Case Manager RN

Requisition ID
2021-169538
Employment Type
Full Time
Department
Care Management
Hours / Pay Period
80
Shift
Day
Standard Hours
8am - 5pm
Facility / Process Level : Name
CHI Saint Joseph Health System
Location
KY-LEXINGTON

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities

Full time, day shift, Saint Joseph Main Hospital, Care Management

Qualifications

JOB SUMMARY / PURPOSE
Coordinates a system of direct case management to effectively follow patients throughout the continuum of care in a multiple health care delivery system. Role includes assessment of patient's status, evaluation, coordination of on‐going needs, and planning of care and delivery of services, appropriate implementation of community resources through proper discharge planning functions, and monitoring of quality of service throughout the case management process. Performs direct Interqual/M&R utilization review on all acute admissions.

 

ESSENTIAL KEY JOB RESPONSIBILITIES
1. Complies with safety and emergency procedures.
2. Complies with Hospital/Department/Unit policies.
3. Documents activities consistent with Hospital/Department/Unit Guidelines.
4. Performs critical/frequent procedures or services.
5. Provides care/services based on identified needs.
6. Uses required equipment for providing care/services.
7. Consults with Hospital/department resources.
8. Demonstrates professional responsibility as per job classification.
9. Demonstrates Core Values Guest Relations/Guest Service Standards.
10. Demonstrates Core Values Based on Behavioral Standards.
11. Other duties as assigned by management.

 

MINIMUM QUALIFICATIONS
Required Education (for CHI Leadership Job Levels from Supervisor through President)- Does Not Apply
Required Education for Staff Job Levels Graduate from accredited school of nursing.
Required Licensure and Certifications Kentucky state licensure as a Registered Nurse.

Required Minimum Knowledge, Skills and Abilities- Prefer 2 years recent varied acute hospital experience. Strong clinical background with a broad range of clinical experience, and the ability to utilize data and regulatory information in decision making process. Adequate conversational English is required in order that the individual be able to take direction from management, understand how to complete job tasks, communicate adequately with patients and co‐workers as necessary, understand and follow safety guidelines, and understand the Associate Handbook and all hospital policies.

 

PREFERRED Qualifications
Associates Degree in Nursing, CCM, Interqual, M&R, or Discharge Planning Certification. 3‐5 years recent varied acute hospital experience, 1 year Case Management or home health working with Medicare/Medicaid and other federal guidelines or 2 years Utilization management in hospital setting. Also desirable, experience in discharge planning with case management model.

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