Under the general supervision of the Case Management Director, acts as a patient advocate/ Case Manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost-effective patient outcomes.

Essential Functions include but are not limited to:

· Knowledge of and works within the CMS Conditions of Participation for Discharge planning

· Timely assessment of patients identified with discharge planning needs

· Development and implementation of discharge plans for each patient targeting optimal cost and quality outcomes

· Re-evaluation for discharge needs upon change of condition of the patient or caregiver's ability to care for the patient

· Maximizes care coordination efforts and collaborates with the healthcare team to promote efficient movement through the continuum of care

· Identifies and mitigates delays in the delivery of care

· Effective and appropriate communication with the healthcare team, patient, and family

· Timely, appropriate, and accurate documentation of the discharge plan, patient progress to plan, and communication with the healthcare team, patient, and family in the medical record

· Assists the Director of Case Management with collection of data for the UM Committee and other reports

· Escalates cases appropriately

· As required, collaborates with payers to ensure authorization for discharge plan needs

· Participates in Interdisciplinary Rounds

· Displays effective communication skills

· Assists the Director of Case Management with other job duties as requested

· Demonstrates knowledge of HIPAA guidelines and utilizes them in all aspects of communication

Education:

Associate degree in Nursing required. Bachelor's Degree in Nursing is desirable. The Registered Nurse must possess a license to practice in the state of Georgia.

Experience:

5 or more years in the acute care setting. Experience in other related healthcare settings considered. Previous case management experience is desirable, but not required.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Nursing: 5 years (Preferred)
• Case management: 3 years (Preferred)

License/Certification:

• RN (Required)

Ability to Commute:

• Columbus, GA 31901 (Required)

Ability to Relocate:

• Columbus, GA 31901: Relocate before starting work (Required)

Willingness to travel:

• 25% (Preferred)

Work Location: In person