RN Case Manager PRN Days
Company: Saint Francis Hospital - Memphis
Location: Memphis
Posted on: November 17, 2023
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Job Description:
St. Francis Hospital Memphis---
Saint Francis Hospital Memphis is a 510-bed acute care hospital
dedicated to providing high quality, compassionate care to the
Mid-South community. As a comprehensive medical center, Saint
Francis Hospital Memphis features a broad spectrum of tertiary and
acute care, outpatient services and specialty areas including
Women's Services, Surgical Services, Bariatric Center of Excellence
and Behavioral Health. Other acute care areas include Emergency
Room, Critical Care, Med/ Surge and Telemetry.---
Case Manager PRN Days Position Summary
The RN Case Manager is responsible to facilitate care along a
continuum through effective resource coordination to help patients
achieve optimal health, access to care and appropriate utilization
of resources, balanced with the patient's resources and right to
self-determination. The individual in this position has overall
responsibility for ensuring that care is provided at the
appropriate level of care based on medical necessity and to assess
the patient for transition needs to promote timely throughput, safe
discharge and prevent avoidable readmissions. This position
integrates national standards for case management scope of services
including:
Utilization Management supporting medical necessity and denial
prevention
Transition Management promoting appropriate length of stay,
readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while
assuring care is the right sequence and at appropriate level of
care
Compliance with state and federal regulatory requirements, TJC
accreditation standards and Tenet policy
Education provided to physicians, patients, families and
caregivers
Responsibilities
The individual's responsibilities include the following
activities:
Accurate medical necessity screening and submission for Physician
Advisor review,
Care coordination;
Transition planning assessment and reassessment
Implementation or oversight of implementation of the transition
plan
Leading and facilitating multi-disciplinary patient care
conferences,
Managing concurrent disputes,
Making appropriate referrals to other departments,
Identifying and referring complex patients to Social Work
Services
Communicating with patients and families about the plan of care
Collaborating with physicians, office staff and ancillary
departments
Leading and facilitating Complex Case Review
Assuring patient education is completed to support post-acute
needs
Timely complete and concise documentation in Case Management
system
Maintenance of accurate patient demographic and insurance
information
Identification and documentation of potentially avoidable days
Identification and reporting over and underutilization;
Other duties as assigned
Education
Required: Graduate of an accredited school of nursing.
Preferred: Academic degree in nursing (bachelor's or master's)
Experience
Required: 2 years of acute hospital patient care experience.
Preferred: Acute hospital case management experience.
Certification
Required: RN. Must be currently licensed, certified or registered
to practice profession as required by law or regulation in state of
practice or policy. Active RN license for state(s) covered.
Preferred: Accredited Case Manager (ACM)
2305047761Employment practices will not be influenced or affected
by an applicant's or employee's race, color, religion, sex
(including pregnancy), national origin, age, disability, genetic
information, sexual orientation, gender identity or expression,
veteran status or any other legally protected status. Tenet will
make reasonable accommodations for qualified individuals with
disabilities unless doing so would result in an undue hardship.
Keywords: Saint Francis Hospital - Memphis, Memphis , RN Case Manager PRN Days, Healthcare , Memphis, Tennessee
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