RN, Registered Nurse - Case Manager
Company: CHRISTUS Health
Location: Sulphur Springs
Posted on: February 20, 2021
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Job Description:
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, Healthcare , Sulphur Springs, Texas
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