Case Manager, RN, Full-Time at Erlanger Western Carolina Hospital

Chattanooga, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Aug, 26

Salary

0.0

Posted On

31 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Utilization Management, Patient Care Planning, Clinical Knowledge, Care Coordination, Regulatory Compliance, Insurance Reimbursement, Interdisciplinary Collaboration, Data Reporting, Patient Assessment

Industry

Hospitals and Health Care

Description

Job Summary: A registered professional nurse employed by Erlanger Medical Center is responsible for assisting the patient, families, physicians and staff in managing the present health care plan. Education: Required: Graduate from an accredited school of Nursing Case Management certification with the ACMA within 2 years of hire. Preferred: BSN, Case Management certification with ACM or CCM certification Experience: Required: Broad clinical experience with a minimum of one year experience and evidence of clinical knowledge. Preferred: Experience preferred in either utilization management or case management. Knowledge of managed care practices and familiarity with community resources, regulatory and insurance reimbursement issues preferred. Position Requirement(s): License/Certification/Registration Required: Current licensure to practice nursing in the State of Tennessee. The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents. Preferred: N/A Department Position Summary: Interacts with the Interdisciplinary staff to complete the continuum of care. Participates in the gathering/reporting of data for JCAHO/DNV Core Measures. Manages timely and appropriate use of BEH resources through ongoing review of hospital services. Assists patients, families, physicians and staff in managing the present health care plan. Arranges for suitable aftercare so that efficient use of hospital resources is realized and patient continuing care needs are met. Collaboratively assesses, plans, coordinates, monitors and evaluates patient treatment plans to assist in quality outcomes. Maintains adherence to departmental standards. Takes responsibility for department and organization objectives.

Responsibilities

The Case Manager coordinates healthcare plans for patients and families while collaborating with interdisciplinary staff to ensure a continuum of care. They manage hospital resources and arrange suitable aftercare to optimize quality outcomes and resource efficiency.