RN, Registered Nurse - Case Manager
Company: CHRISTUS Health
Location: Sulphur Springs
Posted on: February 24, 2021
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Job Description:
Description
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 RN experience in a clinical area
of expertise.
3-5 years of experience in Case management. preferred but not
required
Case Management preferred
Proficient in Windows, Word, Excel
Proficient in keyboarding & mouse use
Critical thinking skills / judgments
Customer service communications Work Type: Per Diem As Needed
Keywords: CHRISTUS Health, Tyler , RN, Registered Nurse - Case Manager, Executive , Sulphur Springs, Texas
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