RN Case Manager FT Days

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RN Case Manager FT Days Position Summary

Position is responsible for effectively and efficiently managing patient throughput from admission through discharge for assigned patients.

The position conducts review for clinical appropriateness and level of care using evidence based criteria and works with payers to authorize care.

The Case Management (CM) Intern will conduct the primary duties outlined under the direction and supervision of designated proctors.

After one year of successful internship CM Intern will function independently.

SPECIAL SKILLS : The critical knowledge base of nursing process, continuum of care and case management methods and standards, excellent communication and documentation skills.

Demonstrates knowledge of Age-Specific Criteria, American Nurses Association (ANA) Nursing Scope and Standards of Practice, ANA Code of Ethics for Nurses, Arizona Nurse Practice Act, Core Measures and American Case Management Association (ACMA) Case Management Standards of Practice.

THE RN CASE MANAGER FT DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE / CERTIFICATIONS, AND EXPERIENCE.

MINIMUM EDUCATION : Nursing Degree from an Accredited Nursing School.

PREFERRED EDUCATION : Bachelor of Science in Nursing

MINIMUM EXPERIENCE : 3 years acute care hospital experience required and one to two years case management experience. For Case Management Interns, the minimum experience is waived with the requirement that the Intern completes the Abrazo Case Management Boot Camp and the Boot Camp Post Test.

After one year of successful internship CM Intern will function independently.

PREFERRED EXPERIENCE : 3 years experience in Case Management, Utilization Management or Discharge Planning, in acute care.

REQUIRED CERTIFICATIONS / LICENSURE : Current Registered Nurse License in the State of Arizona.

REQUIRED COURSE(S) TRAINING : MIDAS, CuraSpan and InterQual criteria training with proficiency testing within first 90 days of hire.

PREFERRED CERTIFICATIONS / REGISTRATION : Certified Case Manager, CCM or Accredited Case Manager, ACM.

LI-CB4

The individual’s responsibilities include the following activities :

a) accurate medical necessity screening and submission for Physician Advisor review,

b) care coordination,

c) transition planning assessment and reassessment,

d) implementation or oversight of implementation of the transition plan,

e) leading and facilitating multi-disciplinary patient care conferences,

f) managing concurrent disputes,

g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services,

I) communicating with patients and families about the plan of care,

j) collaborating with physicians, office staff and ancillary departments,

k) leading and facilitating Complex Case Review,

l) assuring patient education is completed to support post-acute needs ,

m) timely complete and concise documentation in Case Management system,

n) maintenance of accurate patient demographic and insurance information,

o) identification and documentation of potentially avoidable days,

p) identification and reporting over and underutilization,

q) and other duties as assigned.

Education :

Required : Graduate of an accredited school of nursing

Preferred : Academic degree in nursing (bachelor's or master's)

Experience :

Required : 2 years of acute hospital patient care experience

Preferred : Acute hospital case management experience

Certifications :

Required : RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.

Active RN license for state(s) covered.

Preferred : Accredited Case Manager (ACM)

Physical Demands :

Lift / position up to 25 lbs. Push / pull up to 25 lbs. of force. Frequent sitting. Moderate standing, walking, reaching, stooping, and bending.

Manual dexterity, mobility, touch, auditory to perform all the related duties of the position.