RN Case Manager 36D Temporary

Care New England; Providence (RI); On-site; USD 75,000 - 95,000; Full time

Job summary

Care New England is seeking an RN Case Manager (RN CM) to coordinate clinical care for a designated patient population across the continuum of care, applying advanced nursing skills and knowledge of resource management and fiscal responsibility.

Responsibilities include transition of care planning, discharge planning, care coordination, utilizing EMR and interdisciplinary teams to ensure quality, cost-effective outcomes and appropriate care settings.

Qualifications

• Rhode Island RN license required.
• 3–5 years of related clinical and/or case management experience.
• Certification in Case Management (CCM or ACM) within 24 months of employment.
• Strong written and oral communication skills and ability to document effectively.
• Experience with EMR and Microsoft Office tools preferred.

Responsibilities

• Transition of Care Planning and Coordination of discharge planning.
• Utilization Review and resource allocation oversight.
• Coordinate care across medical, nursing and ancillary staff.
• Ensure quality and compliance in care delivery and documentation.

Skills

Interdisciplinary coordination

Effective communication

Documentation

Education

Rhode Island RN License

CCM/ACM Certification

Tools

EMR

Microsoft Office

Job description

Job Summary

The RN Case Manager (RN CM) utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include, but are not limited to, clinical effectiveness, discharge planning, care coordination, and clinical resource management. The RN CM interacts with Medical, Nursing, and Ancillary department staff to facilitate quality-based, cost-effective patient outcomes and ensure care is provided in the most appropriate setting.

Duties & Responsibilities

1. Transition of Care Planning
2. Utilization Review
3. Point of Entry and Emergency Department Duties, when applicable per assignment
4. Utilization Review for POE/ED RN Case Manager
5. Resource Allocation for POE/ED RN Case Manager
6. Quality and Compliance
7. Performs other duties as required

Requirements

Must have and maintain license as Registered Nurse in Rhode Island. Minimum of 3 to5 years related clinical and/or Case Management experience required. As of 1/1/16, Certification in Case Management (CCM or ACM) earned within 24 months of employment, prorated for part-time staff. Ability to effectively communicate with and gain cooperation of resident and attending physicians with regards to documentation needs and to effectively influence all members of the interdisciplinary care team during difficult cases to achieve appropriate resolutions. Must have effective written communication. The ability to interpret medical data as documented. Utilization of level of care management, quality management, discharge planning, basic knowledge of third party payer or case management knowledge preferred. Knowledge and training in multiple computer systems required to perform position responsibilities (i.e. EMR, Microsoft Office, etc.) Participation in weekend and holiday coverage rotation. Flexibility to cover as needed.

EEO Statements

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.