Case Manager Per Diem Days
Company: Saint Vincent Hospital
Location: Worcester
Posted on: October 23, 2024
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Job Description:
Saint Vincent Hospital offers a whole new experience in health
care. By combining our advanced, state-of-the-art facility with our
commitment to providing the best quality of life to the many
members of our Worcester community. Saint Vincent Hospital excels
at offering the best care in a friendly atmosphere. From our
advanced heart and vascular services, to our comprehensive
orthopedics and rehabilitation programs, our robust surgical
facility including our Da Vinci robotic surgery and Cyberknife
technology, to our comfortable and compassionate women & infants
programs - you don't have to travel far for high-quality health
care: We're right here, in the heart of Worcester.
Onboarding Process: Please be advised that candidates must
successfully complete a background check and pre-employment health
screening which includes a drug screen.
Position Summary
The RN Case Manager is responsible to facilitate care along a
continuum through effective resource coordination to help patients
achieve optimal health, access to care, and appropriate utilization
of resources, balanced with the patient's resources and right to
self-determination. The individual in this position has overall
responsibility for ensuring that care is provided at the
appropriate level of care based on medical necessity and to assess
the patient for transition needs to promote timely throughput, safe
discharge, and prevent avoidable readmissions. This position
integrates national standards for case management scope of services
including: Utilization Management supporting medical necessity and
denial prevention; Transition Management promoting appropriate
length of stay, readmission prevention, and patient satisfaction;
Care Coordination by demonstrating throughput efficiency while
assuring care is the right sequence and at appropriate level of
care; Compliance with state and federal regulatory requirements,
TJC accreditation standards, and Tenet policy; Education provided
to physicians, patients, families and caregivers.
The individual's responsibilities include the following activities:
a) accurate medical necessity screening and submission for
Physician Advisor review, b) care coordination, c) transition
planning assessment and reassessment, d) implementation or
oversight of implementation of the transition plan, e) leading and
facilitating multi-disciplinary patient care conferences, f)
managing concurrent disputes, g) making appropriate referrals to
other departments, h ) identifying and referring complex patients
to Social Work Services, I) communicating with patients and
families about the plan of care, j) collaborating with physicians,
office staff and ancillary departments, k) leading and facilitating
Complex Case Review, l) assuring patient education is completed to
support post-acute needs , m) timely complete and concise
documentation in Case Management system, n) maintenance of accurate
patient demographic and insurance information, o) identification
and documentation of potentially avoidable days, p) identification
and reporting over and underutilization, q) and other duties as
assigned.
Position Qualifications
EDUCATION
Required: Graduate of an accredited school of nursing
Preferred: Academic degree in nursing (bachelor's or master's)
EXPERIENCE
Required: 2 years of acute hospital patient care experience
Preferred: Acute hospital case management experience
CERTIFICATIONS
Required: RN. Must be currently licensed, certified or registered
to practice profession as required by law or regulation in state of
practice or policy. Active RN license for state(s) covered.
Preferred: Accredited Case Manager (ACM)
PHYSICAL DEMANDS
Lift/position up to 25 lbs. Push/pull up to 25 lbs. of force.
Frequent sitting. Moderate standing, walking, reaching, stooping,
and bending. Manual dexterity, mobility, touch, auditory to perform
all the related duties of the position.
Tenet complies with federal, state, and/or local laws regarding
mandatory vaccination of its workforce. If you are offered this
position and must be vaccinated under any applicable law, you will
be required to show proof of full vaccination or obtain an approval
of a religious or medical exemption prior to your start date. If
you receive an exemption from the vaccination requirement, you will
be required to submit to regular testing in accordance with the
law.
2403025159Employment practices will not be influenced or affected
by an applicant's or employee's race, color, religion, sex
(including pregnancy), national origin, age, disability, genetic
information, sexual orientation, gender identity or expression,
veteran status or any other legally protected status. Tenet will
make reasonable accommodations for qualified individuals with
disabilities unless doing so would result in an undue hardship.
Keywords: Saint Vincent Hospital, Worcester , Case Manager Per Diem Days, Executive , Worcester, Massachusetts
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