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Blue Cross & Blue Shield of Rhode Island
Providence, RI | Full Time
$90k-109k (estimate)
2 Weeks Ago
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MIRIAM HOSPITAL, THE is Hiring a Case Manager Near Providence, RI
SummarySummary:Reports to the Manager or Director of Case Management. Provides coordinated care support to facilitate and expedite patient care services. Participates in daily rounds and collaborates with the clinical healthcare team across the patient care continuum to include preadmission and post hospital discharge. As a member of that team shares responsibility for the implementation of the discharge plan; ensures efficient and effective delivery of patient care services through the appropriate utilization of healthcare resources. Full time part time per diem and job share schedules available.ResponsibilitiesResponsibilities:Partners with medical staff and other members of the healthcare team in collaboration with the patient/family to facilitate the plan of care for a defined patient population across the continuum of care. Identifies a high-risk patient population within the caseload for care management assessment screening and targets interventions in conjunction with the healthcare team within one business day of patient admission.
Participates in daily care rounds to collaborate with members of the patient's healthcare team as well as to evaluate and facilitate development and implementation of the discharge planning process. Develops the initial patient discharge plan and reviews with patient family members and other members of the interdisciplinary team. Reassesses the discharge plan daily during collaborative care rounds.
Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge.
Delivers Important Message follow-up notices to all Medicare patients according to CMS regulations. Follows CMS and DOH regulations in relationship to discharge guidelines and patient rights.
Coordinates the length of stay with the physician care team and patient. Ensures team is informed of insurance qualifiers that may affect the discharge plan. Discuss approaching discharge readiness of patients. Identify and assess readmitted patients and complex patients in collaboration with members of the healthcare team to coordinate discharge.
Advocates for the patient and advises the patient regarding financial implications of their discharge plan when coordinating care for the patient. Communicates the discharge plan including post facility/agency acceptance to patients families and all members of the care team.
Documents final discharge disposition in progress notes. Develops appropriate patient care reports to ensure safe patient handovers occur as a patient is transferred from one patient care area to the next. Provides care plan direction for the advancement of a patient care delivery system which supports managed care strategies and decreases readmission risk.
Acts as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow-up.
Demonstrates a fundamental grounding in nursing theory and practice with a clinical background within a defined content area. Remains current on the latest concepts techniques and methods relative to his/her service.
Demonstrates knowledge of federal and state rules and regulations.
Reviews and acts as a change agent by identifying opportunities to improve patient flow and identifies and reduces service delays through problem resolution and follow-up. Identifies and tracks service and discharge patient delays.
Participates in departmental and/or interdepartmental quality improvement activities as requested: i.e. OpX teams weekly long LOS reviews interdisciplinary rounds readmission reviews. Participates in Orienting of New staff as requested.
Participates in ongoing education-related professional activities and affiliations to maintain an advanced level of knowledge of patient care services third party payer and managed care requirements and case management.
Other InformationLicensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
Basic KnowledgeGraduate of a School of Nursing with current license to practice as a Registered Nurse in the State of Rhode Island.
Bachelor's Degree preferred; years of experience will be considered.
Certification in Case Management by a nationally organization preferred or to be obtained within 1 year of hire.
AHA BLS Provider required.
ExperienceThree years of clinical experience with recent experience in case management community case management patient navigation or discharge planning is strongly preferred.
Strong analytical and interpersonal skills are required to provide guidance to and communicate daily with healthcare professionals patients and families.
Must exhibit a collaborative approach and method of communication to interact successfully on as daily basis with a wide and diverse population of both health care providers insurers patients and their families.
Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes human development stages and cultural patterns in each step of the care process.
Must be proficient in the use of Microsoft Office software including email and Outlook calendar and have basic keyboarding skills.
Work Environment And Physical RequirementsGeneral hospital environment with occasional stressful conditions associated with patient care. Risk of exposure to blood borne pathogens and disease is minimized and controlled by adherence to Hospital Infection Control policy and procedures.
Must be able to make hospital rounds through various patient care areas either by walking or through some other mobile means. Visual acuity and finger dexterity is needed to review and carry medical records navigate through automated system screens and type on a typical computer terminal keyboard. Lifting of up to 10 lbs. may be necessary to transport items from one care unit to the next.
Independent ActionResponds to individual patient-care situations demonstrating knowledge and skills acquired through education certification and work experience.
