Registered Nurse - Case Manager - Day

TieTalent; Lebanon (Lebanon County); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading health organization is seeking a Registered Nurse Case Manager for a full-time day role. The nurse will focus on patient care progression, managing discharges, and collaborating with the interdisciplinary care team to ensure quality healthcare delivery while adhering to safety standards. Candidates should possess a minimum of an Associate's Degree in nursing and two years of recent acute care experience. Competitive salary and comprehensive health benefits are offered.

Benefits

Comprehensive health benefits

Flexible spending and health savings accounts

Retirement savings plan

Paid time off (PTO)

Short-term disability

Education assistance

Financial education and support

Wellness and Wellbeing programs

Qualifications

• Licensure as a Registered Nurse is required upon hire.
• 2 years of recent acute care experience needed.
• Knowledge in Utilization Management and Case Management preferred.

Responsibilities

• Conducts patient assessments, develops discharge plans, and coordinates care.
• Facilitates patient throughput and optimizes resource utilization.
• Collaborates with healthcare team to manage patient care continuity.

Skills

Interpersonal skills

Communication skills

Team collaboration

Education

Associates Degree

Bachelors Degree

Job description

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About

Full-time Day Shift

72 hours bi-weekly

0730 -1600

Every Other Weekend Preferred

• 8 hour shifts per 2 week pay period
  
  

General Summary

Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patient's progression of care and the provision of appropriate, cost effective and quality health care. Works in a team model with social work in assigned patient care areas to address patient discharge needs. Provides leadership in the integration of utilization and case management principles.

Duties and Responsibilities

Reviews assigned patients for medical necessity, utilization management, and appropriateness of setting for continued hospitalization.

Initiates problem-solving techniques to prevent over and/or under utilization.

Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support continuous quality and cost of care efforts.

Liaisons between utilization management team, third party payers, and the treatment team regarding the identified treatment plan in accordance with contractual guidelines and System policy.

Assists the patient care team with the identification and coordination of alternative treatment settings to provide appropriate care, maintain quality of care, and reduce cost.

Identifies conditions which require case management across the care continuum. Collaborates with members of the patient care team to identify interdisciplinary needs

Collaborates with care management across the system to effectively transition patient care and support value-based care initiatives.

Completes case management patient assessment, identifies needs, develops a discharge plan, and coordinates discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families, and care team.

Assists with the collection and analysis of utilization patterns, length of stay, readmissions, avoidable days, and denied cases.

Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).

Common Expectations

Demonstrates a commitment to patient, visitor, and staff by complying with all applicable safety regulations, learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and “error proof” systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.

Prepares and maintains appropriate documentation as required.

Maintains established policies and procedures, objectives, quality assessment and safety standards.

Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Prepares and presents utilization data analysis as required.

Participates in the development and delivery of educational information and process improvements related to job accountabilities and case management principles.

Attends meetings as required.

WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.

WellSpan Good Samaritan Hospital

For more than 125 years, WellSpan Good Samaritan Hospital has provided leading-edge inpatient, outpatient, and emergent care to the Lebanon County community. One of eight premier hospitals in the WellSpan system, WellSpan Good Samaritan Hospital features an award-winning cardiac and vascular center, a certified Primary Stroke Center, and a wound care and hyperbaric medicine center, while providing a supportive continuum of care through our extensive WellSpan primary, specialty, ambulatory, and behavioral health care locations within the community. WellSpan Good Samaritan Hospital is supported by the nearby WellSpan Sechler Family Cancer Center, Lebanon’s first and only integrated cancer center. WellSpan Good Samaritan Hospital was one of several WellSpan Health hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23.

WellSpan Good Samaritan Hospital serves as the cornerstone of care for a total population of nearly 142,000 residents living in the rural and urban mix of Lebanon County. A full-service, acute-care hospital, with a 163 licensed bed capacity, admitting approximately 7,000 patients annually. We offer open heart procedures, comprehensive cardiac care, total joint replacements, private labor and delivery birthing suites, robotic surgery, and emergency care.

Qualifications

Minimum Education:

Associates Degree Required

Bachelors Degree Preferred

Work Experience:

2 Years Recent Acute Care Experience. Required

Field of experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred

Licenses

Licensed Registered Nurse Upon Hire Required or

Registered Nurse Multi State License Upon Hire Required and

Basic Life Support Upon Hire Required

Certified In Case Management Preferred

Knowledge, Skills, and Abilities:

Excellent interpersonal and communication skills.

Basic computer skills.

Desire and ability to work in a supportive and collaborative team environment.

Benefits Offered

Comprehensive health benefits

Flexible spending and health savings accounts

Retirement savings plan

Paid time off (PTO)

Short-term disability

Education assistance

Financial education and support, including DailyPay

Wellness and Wellbeing programs

Caregiver support via Wellthy

Childcare referral service via Wellthy

• Lebanon, Pennsylvania
  
  

Languages

• English

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Technology, Information and Internet

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