RN Case Manager - Nursing Case Management
Location: Omaha, Nebraska
Description: Children's Hospital & Medical Center is at the momment seeking for RN Case Manager - Nursing Case Management right now, this occupation will be situated in Nebraska. More details about this occupation opportunity please give attention to these descriptions. Works in partnership with physicians and other disciplines to coordinate care for a specific caseload of patients. Promotes! efficient and effective service delivery through enhanced communication and coordination of the patient specific plan of care. Ensures the established standard of care and expected outcomes are achieved in a timely manner while facilitating appropriate resource utilization and enhancing customer satisfaction.
Essential Functions/Competencies
% of Time
10%
Performs assessment based on clinical indicators and anticipated services for appropriate level of hospital care considering safety, quality, and cost.
20%
Maintains up-to-date knowledge regarding the patient-specific plan of care. Develops action plan in collaboration with family, physician, healthcare team, and third-party payers. Analyzes variances from the plan and dispatches departmental and educational resources, communicating anticipated timeframes and working across departments to prevent or resolve delays in service.
30%
Works with patient/fa! mily to assess needs related to diagnoses, care, and discharge! plans, and to establish preliminary expectations of care delivery with family, ensuring that they are actively involved or represented in the plan of care. Acts as a resource to the healthcare team regarding the patient-specific plan of care. Provides leadership to the care team to accomplish outcomes. Coordinates with the healthcare team to identify and implement appropriate discharge plans incorporating opportunities for alternative care when appropriate.
25%
Communicates and collaborates with third party payers as necessary to provide information relating to the plan of care, regulatory requirements, and benefits management. Understands the Nurse Case Management-Utilization Management role in revenue cycle management.
10%
Monitors system to report case management outcomes (
i.e.
, decreased LOS, improved satisfaction), and works as a change agent in the resolution of systems issues.
Regular attendance at wor! k is an essential function of the job.
Perform physical requirements as described in the Physical Requirements section
SECONDARY FUNCTIONS/COMPETENCIES
5%
Performs other duties as assigned
100%
JOB STANDARDS
Achieves department/organization Outcomes
All
Patient/Customer Satisfaction
Interacts with patients/families/customers and utilizes feedback to improve and reinforce satisfaction
Meets department/organization satisfaction goals
Financial
Identifies and implements systems and processes to improve efficiency and reduce expenses that do not compromise quality of services/mission.
Meets department/organization financial goals
Quality
Utilizes performance measurement to improve patient/customer outcomes
Meets department/organization quality goals
Dept.
Specific
Patient/Customer Satisfaction
Financial
Collaborates with medical staff to minimize denial days.
Quality
Takes personal responsibility to adhere to department/organization policies and procedures, compliance and regulatory agency requirements
All
Understands and performs role in emergency situations (i.e. disruptive individuals, internal/ external disaster, CPR, Code Adam)
Understands and practices regulatory agency standards and department/organization policies/procedures including: Joint Commission, OSHA, HIPAA, Infection Control, Environment of Care, National Patient Safety Goals
Addresses non-compliance with department/organization standards
Meets mandatory department/organization job requirements within established time frames (i.e. physicals, annual mandatory reviews, participates and physically attends 75% of required staff meetings, licensure/ce! rtification, CPR for direct care providers)
Dept.
Specific
Operationalizes the fundamental values of nursing as defined in the nine
ANA Code of Ethics
into daily practice and teaching activities at Children’s including:
1-3
: Establishing professional relationships with compassion and respect for human dignity, worth, and the uniqueness of individuals, while demonstrating a primary commitment to the patient in advocating for patient privacy, health, safety, and rights.
4-6
: Identifying the boundaries of the profession by accepting responsibility and accountability for own actions, delegating tasks appropriately to optimize patient care. Maintenance of competence with continued pursuit of activities for personal/professional growth. Influencing the patient care/work environment with the values of nursing to promote respectful interactions, the promotion of safe practices, and creating a care ! setting that expects high quality, compassionate nursing care.
! 7-9
: Collaborates with all disciplines/the community in promoting nursing excellence in meeting health care. Seeks opportunities beyond patient care to advance profession by involvement in developing, maintaining, implementing professional standards through practice/education i.e. involvement with internship/preceptor programs, committees, awareness of broader heathcare issues such as JCAHO National Patient Safety Goals, integrating nursing values into daily practice (articulates and practices).
Supports a work environment that focuses on staff, customer, patient/families through safe practices and effective communication.
All
Demonstrates and supports staff/visitor/patient/vendor identification policy
Utilizes variance reporting system to enhance safety and identify changes for best practice
Protects Patient Privacy
Incorporates department/organization communication into work practices
Dept.
! Specific
BEHAVIORS
Excellence in Service to Children, Families, Colleagues and Other Customers
Anticipates customer needs, understands their expectations and responds appropriately.
Respect for Human Dignity
Treats others with compassion, fairness, courtesy and respect while honoring their uniqueness.
Cooperative Work Relationships
Willingly works with others to identify and achieve common goals.
Positive Attitudes and Behaviors
Enthusiastically approaches their role and displays pride in the organization
Honesty and Integrity
Takes personal responsibility for doing the right thing.
Wise Use of Resources
Optimizes the talents of self and others and the use of time, materials and equipment.
KNOWLEDGE, SKILLS AND ABILITIES:
Demonstrates written and verbal communication skills.
Ability to apply the nursing process to acute patient c! are to achieve outcomes.
Current knowledge of the healthcare e! nvironment, including community resources and financial systems.
EDUCATION AND EXPERIENCE:
Bachelor’s degree from an accredited college or university in nursing required. Equivalent work experience may be substituted for education in the case of diploma nurses
Minimum 5 years in nursing required, preferably in a pediatric setting.
CERTIFICATIONS/LICENSURE REQUIREMENTS:
Current and valid Nebraska RN license/RN Compact license required.
Advanced applicable certification (e.g., CPN, CCM, ACM, etc.) required within 2 years of hire.
Certification in Basic Cardiac Life Support required to work.
SPECIAL REQUIREMENTS:
REQUIRED TRAINING & EMPLOYEE HEALTH REQUIREMENTS
Annual Physical
Annual Mandatory Review
PHYSICAL REQUIREMENTS/WORKING CONDITIONS:
Physical Requirements
N/A
Less than 10%
11% to 49%
Greater than 50%
! Work Environment
N/A
Less than 10%
11% to 49%
Greater than 50%
Stand
X
Blood and body fluid exposure*
X
Walk
X
Sharps, needles, etc.
X
Sit
X
Wet, humid conditions (non-weather)
X
Talk or hear
X
Work near moving mechanical parts
X
Displays manual dexterity
X
Fumes or airborne particles
X
Climb or balance
X
Toxic or caustic chemicals
X
Stoop, kneel, crouch or crawl
X
Outdoor weather conditions
X
Reach with hands and arms
X
Extreme cold (non-weather)
X
Taste or smell
X
Extreme hot (non-weather)
X
Lifting/pulling/pushing
X
Risk of electrical shock
X
Visual: Looking at comp! uter screen
X
Medical Equipment
X
Other:
Risk of radiation
X
Weight Demands:
Vibration
X
Up to 10 lbs.
X
Loud noise
X
Up to 20 lbs.
X
Quiet environment
X
Up to 40 lbs.
X
Environmental noise
X
Up to 100 lbs.
X
Other:
More than 100 pounds
X
- .
If you were eligible to this occupation, please send us your resume, with salary requirements and a resume to Children's Hospital & Medical Center.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Tue, 25 Jun 2013 01:16:56 GMT
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