AlexandrialaRecruiter Since 2001
the smart solution for Alexandria jobs

RN Case Manager PRN (RN #)

Company: CHRISTUS Health
Location: Alexandria
Posted on: August 11, 2019

Job Description:

Description
POSITION SUMMARY: The Case Manager facilitates clinically appropriate and fiscally responsible patient care through communication with the treating physician and all other members of the healthcare team, while incorporating Utilization Review/Discharge Planning interventions and working in close cooperation with hospital management. The Case Manager assesses and identifies the patient's physical and psychosocial needs and determines, in conjunction with established protocols and input from the treating physician, the health care services and venue of care appropriate for the patient. The Case Manager manages the patient's treatment prospectively through the admission process, concurrently through on-going case management while the patient is an inpatient in one or more venues of care and retrospectively through review of individual cases and identification of trends and patterns. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St. Frances Cabrini Hospital. It is expected that the associate demonstrate behavior consistent with the Core Values. The associate shall support the CHRISTUS St. Frances Cabrini's strategic plan and the goals and direction of their Performance Improvement Plan (PIP). CORE COMPETENCIES Action Oriented -- Taking on new opportunities and tough challenges with a sense of urgency, high energy and enthusiasm. Collaborate -- Building partnerships and working collaboratively with others to meet shared objectives. Customer Focus -- Building strong customer relationships and delivering customer-centric solutions. Nimble Learning -- Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder. Demonstrates Self-Awareness -- Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses. Communicates Effectively -- Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Decision Quality -- Making good and timely decisions that keep the organization moving forward. Goals -- Completes quarterly goals Delivering the Mission -- Performs duties as defined in this job description and demonstrates mastery of role MAJOR RESPONSIBILITIES:

  • Directs, coordinates, and supervises the care delivered to designated caseloads of specific age groups and case-types of patients.
  • Receives referrals for case management services from patient, family, treating or consulting physician, nursing staff and/or other members of the healthcare team.
  • Reviews and assesses the patient's physical, spiritual, functional, clinical and psychosocial needs and assists the treatment team in coordination of plan of care.
  • Coordinates and affects the delivery of medically appropriate care consistent with established medical practice protocols, guidelines and/or clinical pathways through consultation with the treating physician, other members of the healthcare team, medical staff/hospital administrative committees and hospital management.
  • Coordinates and affects the delivery of fiscally responsible healthcare services consistent with reimbursement mechanisms, including the delivery of care within targeted length of stay criteria for uncomplicated, diagnosis-related categories of medical conditions.
  • Identifies, monitors, and assesses variances in lengths of stay through observation and structured studies, and identifies and resolves causative factors in consultation with medical staff and hospital administration.
  • Identifies, monitors, and assesses variances in lengths of stay through observation and structured studies, and identifies and resoles causative factors in consultation with medical staff and hospital administration.
  • Identifies, monitors and assesses variances in cost of care through observation and structured studies, in close cooperation with the business office, nursing, therapies and ancillary departments, and identifies and resolves such causative factors in cooperation with that Department, the treating physician, other members of the healthcare team and hospital management committee(s).
  • Proactively communicates with and educates treating and consulting physicians and other healthcare providers to increase awareness of practice treatment patterns and venues of care that promote the delivery of appropriate, quality medical treatment within established lengths of stay.
  • Identifies the anticipated discharge date, and collaborates with the interdisciplinary team while coordinating post hospital care with the treating physician.
  • Plans and participates in case management, multidisciplinary team conferences through an integrated and analytical decision-making process and documents in care manager appropriately.
  • Initiates and contributes to modifications/changes in nurse and physician practice pattern to achieve quality of care, patient satisfaction and appropriate use of resources.
  • Maintains current knowledge of national standards of practice, JCAHO and criteria appropriate to medical and nursing specialty.
  • Assesses and ensures compliance with current nursing specialty standards for specific age groups identified, planning, implementing and evaluating changes where appropriate.
  • Implement plans and strategies to alter practice patterns where appropriate.
  • Serves as communication link to physicians for comprehensive documentation to improve the content and clarity of the medical record to ensure the severity of illness.
  • Maintains professional competence through participation in appropriate professional societies and groups.
  • Maximizes positive financial outcomes for his/her designated case-types.
  • Collaborates with medical records and physicians to ensure appropriate reimbursement by thorough documentation for accurate coding.
  • Minimize risk through monitoring for potential compensatory events and liability control
  • Documents all review activity via HBOC/Star Navigator System.
  • Consistent application of SI/IS criteria and validates appropriateness of admission or continued stay.
  • Reviews all cases regarding pre-certification, concurrent and retro, review in assigned areas and initiates appropriate appeals.
  • Participates in coaching processes to improve documentation and optimize coding.
  • Communicates length-of-stay and other resource consumption goals to the clinical team.
  • Remains current as to reimbursement and other trends in commercial insurance, Medicare and Medicaid.
  • Optimizes efficiency of operational systems through continuous quality improvement.
  • Assesses efficiency and cost effectiveness of interdepartmental systems.
  • Identifies and analyzes problems/inefficiencies in interdepartmental operations and reports them through the Quality Indicator Program in Case Management.
  • Plans, implements and evaluates strategies to correct/improve problems/inefficiencies identifies.
  • Participates in Performance Improvement teams, health care systems/physician advisory committees, or continued education to improve personal performance and/or performance of Case Management team.
  • Communicates advance knowledge and skills related to nursing and the management of care to patient, families, nurses, physicians and other health care providers.
  • Assesses patient/family teaching needs and ensures the provision and evaluation of teaching and learning as appropriate.
  • Documents education in the Care Manager as guided by policy and procedure.
  • Other related duties as required.
  • Displays professionalism through good work habits as observed in all encounters.
  • Demonstrates an ability to adapt to changing priorities in the organization, utilizes time effectively in response to work load, staffing levels, and fluctuations in patient census.
  • Accepts work assignments.
  • Performs work in an accurate, neat, and consistent manner.
  • Keeps current with all standards, policies and procedures of CHRISTUS St. Frances Cabrini and acts as a resource to other staff members when necessary.
  • Promotes and supports the CHRISTUS St. Frances Cabrini policies, procedures, and programs; assists in changes of medical center policies, procedures, and programs as needed.
  • Shares responsibilities, offering assistance to co-workers and responds to requests; supports teamwork by assisting others when needed.
  • Keeps in close communication with supervisory staff as appropriate.
  • Demonstrates an ability to communicate effectively. Always follow appropriate channels of communication.

