Registered Nurse - Care Manager
SSM HealthAbout the role
It's more than a career, it's a calling
WI-SSM Health St. Mary's Hospital - MadisonWorker Type:
Job Highlights:
Schedule: Monday - Friday 8:00 am - 4:30 pm with every 12th weekend rotation and 1 required holiday per year
Prior Case Management and/or Med/Surg or Post-Acute hospital experience preferred.
Job Summary:
Utilizes skilled intervention, clinical best practice knowledge and collaboration with the patient, physician and multidisciplinary treatment team to pace care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless clinical transition of patients through medically appropriate levels of care.Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
- Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program.
- Assesses all assigned patients and integrates family information from social work to collaboratively determine potential, actual and the next level of care needed.
- Holds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care.
- Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes.
- Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting.
- Actively participates in clinical performance improvement activities as assigned.
- Builds a network of positive working relationships that advocate for the patient.
- Documents clinical activity in the medical record and supports and coaches accurate clinical documentation by physicians and others.
- Pursues continuing education in area of expertise/leadership.
- Works in a constant state of alertness and safe manner.
- Performs other duties as assigned.
EDUCATION
- Graduate of accredited school of nursing or education equivalency for licensing
EXPERIENCE
- Two years' registered nurse experience
PHYSICAL REQUIREMENTS
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois
- Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
- Registered Nurse (RN) Issued by Compact State
- Or
- Registered Nurse (RN) - Missouri Division of Professional Registration
State of Work Location: Oklahoma
- Registered Nurse (RN) Issued by Compact State
- Or
- Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
State of Work Location: Wisconsin
- Registered Nurse (RN) Issued by Compact State
- Or
- Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
Work Shift:
Day Shift (United States of America)Job Type:
Department:
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package
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