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Princeton Baptist Medical Center: Located in Birmingham, this hospital is equipped with 505 beds and serves 53,000 people for primary and emergency care. Princeton is accredited by the American College of Surgeons Commission on Cancer, and is committed to contributing to the future of health care through its clinical research and medical residency program. Princeton offers fast, life-saving response times for patients with chest pain or stroke symptoms; cardiology, including structural heart and valve care; orthopedics, including rehabilitation; psychiatric care; a comprehensive sleep center; and a Comprehensive Bariatrics Center, providing surgical and non-surgical weight-loss procedures.
Job 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
Job Responsibilities
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
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.
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2403008651Other
$78k-96k (estimate)
03/15/2024
03/31/2024
The job skills required for RN Case Manager I FT Days include Case Management, Patient Care, Coordination, Health Care, Planning, Social Work, etc. Having related job skills and expertise will give you an advantage when applying to be a RN Case Manager I FT Days. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by RN Case Manager I FT Days. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for RN Case Manager I FT Days positions, which can be used as a reference in future career path planning. As a RN Case Manager I FT Days, 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 I FT Days. You can explore the career advancement for a RN Case Manager I FT Days below and select your interested title to get hiring information.
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.
01/18/2022: Concord, NH
Graduate from an Accredited Nursing Program.
01/10/2022: Albany, NY
Gain Experience Working as a Nurse.
01/10/2022: Worcester, MA
They should be familiar with emerging professional and technical aspects and have RN case management experience.
01/27/2022: Santa Rosa, CA
Step 3: View the best colleges and universities for RN Case Manager.