Supervisory ResponsibilityNone.
Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.
Location: The Miriam Hospital USA:RI:Providence
Work Type: Full Time
Shift: Shift 1
Union: Non-Union
Participates in daily care rounds to collaborate with members of the patient's healthcare team as well as to evaluate and facilitate development and implementation of the discharge planning process. Develops the initial patient discharge plan and reviews with patient family members and other members of the interdisciplinary team. Reassesses the discharge plan daily during collaborative care rounds.
Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge.
Delivers Important Message follow-up notices to all Medicare patients according to CMS regulations. Follows CMS and DOH regulations in relationship to discharge guidelines and patient rights.
Coordinates the length of stay with the physician care team and patient. Ensures team is informed of insurance qualifiers that may affect the discharge plan. Discuss approaching discharge readiness of patients. Identify and assess readmitted patients and complex patients in collaboration with members of the healthcare team to coordinate discharge.
Advocates for the patient and advises the patient regarding financial implications of their discharge plan when coordinating care for the patient. Communicates the discharge plan including post facility/agency acceptance to patients families and all members of the care team.
Documents final discharge disposition in progress notes. Develops appropriate patient care reports to ensure safe patient handovers occur as a patient is transferred from one patient care area to the next. Provides care plan direction for the advancement of a patient care delivery system which supports managed care strategies and decreases readmission risk.
Acts as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow-up.
Demonstrates a fundamental grounding in nursing theory and practice with a clinical background within a defined content area. Remains current on the latest concepts techniques and methods relative to his/her service.
Demonstrates knowledge of federal and state rules and regulations.
Reviews and acts as a change agent by identifying opportunities to improve patient flow and identifies and reduces service delays through problem resolution and follow-up. Identifies and tracks service and discharge patient delays.
Participates in departmental and/or interdepartmental quality improvement activities as requested: i.e. OpX teams weekly long LOS reviews interdisciplinary rounds readmission reviews. Participates in Orienting of New staff as requested.
Participates in ongoing education-related professional activities and affiliations to maintain an advanced level of knowledge of patient care services third party payer and managed care requirements and case management.
Other InformationLicensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
Basic KnowledgeGraduate of a School of Nursing with current license to practice as a Registered Nurse in the State of Rhode Island.
Bachelor's Degree preferred; years of experience will be considered.
Certification in Case Management by a nationally organization preferred or to be obtained within 1 year of hire.
AHA BLS Provider required.
ExperienceThree years of clinical experience with recent experience in case management community case management patient navigation or discharge planning is strongly preferred.
Strong analytical and interpersonal skills are required to provide guidance to and communicate daily with healthcare professionals patients and families.
Must exhibit a collaborative approach and method of communication to interact successfully on as daily basis with a wide and diverse population of both health care providers insurers patients and their families.
Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes human development stages and cultural patterns in each step of the care process.
Must be proficient in the use of Microsoft Office software including email and Outlook calendar and have basic keyboarding skills.
Work Environment And Physical RequirementsGeneral hospital environment with occasional stressful conditions associated with patient care. Risk of exposure to blood borne pathogens and disease is minimized and controlled by adherence to Hospital Infection Control policy and procedures.
Must be able to make hospital rounds through various patient care areas either by walking or through some other mobile means. Visual acuity and finger dexterity is needed to review and carry medical records navigate through automated system screens and type on a typical computer terminal keyboard. Lifting of up to 10 lbs. may be necessary to transport items from one care unit to the next.
Independent ActionResponds to individual patient-care situations demonstrating knowledge and skills acquired through education certification and work experience.
Supervisory ResponsibilityNone.
Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.
Location: The Miriam Hospital USA:RI:Providence
Work Type: Full Time
Shift: Shift 1
Union: Non-Union
Job Summary
JOB TYPE
Full Time
SALARY
$90k-109k (estimate)
POST DATE
06/06/2024
EXPIRATION DATE
07/04/2024
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The job skills required for Case Manager include Case Management, Patient Care, Care Management, Collaboration, Discharge Planning, Managed Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Case Manager. Select any job title you are interested in and start to search job requirements.
For the skill of Case Management
Strides Behavioral Services, LLC
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The following is the career advancement route for Case Manager positions, which can be used as a reference in future career path planning. As a Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Case Manager. You can explore the career advancement for a Case Manager below and select your interested title to get hiring information.
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