CHRISTUS Health: Rn, Registered Nurse Case Manager
Company: CHRISTUS Health
Location: Tyler
Posted on: February 20, 2021
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Job Description:
Job DescriptionDescription Summary: This position is responsible
for the coordination of care for the patient and their support
systems. Collaborations with physicians, social work, nursing, and
all disciplines of care are crucial in determining not only
appropriateness of care, but also the continuum of care, discharge
planning, and post discharge/transfer. A working knowledge of
resource contacts for continued care is also pertinent. Clinical
outcomes management and monitoring is also an element of this
position. This position is also responsible for the concurrent
review and data abstraction of the medical record. Patients are
assessed for clinical documentation reflecting continuum of care
and medical necessity according to criteria established by TMF,
Medicare, Medicaid, Managed Care agencies, and Clinical Path
resources [Interqual, M& R]. Such criteria are used only as a guide
in determining medical necessity for continued stay for
individualized patients. Demonstrates mastery and competence in
computer skills. Demonstrates knowledge of disease processes,
normal vs. abnormal clinical findings, and usual and customary
healthcare treatment. Demonstrates excellent communication skills
and quality management skills. Participates as a member of the
inter-disciplinary healthcare team. Requirements: * BSN required *
TX RN license * Current CPR * Knowledge of Medicare, Medicaid, TMF,
TDH, M& R, Interqual criteria. *Minimum of 3 5 years acute care
experience in a clinical area of expertise preferred. * Experience
in Case management. preferred * Case Management preferred *
Proficient in Windows, Word, Excel * Proficient in keyboarding &
mouse use * Disease Management knowledge * Critical thinking skills
/ judgments * Customer service communications Work Type: Full
Time
Keywords: CHRISTUS Health, Tyler , CHRISTUS Health: Rn, Registered Nurse Case Manager, Executive , Tyler, Texas
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