Presbyterian Healthcare Services

Receive alerts when this company posts new jobs.

Similar Jobs

Job Details

RN - INPATIENT CASE MANAGER

at Presbyterian Healthcare Services

Posted: 5/29/2020
Job Reference #: 5679
Keywords: nursing

Job Description

Requisition ID
2019-5679
Category
Case/Utilization Mgmt/Care Coor
Org : Name
CARE COORDINATION
Default: Location : State/Province (Full Name)
New Mexico

Overview

Summary:

The RN Case Manager is responsible for facilitating the most appropriate level of care for the patient. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length of stay, and promote efficient utilization of resources. In addition, mentor the healthcare team on cost-effective and medically appropriate alternatives.

CHAT LIVE with a Presbyterian Nurse Recruiter every Tuesday! Register now by clicking on this link: https://app.brazenconnect.com/a/presbyterianhealthservices/s/aZobG/next?utm_medium=Website&utm_source=Job+Reqs

Job Description
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: Yes
Work Schedule: Varied days and hours to include weekends and holidays. Employees will work two weekend days every 4 weeks.

Responsibilities

  • Interviews and assesses each patient, family or other designated person(s) within 48 hours of admission in order to obtain financial, emotional, physical, social, functional and health care needs in order to define and recommend potential discharge plans, manage patient and family expectations, identify readmission risk and target interventions to reduce risk for readmission, and identify, adjust and manage barriers to discharge.
  • Applies approved clinical criteria to monitor appropriateness of admissions and continued stays to ensure a clear status determination. Refers cases and issues to Case Management Medical Director based on departmental standards.
  • Develops implements, coordinates, monitors and evaluates preliminary and final discharge plans with the interdisciplinary team, patient and family. Arranges and/or facilitates identified discharge needs and services of patients and ensures timely intervention to prevent delays in service and transition of care. Ensures all elements of the plan of care have been communicated to the patient/family and members of the healthcare team to assure continuity of care.
  • Participates and facilitates care progression in daily multidisciplinary rounds and addresses target length of stay with health care providers to achieve complete delivery of services within prescribed timeframe. Monitors length of stay and takes action to mitigate overutilization and elevates to medical director as needed.
  • Presents and actively participates in complex rounds, discharge planning huddles, process improvement teams, department specific initiatives and department meetings.
  • Identifies patients and families with complex psychosocial issues and refers them to the Social Worker as appropriate. Demonstrates skill and success in collaboration with Social Work partner.
  • Facilitates and leads patient/family and provider care conferences as needed.

Qualifications

RN-Case Management I:

  • Associate Degree in Nursing (BSN completion within 5 years of hire).
  • Registered Nurse - State of New Mexico or Compact State Nursing License required.
  • National Case Management certification preferred
  • Three years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.

RN-Case Management II:

  • Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required. BSN to be obtained within 5 years of hire date.
  • Registered Nurse - State of New Mexico or Compact State Nursing License required..
  • National Case Management certification preferred
  • Three years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.

RN-Case Management III:

  • Registered Nurse with Masters of Science in nursing (MSN) degree or Registered Nurse with Bachelors in nursing (BSN) plus five years utilization review or case management experience required.
  • Registered Nurse - State of New Mexico or Compact State Nursing License required.
  • National Case Management certification preferred
  • Three years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.

RN-Case Management IV:

  • Registered Nurse with Masters of Science in nursing (MSN) degree plus five years utilization review or case management experience or Registered Nurse with Bachelors in nursing (BSN) plus ten years utilization review or case management experience required.
  • Registered Nurse - State of New Mexico or Compact State Nursing License required.
  • National Case Management certification preferred
  • Three years clinical nursing experience in relevant clinical practice area with utilization review or case management experience preferred.

Benefits

Benefits are effective day-one (for .45 FTE and above) and include:

  • Competitive salaries
  • Full medical, dental and vision insurance
  • Flexible spending accounts (FSAs)
  • Free wellness programs
  • Paid time off (PTO)
  • Retirement plans, including matching employer contributions
  • Continuing education and career development opportunities
  • Life insurance and short/long term disability programs

About Us:
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

We are part of New Mexico's history -and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.

Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

#CB

MB123

We can recommend jobs specifically for you!Click here to get started.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!