Registered Nurse - Case Manager @ The HSC Pediatric Center

Summary

Case Manager provide individuals, families, and groups with the psychosocial support needed to cope with chronic, acute, or terminal illnesses.

Services include advising family caregivers.

• Provide patients with information and counseling, and make referrals for other services.
• Reports To the Supervisor of the Unit.

Duties and Responsibilities :

• Performs admission, concurrent, and retrospective reviews on all patients.
• Ensures that status and level of care determination are accurate upon admission.
• Ensures that pre certifications / authorizations are obtained and documented appropriately for all admissions, surgeries, and procedures.
• Follows Medicare guidelines regarding utilization review.
• Submits telephonic and / or fax notification / clinical information.
• Follows up with insurer for authorizations.
• Identifies potentially high risk patients and refer to Social Work.
• Provides effective clinical documentation and conducts Initial Assessments to develop plan of care.
• Ensures that treatment plan is implemented, re-evaluated, and updated daily.
• Facilitates effective communication between members of the treatment team.
• Coordinates meetings w / families and treatment team.
• Facilitates arrangement of post-acute care services.
• Acts as an advocate for the patient / family.
• Follows Medicare guidelines regarding patient choice, admit / discharge notifications, and appeals.
• Maintains accountability for facilitating clinical patient progression through a defined plan of care to achieve optimal outcomes.
• Idea Provide individuals, families, and groups with the psychosocial support needed to cope with chronic, acute, or terminal illnesses.
• Services include advising family caregivers.
• Provide patients with information and counseling, and make referrals for other services.
• Identifies, document, and report quality, cost, and risk variances related to patient's plan of care.

Education & Experience Requirements :

• Graduate of an accredited school of nursing.
• License in good standing.
• Minimum of one year of current Case Manager experience in facility.
• Evidence of current AHA BLS credential mandatory.

Job Disclaimer :

Cynet Health is an equal employment opportunity employer. We do not discriminate against any candidate based on race, color, sex, religion, national origin, age, military status, disability, genetic information, or any other consideration made unlawful by applicable federal, state, or local laws.

Cynet Health complies with all applicable state and federal laws regarding employment and consideration of unemployment status.

Estimated Weekly Total is based on working the listed number of hours per week and includes available stipend amounts; eligibility may vary subject to company policy and applicable law.

Please contact a recruiter for full details.

Benefits :

• USRx Care & ScriptSourcing Pharmacy Benefits
• Teladoc®Allied health plan members (and their dependents - even if not covered under your Allied health plan)can access free sick or acute care consults with board-certified physicians 24 / 7

AD&D) Accidental Death & Dismemberment benefits

• Disability - Long-Term and or Short-Term Disability
• Supplemental Benefits - Accident & Critical Illness + Cancer benefits.
• Legal Assitance
• Identity Protection
• Employee Assistance Program
• Assist America Travel Assist
• Genomic Life
• HSA - pre-tax
• Discount program

Referral Program :

Referrals are the highest compliment a recruiter and an agency can receive. We recognize that good referrals are hard to come by which is why we created a unique offering for anyone that chooses to refer someone to us.

We provide referral bonuses for up to 3 assignments for the clinician that you send to us.

To Qualify, Referrals are candidates not in our database, assignments must be 13 weeks in length, and subsequent assignments must be within 30 days of the previous assignment to qualify.

Loyalty Program :

We value hard work and commitment, and our Loyalty program showcases just that. Earn exclusive rewards and perks as you clock hours toward your loyalty milestones.

You are rewarded for the number of hours you work, not based on the number of assignments, so the more you work, the more you unlock.

We like to offer achievable milestones that can happen BEFORE your assignment ends, not just after. We know you have your choice in selecting an agency, so at Cynet, it pays to be loyal.

Accumulated hours expire after one year of separation / inactivity from your last assignment and reset to zero.