Registered Nurse - Admission Case Manager, Full Time,...Posted: November 14, 2009
Job Summary: The role of this job is to coordinate care across a continuum or episode of care; facilitating the achievement of quality outcomes, negotiating, procuring, and coordinating services and resources needed by patient/families; intervening at key points (and/or at significant variances from the usual pattern of care: for individual patients; identify issues that consistently have a negative quality/cost impact; and creating opportunities and systems to enhance outcomes). Essential Duties: * Provides clinical information to third party payors. * Demonstrates discretion when dealing with sensitive issues involving patients, families, and physicians to maintain confidentiality of patient and hospital records. * Documents accurately and completes information related to third party authorization of hospital services. * Documents discharge plan on medical record as needed. * Facilitates appropriate clinical documentation to ensure the level of services and acuity of care accurately reflected in the medical record. * Conducts follow-up reviews of clinical documentation to ensure issues discussed and clarified with the physician have been recorded in the patients chart. * Assists in the medical screening process by documenting appropriateness of patient admission, LOS information on the worksheet and computer system as appropriate. * Reviews record of all patients on observation status and intervenes as needed. * Reviews records of all patients on assigned units and intervenes when indicated. * Utilizes hospital policy in handling request for medical record information for patients. Qualifications Education: * Graduate of accredited Nursing program preferred. Experience: * Two (2) year experience in case management or utilization review or clinical pathway development. * Five (5) years experience in a clinical setting. Basic office machine and computer experience including Fax machine, Computer, Pager, Telephone/Voice Mail. License/Certifications: * Valid State RN license required. Additional Responsibilities: * Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times. * Adheres to and exhibits our core values: Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us. Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness. Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community. Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality. * Maintains confidentiality and protects sensitive data at all times. * Adheres to organizational and department specific safety standards and guidelines. * Works collaboratively and supports efforts of team members. * Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community. Catholic Health Initiatives and its organizations are Equal Opportunity Employers.CB Job Nursing - RN Primary Location MD-Towson-St Joseph Medical Center * Shift Evening *Scheduled Hours per 2-week Pay Period 80 * Weekends Required Occasional * Status Full Time Please refer to job code 246868 when responding to this ad.
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