This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
The Integrated Nursing Case Manager, under the direction of the Director/Manager of Case Management, provides care/service safely and efficiently for a full range of services to patients of all ages and their families. Primary role is to collaborate, communicate and facilitate coordination of services during hospitalization and post-hospitalization as established by the healthcare team. Integrated Nursing Case Manager concurrently facilitates proactive patient care services to ensure that care is appropriate, timely, and cost-effective and achieves the desired outcome. The Integrated Nursing Case Manager coordinates the care and service of selected patient populations across the continuum of illness; promotes effective utilization and monitoring of health care resources; and guides all disciplines toward positive quality outcomes.
Job Responsibility:
Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice.
Advocates on behalf of patients and caregivers for identification and access to services.
Assures prudent utilization of all resources (fiscal, staff resources, environmental, equipment and services) by evaluating the options available.
Reviews all assigned Outpatient Observation patients and verifies correct status assignment and develops discharge plan.
Conducts admission and continued stay reviews to evaluate medical necessity of admission/continued stay and appropriateness of treatment plan.
Facilitates external payer certification for hospital and discharge needs.
Initiates the process to move the patient appropriately through the continuum of care.
Communicates timely, relevant and accurate information to all parties involved with patient's care.
Facilitates the progression of care by advancing the care plan to achieve desired outcomes.
Integrates the work of the healthcare team by coordinating resources and services necessary to accomplish agreed-upon goals and desired discharge plan.
Works collaboratively with patients, families, all members of the healthcare team, and community partners to make an appropriate discharge plan.
Presents at the Weekly Length of Stay (LOS) Meeting on patients reaching or surpassed the assigned length of stay threshold.
Facilitates care within the financial restraints.
Prioritizes daily activities based on payer reimbursement, length of stay, level of care, and charges to date.
Assists in the appeal process by proactively requesting reconsideration on all adverse determinations from external payers.
Provide crisis intervention as needed/when directed by Case Management Director/Manager.
Continually participates in the study and improvement of process providing health care services.
Monitors individual patient outcomes and intervenes as necessary.
Identifies opportunities for performance improvement and refers to the appropriate person or department.
Participates in professional development activities.
Identifies, monitors and reports opportunities for quality and performance improvement to the appropriate department.
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
Requirements:
High School Graduate
Associate Degree Nursing
Licensed Registered Nurse (LRN) - Single State - State Board of Nursing Registered Nurse in Kansas
Must have current active multistate state Register Nurse (RN) license in good standing in state in which you live OR active single state RN license in good standing in the state you will be working with proof of application of a multistate RN license in the state in which you live.
Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA)
Ability to proficiently read and document in electronic medical record required.
Basic typing and word processing ability required.
High degree of cognitive skill - strong attention to detail required
Nice to have:
Bachelor Degree Nursing
2 or more years clinical experience
2 or more years clinical experience in a health care setting