What are the responsibilities and job description for the RN Case Manager position at Integrated Resources, Inc ( IRI )?
Description:
Coordinates clinical and psycho-social activities with the Interdisciplinary Team and Physicians to provide comprehensive care coordination and discharge planning for each patient. Utilizes critical thinking to develop and execute effective discharge planning. Promotes effective and efficient utilization of clinical resources. Monitors all areas of patients’ stay for effective care coordination and efficient care facilitation. Conducts medical necessity review for appropriate utilization of services from admission through discharge. Documents all patient review records according to regulatory, legal and coordination requirements. Performs reviews for third party payors as appropriate. Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, and case management or psychosocial legal issues that affect patients and providers of care. Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Conducts comprehensive, ongoing biopsychosocial assessments of patients and family to provide timely and safe discharge planning. Refers cases where patients and/or family would benefit from additional resource support to the Social Worker, where applicable. Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions. Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Coordinates the provision of social services to patients, families, and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from health care services. Serves on Division committees when requested. Initiates patient and family education and discharge planning at admission. Arranges for discharge and post-hospital care of patients through institutions and agencies within the community.
Facility Requirements:
Must have BLS certification these must be attached to the submission (Must be through the American Heart Association)
Must have RN Case Management & discharge planning experience
Must have 2 years recent hospital Case Management experience in a hospital setting
Must have Texas or multi-state RN license (must be attached to resume)
Shifts are Monday - Friday 8a-5p
Coordinates clinical and psycho-social activities with the Interdisciplinary Team and Physicians to provide comprehensive care coordination and discharge planning for each patient. Utilizes critical thinking to develop and execute effective discharge planning. Promotes effective and efficient utilization of clinical resources. Monitors all areas of patients’ stay for effective care coordination and efficient care facilitation. Conducts medical necessity review for appropriate utilization of services from admission through discharge. Documents all patient review records according to regulatory, legal and coordination requirements. Performs reviews for third party payors as appropriate. Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, and case management or psychosocial legal issues that affect patients and providers of care. Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Conducts comprehensive, ongoing biopsychosocial assessments of patients and family to provide timely and safe discharge planning. Refers cases where patients and/or family would benefit from additional resource support to the Social Worker, where applicable. Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions. Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Coordinates the provision of social services to patients, families, and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from health care services. Serves on Division committees when requested. Initiates patient and family education and discharge planning at admission. Arranges for discharge and post-hospital care of patients through institutions and agencies within the community.
Facility Requirements:
Must have BLS certification these must be attached to the submission (Must be through the American Heart Association)
Must have RN Case Management & discharge planning experience
Must have 2 years recent hospital Case Management experience in a hospital setting
Must have Texas or multi-state RN license (must be attached to resume)
Shifts are Monday - Friday 8a-5p