    Requirements
    Requirements:
  • One year of case management or related experience preferred.
    • Current La. RN License BLS Keyphrases: medical case management jobs, case manager jobs, case manager consultant jobs, case management consultant jobs, geriatric case management jobs, case management nursing jobs, nurse case manager jobs

Keywords: CHRISTUS Health, Alexandria , RN Case Manager PRN (RN #), Executive , Alexandria, Louisiana

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Plasma center Director
Description: Plasma Center Director Pathologist Schedule: 4 hours per week flexible hours Compensation: 100/hr flexible 500/month retainer primary 100/hr flexible 200/month retainer back up Locations: (more...)
Company: Samuel Staffing
Location: Monroe
Posted on: 08/22/2019

Commercial Lines Account Manager
Description: BXS Insurance prides itself on matching the right people with the right opportunity. We have a dedicated unit within our insurance division that focuses on small commercial accounts. Community Insurance (more...)
Company: BancorpSouth
Location: Lake Charles
Posted on: 08/22/2019

Director of Operations - Own a Franchise
Description: Directors of Operations: Make
Company: CMP.jobs
Location: Baton Rouge
Posted on: 08/22/2019


Director - Professional Practice and Development
Description: Description br Directs and implements educational strategies for providing associate education as well as the functions and processes
Company: Christus Health
Location: Lake Charles
Posted on: 08/23/2019

Dir. Quality Management
Description: Description br POSITION SUMMARY: br br Directs and facilitates the following functions: Medical Staff Services and Credentialing, Facility and Medical Staff Performance Improvement, Regulatory Readiness, (more...)
Company: Christus Health
Location: Alexandria
Posted on: 08/23/2019

Vice President, Field Government Relations and Public Affairs
Description: The Vice President, Field Government and Public Affairs is responsible for building and maintaining a positive image and reputation for Cox with key constituents by expertly managing communication strategies (more...)
Company: Cox Communications Inc
Location: Baton Rouge
Posted on: 08/20/2019

Outside Sales/Route Sales Manager - Full Training
Description: Build a Great Career and a Great Life.Feel the freedom independence of managing your own protected route selling our National brands. Join our team today as an Automotive Tool Sales / Route Manager (more...)
Company: Mac Tools
Location: Baton Rouge
Posted on: 08/20/2019

RN Case Manager
Description: Description br br br POSITION SUMMARY: br br br br The Case Manager facilitates clinically appropriate and fiscally responsible patient care through communication with the treating physician (more...)
Company: Christus Health
Location: Alexandria
Posted on: 08/23/2019

*Clinical Director - Family Centered Maternity Care
Description: Description br Responsible for creating an environment for women and children that promotes an excellent patient experience. Responsibilities include promoting clinical and professional excellent adhering (more...)
Company: Christus Health
Location: Alexandria
Posted on: 08/23/2019

92Y Unit Supply Specialist - Warehouse Manager
Description: 92Y Unit Supply Specialist - Warehouse ManagerJob ID: Job Views: 12Location: LAKE CHARLES, Louisiana, United StatesZIP Code: 70601Job Category: Supply and LogisticsPosted: 08.16.2019Age Requirements: (more...)
Company: Army National Guard
Location: Lake Charles
Posted on: 08/22/2019

Log In or Create An Account

Get the latest Louisiana jobs by following @recnetLA on Twitter!

Alexandria RSS job feeds