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Registered Nurse Case Manager

Company Name:
Banner Health
About Washakie Medical Center
With a 50-year tradition of quality caring, Washakie Medical Center in Worland, Wyo. is a 25-bed critical access hospital with "big city" capabilities. This includes a 16-slice CT scanner, digital mammography, 1.5 tesla MRI, fluro, electronic medical records and a full service, state-of-the-art lab. Our Level III trauma ED is staffed with full-time physicians and our surgery services include 24/7 CRNA coverage including OB epidurals, two general surgeons, orthopedic surgery, and ambulatory treatment. In addition, we provide a variety of wellness activities and feature an active rehab department that includes pool therapy and cardiac rehab.
About Banner Health
Banner Health is a comprehensive, award-winning health system that includes 23 hospitals in seven western states (twelve in Arizona), primary care health centers, research centers, labs, physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. We offer a choice of nursing career paths where you can leverage your abilities to make a real difference for your patients - and real change in the health care industry!
This position provides comprehensive care coordination for patients as assigned. This position assesses the patient's plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient's health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. ESSENTIAL FUNCTIONS 1. Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes. 2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes. 3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care. 4. Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing standard criteria. Identifies issues that may delay patient discharge and facilitates resolution of these issues. 5. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. 7. May supervise other staff. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor''s degree in case management or health care. Requires current Registered Nurse (R.N.) license in state worked. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required. Requires a proficiency level typically achieved with 5 years clinical experience. Must have a working knowledge of care management, hospital, community resources and resource/utilization management. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. Must be able to work flexible hours and take rotating call after hours. Banner Registry and Travel positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Case Manager in the specialty area. PREFERRED QUALIFICATIONS CCM (Certified Case Manager) preferred Additional related education and/or experience preferred.
CMGR
Date: 2014-05-01
Country: US
State: WY
City: Worland
Category: Nurse Manager - Positions
Job Type: PerDiem-CA

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