• Job Description

  Req#: 49244

  Do you have a passion for helping others and a knack for navigating the complexities of the healthcare system? We are seeking a dedicated Case Manager to join our team and provide vital support to patients in their healthcare journey. If you thrive on building relationships, solving problems, and making a positive impact, this role is for you! As a Case Manager, you'll be the empathetic advocate who ensures patients receive the care they need while offering them the guidance and reassurance they deserve.

  Nature and Scope

  The Case Manager has the responsibility to promote case management activities through the health continuum, beginning in the acute setting. Case management begins with the assessment of pre-morbid health status, current medical condition and post-acute needs. Emergency Room RN Case Managers have a unique role in that not all patients who enter the ER meet inpatient criteria for admission, but may require additional services for a discharge. Utilizing an interdisciplinary team approach, the Case Manager acts as a consultant and educator on matters referring to alternative levels of care and managed care issues,. In collaboration, Case Managers provide optimal patient care through, assessment, planning, implementation, and evaluation of neonatal, pediatric, adolescent, adult, and geriatric patients and families.

  Specifics of Positions:

  • Excellent documentation and communication skills and must be able to use critical thinking, find solutions quickly and be comfortable escalating when services or care are not delivered efficiently or appropriately.
  • Attending rounds, review charts and ensure (when appropriate):
    • All orders written
    • DC plan is in place and in computer
    • Social Workers are assigned to appropriate patients
    • Face to Face documentation is done and Choice forms obtained (When needed) are signed prior to DC
    • Clinically Complex Cases are worked up appropriately for DC needs (wound vac, IV meds, Meds Requiring Pre Approval etc.)
  • The Case Manager must respect beliefs and values while advocating for the client’s right to self-determination and to make informed choices.
  • The Case Manager documents all chart and phone reviews, identifies and communicates potentially avoidable/non-reimbursed days, quality indicators (such as re-admissions) and core measures.
  • The Case Manager acquires and maintains knowledge and competencies related to the expectations of their position including an extensive knowledge of post-acute admission criteria (Rehab, LTAC and SNF etc.). Practice is aligned with the mission, vision and goals of the Integrated Health System. She/he participates in Quality Improvement initiatives.

  Benefits & Perks:

  • Join a supportive and dynamic team of healthcare professionals who value your contributions.

  • The chance to make a real difference in the lives of patients and their families.

  • Continuous development opportunities for personal and professional growth.

  • Competitive compensation package and comprehensive health and wellness benefits to keep you at the peak of your powers.

  Note: The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. This position does not provide patient care.

  Minimum Qualifications

  Requirements - Required and/or Preferred

  Name	Description
  Education:	Must have working-level knowledge of the English language, including reading, writing and speaking English. Appropriate education to obtain and maintain State of Nevada Registered Nurse licensure. Bachelor of Science in Nursing preferred.
  Experience:	One year experience preferred as an RN. Case Management, Post-Acute experience and/or UR/QA experience preferred.
  License(s):	Ability to obtain and maintain a State of Nevada Registered Nurse license.
  Certification(s):	National Certification in Case Management (CCM) or Certified Managed Care Nurse (CMCN) preferred.
  Computer / Typing:	Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Teams, Excel, and Word. Must have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

• About the company

  Renown Health is the largest locally owned not-for-profit healthcare network in Northern Nevada.

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