Urgent! Case Manager-RN/Full Time-40 hours Job Opening In Bristol – Now Hiring Bristol Health
Job Summary
Under the general supervision of the Director, nurses in the Case Manager role provide
clinically-based case management services to support the delivery of safe and efficient patient care.
Has overall accountability for utilization review and transition planning for patients within the
assigned caseload.
Partners with Social Work , along with other health care team members, to
ensure appropriate utilization of resources and to improve Patient outcomes.
Utilizes nationally
established criteria to confirm medical necessity for hospital admission and continued stay.
With the
patient, family and health care team, creates a discharge plan appropriate to the patient’s needs,
resources, and desires.
Essential Job Functions and Responsibilities:
Determines medical necessity, appropriateness of admission, continued stay and level of care using a
combination of clinical assessment and nationally established criteria.
Intervenes when determinations
are not in alignment with clinical information, clinical criteria or third party information to resolve the
situation.
Documents information in the current electronic medical record (Meditech)
Validates admission and continuing stay criteria with third party payers (including onsite and telephonic
Case Managers) as well as Primary Care and Attending Physicians.
Recommends alternative care sites
when and where appropriate.
Helps establish insurance authorization and transport in such situations.
Collaborates with third party payers to maximize reimbursement.
Anticipates denial of payment and
proactively addresses issues contributing to a potential denial.
Intervenes to prevent a denial whenever
possible.
Assesses the patient and family for continuing care needs to develop, implement and evaluate an
effective discharge plan in collaboration with the multidisciplinary team.
Uses knowledge of usual
length of stay to timely plan for discharge.
Collaborates and communicates with patients/families related to the current inpatient stay.
Seeks family
input and actively encourages patient preference and choice in establishing a discharge plan.
Uses clinical knowledge to assess Patient response to treatment.
Monitors patient progression towards
goals and anticipated outcomes.
Queries clinicians when goal progression has stalled or veered away
from expectations.
Communicates with Physician advisor to seek advice and clarity.
Addresses
actual/potential barriers to discharge.
Completes the interventions necessary for discharges to home with self-care, home with services and
short term skilled nursing facility placement.
Assembles necessary referrals, discharge summaries and
pertinent information for placement prior to the day of discharge.
Actively contributes to, participates in, and follows through on interventions identified in care
coordination and complex patient rounds.
Identifies high risk patients and creates a collaborative plan to address their unique needs.
Qualifications
Educational / Minimum Requirements
3+ years of clinical experience, predominately in medical/surgical nursing is ideal
Case Management, discharge planning and utilization review experience preferred.
Licensed as a Registered Nurse in the State of Connecticut
BSN strongly preferred or working toward that goal.
Bristol Hospital Mandated Educational Requirements:
General orientation at time of hire.
Fire/Safety/Infection control annually.
Other programs as mandated by Hospital.
Physical Requirements:
Considerable walking, standing, sitting, stooping and bending.
Considerable paperwork and video display terminal work requiring extensive eye usage.
Work Environment:
Normal nursing unit environment, including patient furnishings and equipment.
Special Requirements:
Strong interpersonal, communication, and negotiation skills.
Ability to form positive, collaborative relationships with hospital staff, patients and families.
Ability to effectively negotiate with internal and external providers of patient care services.
Analytical abilities to assist in obtaining solutions to problems.
Able to work independently and prioritize work.
Able to manage multiple priorities.
Basic knowledge of computers and clinical applications.
Ability to problem solve in a proactive, creative manner using sound judgment based on factual information and clinical knowledge.
Communicate in a clear, concise, and logical manner in oral and written presentations.
Must be willing to be floated or reassigned to another department, unit, office, or location as needed.
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Unlock Your Case Manager Potential: Insight & Career Growth Guide
Real-time Case Manager Jobs Trends in Bristol, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Case Manager in Bristol, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 657811 jobs in United States and 231 jobs in Bristol. This comprehensive analysis highlights market share and opportunities for professionals in Case Manager roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Bristol Health is currently hiring and seeking a Case Manager RN/Full Time 40 hours to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Case Manager RN/Full Time 40 hours Jobs Bristol.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Bristol Health adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Case Manager RN/Full Time 40 hours Jobs United States varies, but the pay scale is rated "Standard" in Bristol. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Case Manager RN/Full Time 40 hours typically include Healthcare Diagnosing Or Treating Practitioners and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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Here are some tips to help you prepare for and ace your job interview:
Before the Interview:To prepare for your Case Manager RN/Full Time 40 hours interview at Bristol Health, research the company, understand the job requirements, and practice common interview questions.
Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Bristol Health's products or services and be prepared to discuss how you can contribute to their success.
By following these tips, you can increase your chances of making a positive impression and landing the job!
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