Case Manager-ED – Banyan Medical Systems – Omaha, NE

JOB SUMMARY:

The RN Case Manager, in collaboration with members of the healthcare team, leads the development and implementation of the interdisciplinary plan of care for patients, determining appropriate patient status and level of care; ensuring effective quality and cost-efficient outcomes by performing concurrent and retrospective case review, and supervising the provision of the discharge plan of care. This position functions as the key linkage between the physician, staff, and hospital leadership in the day-to-day management of appropriate and efficient patient care and functions as an advisor to the physician with accountability to escalate cases to the Medical Director (as necessary) to ensure the provision of appropriate and effective patient care.

SHIFT HOURS

2:00 P.M. TO 12:00 A.M.

EDUCATION

Bachelor of Science degree in Nursing preferred.

EXPERIENCE

1. One (1) + year Acute Inpatient RN Case Manager experience performing both UR and discharge planning for a patient caseload. Substantial recent experience in utilization review and/or discharge planning in an acute care setting is strongly preferred.

2. Three (3) or more years of RN experience in an acute patient care setting, preferably in medical/surgical or critical care.

4. Broad nursing clinical background strongly preferred.

5. Experience working efficiently with multiple computer applications in a fast paced work setting.

6. Experience demonstrating leadership skills and inter-disciplinary collaboration preferred.

PREREQUISITE SKILLS

1. Must have the ability to read, write, and follow English verbal and written instructions, and have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills.

2. Leadership skills to delegate, functionally supervise, provide direction/guidance to staff and hold others accountable are required.

3. Must have the ability to work independently with a minimum of direction, anticipate and organize work flow, prioritize and follow through on responsibilities.

4. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.

5. Strong attention to detail and accuracy is required.

6. Must have the ability to work in a high volume case load environment and deal effectively with rapidly changing priorities.

7. Demonstrated ability to work constructively with a broad spectrum of health care professionals is required.

8. Must be assertive and creative in problem solving, system planning and management.

9. Proficient computer skills are required including use of Electronic Health Record and other IT applications.

10.Must be effective as both a team member and a leader.

Essential functions

Care Facilitation and Coordination

1. Coordinates care for an assigned unit based patient population in a paired team model comprised of RN Case Manager and MSW Social Worker.

2. Works with the multi-disciplinary healthcare team to ensure the plan of care is expedited and barriers to efficient throughput are identified and corrected.

3. Creates a plan of care that outlines the key interventions and outcomes to be achieved each day of the inpatient stay. “Plan for the day – plan for the stay”

4. Can actively lead multidisciplinary case conferences in developing comprehensive, cost-effective case management plans that span the continuum.

5. Makes independent assessments and recommendations regarding course of action in complex situations and recommendations relevant to multi-system or special needs Patients.

6. Identifies and refers quality and risk management concerns to appropriate level for corrective action plans and trending.

7. Proactively solicits physician’s orders for services.

8. Demonstrates knowledge and skills necessary to provide cultural, spiritual and age specific care by obtaining specific care information and assessing relevant information needed to identify each patient’s unique treatment and discharge planning needs

Banyan Medical Systems and affiliated companies participate in E-verify.

Equal Employment Opportunity

Banyan Medical Systems and affiliated companies are an Equal Employment Opportunity employer committed to a diverse and inclusive workforce.

Banyan Medical Systems strictly prohibits any discrimination or harassment; all qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by national, federal, state or local law. For more information about your EEO rights as an applicant, please
External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances.
If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (402) 926-0434 or email us at [email protected] and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

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Source: Indeed.com
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