Description

American Traveler is hiring an experienced RN Case Manager for a teaching hospital setting requiring 3+ years of acute care clinical experience and MA licensure in hand.

Details

• Case Management unit at a teaching hospital
• Days shift, 8-hour shifts from 7:00 AM-3:30 PM (40 hrs/week)
• Only five 8-hour shifts accepted; 10/12-hour shifts are not available for this position
• No weekend requirements other than potential holiday coverage
• No on-call requirements

Requirements

• Active MA RN license required in hand at time of consideration
• Current BLS certification (AHA or ARC)
• 3+ years of clinical experience in acute care settings such as internal medicine, surgery, orthopedics, mother/child, cardiology, or oncology
• 3+ years of clinical experience in Rehab, Home Health, or Long-Term Care settings will also be considered
• Ability to perform comprehensive admission and discharge risk assessments related to quality, financial, payer benefit, and risk management factors
• Knowledge of regulatory and accreditation standards (Joint Commission, DPH, HealthGrades) preferred
• CCM or ACM certification preferred
• RN-BC Board Certification in Case Management preferred
• Meditech Expanse experience highly preferred
• Must have own vehicle
• Requires Skills Checklist for RN Case Manager current within 1 year
• Requires one supervisory signed reference from within the past two years of employment

Additional Information

• Responsible for managing healthcare needs and facilitating quality and cost outcomes for all patients across the continuum of care
• Utilizes a multidisciplinary team approach to negotiate, procure, coordinate, and monitor services and resources for patients
• Reviews patients at admission and concurrently throughout hospitalization for appropriate level of care and resource utilization
• Performs transition care planning activities to secure appropriate post-hospital care arrangements
• Participates in performance improvement initiatives
• Strong organizational, analytical, and data management skills required
• Excellent interpersonal, communication, collaboration, and negotiation skills needed with providers, patients, families, insurers, and government agencies
• Ability to work independently and maintain confidentiality required
• Knowledge of local community resources, Medicare, Medicaid, and third-party payer reimbursement required
• Computer literacy required, including ability to manage multiple open applications
• Must work two designated holiday blocks if scheduled: Thanksgiving through the following weekend, Christmas Eve through Christmas and the following weekend, and New Year's Eve through New Year's Day and the following weekend
• All requested time off must be submitted and verified prior to consideration; no more than 5 days of RTO accepted
• Candidates residing within 50 miles of the facility will not be considered
• 8 hours of non-billable orientation required