Jobs for People with MS: National MS Society

JOB REQUIREMENTS: POSITION SPECIFICS Title: Case Manager Registered Nurse FTE: Per Diem Schedule: Variable days. Monday - Friday, 8:00am - 4:30pm Holiday Rotation: None Weekend Rotation: None On Call Requirements: None POSITION SUMMARY The Case Manager- RN coordinates and facilitates patient care activities to promote optimum and appropriate utilization of resources, improve continuity of care across the continuum, and to contribute to patient satisfaction and outcomes. The Case Manager- RN evaluates patient health status, facilitates the proper plan for care and manages the implementation of nursing services to meet the patient\'s individual health needs. This position acts as a patient advocate, as a resource to patients/families and staff as a leader of the interdisciplinary team continuity of care/discharge planning. This position serves as a liaison between the patient, staff and physician to establish and implement a plan of care for each patient. This individual supports the utilization management (UM) program by developing and/or maintaining effective and efficient processes for determining the appropriate admission status based on the regulatory and reimbursement requirements of government payers. This individual is responsible for performing a variety of concurrent and retrospective UM-related reviews and functions and for ensuring that appropriate data is tracked, evaluated, and reported. POSITION TECHNICAL RESPONSIBILITIES 1. Monitors adherence to the hospital\'s Utilization Review (UR) Plan to ensure the effective and efficient use of hospital services. 2. Performs UR functions and reviews: applies approved utilization acuity criteria to monitor appropriateness of admissions as part of the initial review (i.e. observation vs. inpatient status) and continued stays, Utilizes secondary physician reviews as appropriate. 3. Assess patients for potential needs in a timely manner and identifies those in need of case management intervention. 4. Identify patients with high risk or high cost care, coordinates interventions, and facilities appropriate discharge plans. 5. Coordinate the integration of social services/case management functions into patient care, discharge, and home planning processes with other hospital departments, external service organizations, agencies and healthcare facilities. 6. Plan and coordinate care of the patient from pre-hospitalization through discharge. 7. Evaluate, plan, coordinate, and revise patient continuity of care/discharge plan based on patient need in collaboration with medical staff and the multidisciplinary team. 8. Continue contact with patients with chronic diagnoses to assist with life style changes as needed to prevent recurrence or exacerbation of chronic illness. 9. Meet with patient and family to assist with disease management planning. 10. Work closely with social worker to integrate psychosocial management of patient/family needs. POSITION REQUIREMENTS Education: Required: Associate Degree in Nursing (ADN). Preferred: Bachelor\'s degree in nursing (BSN); Master\'s Degree in nursing (MSN) Experience: Required: Minimum of 2 years of nursing, case management or utilization review experience Preferred: Two or more years of experience of case management and/or Utilization Review in a healthcare setting Licenses and Registrations: Required: Current State of Wisconsin licensure as a Registered Nurse Preferred: None Certification(s): Required: Basic Life Support (BLS) within 3 months of hire Preferred: American Case Management Association (ACMA) Case Management certification BENEFIT SUMMARY 1. Retirement plan with immediate vesting and employer match 2. Discounted membership to our state-of-the-art fitness facility 3. Free parking at facility ***** APPLICATION INSTRUCTIONS: Apply Online: https://www.saukprairiehealthcare.org/about/careers/