Case Manager / RN

Company: Ardent Health Services
Location: Killeen
Posted on: January 27, 2023

Job Description:

Job Description Overview

Case Manager RN, Case Management Acute Care, Full Time, Days This position is responsible for care coordination of a specified patient population in a single hospital; follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. The case manager will provide ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of care management functions.
Responsibilities

MAJOR RESPONSIBILITIES:

• Formulates and promotes continuity of care assuring appropriate medical treatments, processes, and utilization of resources based upon established criterion. Supports management of concurrent review, discharge planning processes, social services, home care and other post discharge continuity of care needs.
• Consistent with professional standards integrates patient/family preferences and values into a quality supportable plan for their care across the continuum. Advocates for resources and removal of barriers for the promotion of outcomes that are consistent with patient values and preferences across the continuum.
• Conducts ongoing research to build a network of resources and alternative health care services that can better meet patient/family continuum of care needs. Collaborates with the PI program by gathering sentinel events and target diagnosis data. Stays current with trends/research in professional field. Makes suggestions for improvement of current processes and practice trends based on research.
• Collaborates with physicians, RN Care Manager and other team members in the planning, implementation and evaluation of the continuum care needs for patients/families. Collaborates with physicians, nursing directors/clinical managers and department directors to improve practice issues that impact continuum of care needs of the patient.
• Participates in providing education support for newly hired staff persons within the department. Mentors interdisciplinary healthcare team in critical thinking processes essential to continuum of care issues.
• Coordinates patient education as needed to address continuum needs. Collaborates with social worker to educate patients, families on discharge planning processes.
• Facilitates appropriate lengths of stay and reimbursement for all hospital admissions in accordance with goals and objectives established in the utilization management plan. Facilitates patient movement to the appropriate (acuity) level of care including observation status through collaboration with patient/family, multidisciplinary team, and third party payors.
  Qualifications
  
  A. Education/Skills/Experience:
  • Completion of required education to obtain Texas licensure as a Registered Nurse or
  • Licensed Social Worker with minimum of 3 years previous experience as a case manager.
  • Two (2) years of nursing experience in an acute care or surgical setting is required.
  • Previous Case Management Experience preferred
  • Strong knowledge of community resources, discharge planning, behavioral health assessment skillsB. Licenses, Registrations, or Certifications:
    • Registered Nurse licensed to practice in Texas is required or Licensed Social Worker.
    • CCM (Certified Case Manager) preferred - - - - - -
      With 30 hospitals and hundreds of clinics, Ardent Health Services is a premier provider of health care services, delivered with compassion for patients and their families and with respect for employees, physicians and other health professionals. Nearly half of our facilities have been recognized among healthcare's best places to work. -
      Our hospitals and health systems include; Hillcrest Health System in Oklahoma, UT Health East Texas, BSA Health System, and Seton Medical Center Harker Heights in Texas, Lovelace Health System in New Mexico, University of Kansas Health System St. Francis Campus in Kansas, Portneuf Medical Center in Idaho, as well as Hackensack Meridian Health at Pascack Valley, and Hackensack Meridian Health Mountainside hospitals in New Jersey.
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Keywords: Ardent Health Services, Killeen , Case Manager / RN, Executive , Killeen, Texas