Registered Nurse RN Case Manager

Aurora Health Care; Milwaukee (WI); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider located in Milwaukee seeks a Registered Nurse to utilize the RN process in achieving optimal outcomes for patients. The role involves interacting with healthcare teams, conducting needs assessments, and maintaining accurate case records. Applicants must have a BSN, current RN license, and two years of relevant experience in healthcare settings. Strong interpersonal skills and clinical competence in disease management are essential, along with BLS certification. Competitive benefits and growth opportunities are offered.

Qualifications

• Two years of experience required in healthcare.
• Experience includes case management/discharge planning.
• BLS required per policy guidelines.

Responsibilities

• Utilize RN process to achieve optimal outcomes and resource utilization.
• Interact with patients and professionals to ensure continuity of care.
• Maintain accurate case records and document fully.

Skills

Interpersonal communication

Problem-solving

Organizational skills

Time management

Critical thinking

Education

BSN required, Masters preferred

Current RN license

Job description

Overview

Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies. Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings. Conducts or participates in comprehensive “all-system” needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population. Develops and maintains accurate case records of each referred customer/patient. Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems. Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care. Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.

Essential Functions

• Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies.
• Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings.
• Conducts or participates in comprehensive “all-system” needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population.
• Develops and maintains accurate case records of each referred customer/patient.
• Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems.
• Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.
• Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.

Physical Requirements

• Work requires walking, standing, lifting, reaching, bending, and stooping.
• Must lift a minimum of thirty-five pounds' shoulder high.
• Ability to travel/drive between various locations is required for this position.
• Requires frequent verbal and written communication in English.
• Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate.
• Must be able to respond quickly to changes in assignments.
• Occasional intermittent noise and exposure to conditions such as dust, fumes, and chemicals.

Education, Experience And Certifications

• BSN required. Masters preferred.
• Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works.
• Two years' experience required in health care.
• Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company.
• Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol.
• Clinical competence in disease management and case management principles.
• Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team.
• Requires demonstrated knowledge and proficiency in appropriate tools.
• BLS required per policy guidelines.
• Two to Three years of Case management experience in an acute care hospital preferred
• Experienced in care coordination, community resources
• Able to work independently