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Registered Nurse Care Manager - Case Management
$83k-100k (estimate)
Full Time | Ambulatory Healthcare Services 1 Month Ago
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McLaren Health Care is Hiring a Registered Nurse Care Manager - Case Management Near Lansing, MI

Position Summary: Accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the continuum. Impacts key results such as achieving top decile performance in length of stay, cost efficient resource utilization, preventing readmissions and unnecessary emergency room visits. Works collaboratively with physicians, nursing, members of the multidisciplinary team (such as Home Care and PCP offices), as well as other resources internal and external to the organization.
Essential Functions and Responsibilities as Assigned:
  • Performs care coordination assessments for initial assessment of patients with 24 hrs. of admission. assessments for readmission and transition planning.
  • Works collaboratively with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient’s available resources.
  • Assesses patient/family needs to reduce barriers and formulate discharge plans (e.g., LOS barriers to D/C).
  • Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.
  • Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies which family member is the point of contact.
  • Assesses risk of readmission for specified patient populations and initiates assigned interventions that will enhance the patient’s ability to successfully transition along the care continuum.
  • Performs discharge planning coordination/referral by making appropriate referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement, and other outside agencies per Standard Operating Procedure (SOP).
Qualifications:
Required
  • State licensure as a Registered Nurse (RN)
  • Bachelor’s degree in nursing from accredited educational institution, or actively pursuing degree and to be obtained within five years of accepting position.
  • Three years of acute hospital care experience
  • American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association Case Management Association, and maintenance of continuing education requirements
Preferred:
  • Experience in utilization management/case management, critical care, or patient outcomes/quality management
  • Certification in Case Management Certification (ACM or CCM)
  • Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)
Additional Information
  • Schedule: Full-time
  • Requisition ID: 24004082
  • Daily Work Times: 8 a.m. - 4:30 p.m.
  • Hours Per Pay Period: 80
  • On Call: No
  • Weekends: Yes

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$83k-100k (estimate)

POST DATE

05/15/2024

EXPIRATION DATE

07/13/2024

WEBSITE

mclaren.org

HEADQUARTERS

DEWITT, MI

SIZE

7,500 - 15,000

FOUNDED

1914

REVENUE

$200M - $500M

INDUSTRY

Ambulatory Healthcare Services

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About McLaren Health Care

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $6 billion (budget FY21), fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 15 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a 490-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering approximately 640,000 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malp...ractice insurance company. McLaren operates Michigans largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S. As part of its Graduate Medical Education (GME) program, McLaren maintains academic affiliations with medical schools at Wayne State University, Michigan State University and Central Medical University. McLarens six (6) GME campuses offer 27 residencies and eight (8) fellowship programs that train over 650 future physicians annually. All GME programs at McLaren are overseen and managed centrally by the Department of Academic Affairs. More
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