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Jackson Purchase Medical Center
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Jackson Purchase Medical Center
Mayfield, KY | Full Time
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Mayfield, KY | Full Time
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RN - Case Manager
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$76k-92k (estimate)
Full Time 1 Day Ago
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Jackson Purchase Medical Center is Hiring a RN - Case Manager Near MAYFIELD, KY

This position performs a major role in the monitoring and evaluation of patient care practices. This person assists in meeting the psychosocial needs of patients and provisions of discharge planning services to patients and their families with personal or environmental difficulties which may interfere with obtaining maximum benefits from medical care, assuring timely discharge and effective post-hospital care. This person must be able to apply the six essential activities within the five core components of: Coordination and Service delivery; Physical and Psychological factors; Benefits systems and cost benefit analysis; Case management concepts; and Community resources. The six essential activities are: Assessment, Planning, Implementation, Coordination, Monitoring and Evaluation. These core components and essential activities must be applied across a continuum of care that addresses the ongoing needs of the individual being served by case management process, and deal with the person’s broad spectrum of needs. Reviews all denials and appeals decisions as appropriate. Performs insurance pre-certification and updates. Assist physicians with coordination of patient care serving as Physician assigned case managers.
  • This position requires knowledge of Case Management policies and procedures and State and Federal regulations regarding medical necessity for admission and discharge screens.
  • Knowledge of community resources and discharge planning, along with the technical skills necessary to demonstrate alternative care programs to patients and their families. 
  • Frequent interactive, interpretive and consultative associations are inherent to this position. 
  • The ability to retrieve, communicates, and presents data and information verbally and in written form is required.
  •  Strong interpersonal skills and the ability to communicate effectively with patients, families, nursing staff, physicians, associations and community resource liaisons are inherent to this position.
  • Performs assessment of patient’s needs, plans interventions with objectives and goals from the assessment with implementation of case management activities to meet them. Coordinates the obtainment of community resources necessary to accomplish those goals in the case management plan with monitoring and an evaluation to determine effectiveness.
  • Demonstrates the ability to provide interventions based on age-specific criteria and departmental patient care standards.
  • Demonstrates knowledge of infection control guidelines and the following of the seven safety plans: safety, security, hazardous materials and waste, emergency preparedness, life safety, medical equipment, and utility systems.
  • Provides the information to determine the medical necessity of all admissions and the need for continued stay, and identifying inappropriate or untimely services to focus on opportunities to reduce inappropriate patterns of utilization. 
  • Discharge planning assessment and coordination of all ages to begin in the pre-hospital phase, and coordinating the delivery of services to meet patient’s discharge needs.
  • Observe professional ethics in maintaining confidential information acquired concerning the personal, financial, medical, or employment status of patients at Jackson Purchase Medical Center.
  • Performs pre-certifications for insurance, HMO, etc. timely and accurately.
  • Performs other job duties as needed.

Must be a Kentucky State Licensed Registered Nurse with a minimum of an Associate’s Degree. Required to have or obtain Case Manger Certification (ACM) within two years of hire date. Previous experience is preferred. BLC certification is required.
Basic required skills include: organization, customer relations, grammar/spelling, computer training, the ability to follow written and oral direction, and the ability to read, write, speak, and understand English.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Job Summary

JOB TYPE

Full Time

SALARY

$76k-92k (estimate)

POST DATE

04/28/2024

EXPIRATION DATE

05/12/2024

WEBSITE

jacksonpurchase.com

HEADQUARTERS

MAYFIELD, KY

SIZE

500 - 1,000

FOUNDED

1950

TYPE

Private

CEO

DAVID ANDERSON

REVENUE

$10M - $50M

INDUSTRY

Hospital

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The following is the career advancement route for RN - Case Manager positions, which can be used as a reference in future career path planning. As a RN - Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary RN - Case Manager. You can explore the career advancement for a RN - Case Manager below and select your interested title to get hiring information.

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If you are interested in becoming a RN Case Manager, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a RN Case Manager for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on RN Case Manager job description and responsibilities

Case Managers act as patient advocates and make sure the needs of the patient are met effectively and efficiently.

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Case Managers generally work with patients that have chronic health conditions such as diabetes, heart disease, seizure disorders, and COPD.

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The Case Manager RN reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation s

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Prepares all required documentation of case work activities as appropriate.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on RN Case Manager jobs

Before becoming an RN case manager, a nurse would be expected to earn some clinical experience.

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Graduate from an Accredited Nursing Program.

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Gain Experience Working as a Nurse.

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They should be familiar with emerging professional and technical aspects and have RN case management experience.

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Step 3: View the best colleges and universities for RN Case Manager.

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