RN, Registered Nurse Case Manager
Company: CHRISTUS Health
Location: Tyler
Posted on: February 22, 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 experience in a clinical area of
expertise.
Experience in Case management. preferred but not required
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
M-F 8 -5, rotating weekends
Utilization Review
Keywords: CHRISTUS Health, Tyler , RN, Registered Nurse Case Manager, Healthcare , Tyler, Texas
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