Case Manager-RN - Full-Time
Location: Columbus, GA
Level: Junior
Annual Salary Range (based on experience): $62K+
Required Qualifications:
Georgia RN License
5 years or more in an acute setting
Associate Degree in Nursing
Bachelor's Degree in Nursing is desirable.
Experience in other related healthcare settings considered.
Previous case management experience is desirable, but not required.
Job Description
Under the general supervision of the Case Management Director, acts as a patient advocate/ Case Manager to hospital clients.
An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate the achievement of quality and cost-effective patient outcomes.
Essential Functions include but are not limited to:
Knowledge of and works within the CMS Conditions of Participation for Discharge planning
Timely assessment of patients identified with discharge planning needs
Development and implementation of discharge plans for each patient targeting optimal cost and quality outcomes
Re-evaluation for discharge needs upon change of condition of the patient or caregiver's ability to care for the patient
Maximizes care coordination efforts and collaborates with the healthcare team to promote efficient movement through the continuum of care
Identifies and mitigates delays in the delivery of care
Effective and appropriate communication with the healthcare team, patient, and family
Timely, appropriate, and accurate documentation of the discharge plan, patient progress to plan, and communication with the healthcare team, patient, and family in the medical record
Assists the Director of Case Management with collection of data for the UM Committee and other reports
Escalates cases appropriately
As required, collaborates with payers to ensure authorization for discharge plan needs
Participates in Interdisciplinary Rounds
Displays effective communication skills
Assists the Director of Case Management with other job duties as requested
Demonstrates knowledge of HIPAA guidelines and utilizes them in all aspects of communication
Benefits:
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Retirement
- Paid Time Off