CHRISTUS Health: Rn, Registered Nurse Case Manager - Er
Company: CHRISTUS Health
Location: Tyler
Posted on: February 25, 2021
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Job Description:
DescriptionSummary: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 requiredTX RN
licenseCurrent CPRKnowledge 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 requiredCase Management
preferredProficient in Windows, Word, ExcelProficient in
keyboarding & mouse useDisease Management knowledgeCritical
thinking skills / judgmentsCustomer service communications Work
Type: Full Time11a-11p ER Utilization review care coordinator
Keywords: CHRISTUS Health, Tyler , CHRISTUS Health: Rn, Registered Nurse Case Manager - Er, Healthcare , Tyler, Texas
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