RN, Registered Nurse Care Manager - Wound Care Center- Full Time

CHRISTUS Health; Longview (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to enhance patient care through effective communication and coordination. This role involves working closely with clinical professionals to assess patient needs, manage cases, and ensure quality outcomes. The ideal candidate will possess strong negotiation skills and a solid understanding of clinical protocols, making a significant impact on patient care and discharge planning. Join a forward-thinking organization that values professionalism and reliability, and be part of a team committed to delivering exceptional healthcare services.

Qualifications

• 5+ years of recent clinical experience as an RN is required.
• Must possess excellent verbal and written communication skills.

Responsibilities

• Coordinate case management services and analyze physician information for timely reviews.
• Ensure timely medical record documentation for all services.

Skills

Verbal Communication Skills

Written Communication Skills

Negotiation Skills

Project Management

Knowledge of Clinical Protocol

Education

Bachelor’s Degree in Nursing

Job description

Summary:

The Care Manager effectively communicates with internal and external clinical professionals. Efficiently organizes the care of the patients and assesses the homes for needs and makes appropriate arrangements. Critically thinks for appropriateness of care provided to the patients within the scope of care of the healthcare center. Effectively multitasks the workday, accurately inputs computer information, and successfully accomplishes difficult tasks as assigned.

Responsibilities:

1. Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
2. Identify, evaluate, and provide case management services for patients, and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards.
3. Coordinate certifications of services with the appropriate payor.
4. Identify and refer over/under utilization issues and refer appropriate cases to VP Medical Affairs.
5. Initiate timely and appropriate Discharge Planning.
6. Collect and analyze data to assure quality outcomes.
7. Serves as liaison for patient, family, and physician to assist in communication.
8. Reinforces and interacts with patients, physicians, and families across the continuum to include post-acute services.
9. Assures timely medical record documentation to coordinate appropriate clinical documentation for all services.

Requirements:

Experience:

1. Minimum of five years recent clinical experience as an RN. Negotiating skills which support the ability to interact with physicians, nursing staff, discharge planners, and payers.
2. Excellent verbal and written communication skills.
3. Knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses.
4. Ability to manage several projects and cases simultaneously.
5. Knowledge of community resources.

Education:

1. Bachelor’s Degree in Nursing, preferred.

Licenses, Registrations, or Certifications:

1. Current Registered Nurse License.

Work Type:

Full Time

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