- Pay
- $77–115k
- Where
- Roanoke, Virginia, United States of America
- Level
- Mid
Employment Status:
Full time Shift:
Weekends Only (United States of America) Facility:
1906 Belleview Ave SE - Roanoke Requisition Number:
R160315 RN Case Manager - Weekends - Full time (Open)
How You’ll Help Transform Healthcare:
**Sign on bonus and relocation assistance available**
Three 12 hour shifts: Thursday, Friday, Saturday, 7am-7pm
The RN Case Manager provides case management for assigned patient populations. Utilizes clinical expertise, communication and problem-solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. Performs patient needs assessments upon admission and at regular intervals, facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum. Promotes interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan. Promotes appropriate length of stay, resource management, and care transitions to the next level of care. Must comply with all federal and state regulations surrounding the discharge process. Must possess knowledge of growth and development appropriate to age group served and incorporate plan to meet needs into plan of care.
The RN Case Manager p rovides case management for assigned patient populations. Utilizes clinical expertise, communication and problem-solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. Performs patient needs assessments upon admission and at regular intervals, facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum. Promotes interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan. Promotes appropriate length of stay, resource management, and care transitions to the next level of care. Must comply with all federal and state regulations surrounding the discharge process. Must possess knowledge of growth and development appropriate to age group served and incorporate plan to meet needs into plan of care.
Collaborates with Utilization Review Nurse.
Maintains regular contact with assigned Utilization Review Nurse throughout the day.
Uses InterQual software to support accurate patient statuses according to ongoing medical necessity.
Aids in the delivery of regulatory letters and patient notices related to insurance coverage/non-coverage, using support staff as appropriate.
Ensures documentation accurately reflects the patient’s condition, co-morbidities, treatment and procedures that support the most appropriate admission status and DRG assignment.
Communicates with patients/families to ensure understanding financial implications of discharge plans
Facilitates an interdisciplinary approach to patient care.
Actively participates in Interdisciplinary Team Meetings on assigned units, sharing meaningful and professional knowledge to the team discussion regarding progression of care.
Provides feedback to the health care team verbally and via chart entries regarding the patient's progress toward reaching expected outcomes or about barriers to the plan. Manages changes to the plan as necessary.
Maintains effective communications with all disciplines to promote timely and appropriate discharges.
Daily communication with Social Work and Utilization Review: includes case reviews, morning touchpoints, and ongoing throughout the workday.
Coordinates care and services within the case managed population.
Performs face-to-face assessments of patients/families when appropriate to identify individualized needs in collaboration with SW. CM will review assigned census beginning each day with their SW partner to determine patient statuses…