Leads discussions with MDs and physician advisors about safe plan for transitions.

Leads the team to ensue appropriate utilization of patient and hospital resources and directs care to other settings when appropriate.

Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan.

Conducts extensive assessments and implements interventions for patients at risk for readmissions.

Manages concurrent denials and works with physicians to overturn for appropriate reimbursement.

Required Education

Associate’s degree in nursing required.
Bachelors degree in nursing preferred.

Licenses/Certifications

Current/active North Carolina or compact RN license required.

Basic Life Support (BLS) certification through the American Heart Association is required.

Case Management certification is preferred.

Required Skills

Critical thinking skills, decisive judgment, and the ability to organize and prioritize workload to meet deadlines with minimal supervision.

Must possess excellent interpersonal skills to interact with all levels of healthcare providers, support staff, and third-party payors where appropriate.

Excellent computer skills

Must possess excellent interpersonal skills.

Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payors.

Minimum Work Experience

5 years recent acute care hospital experience is required.

Supervisory experience is preferred.

Hospital case management experience is strongly preferred.

EEOC Statement

Maria Parham Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans status, or any other basis protected by applicable federal, state, or local law.

Job: Case Management/Social Services

Organization:

Title: RN Case Manager

Location: NC-Henderson

Requisition ID: 7460-9404