Community Health Systems RN Case Manager in Fort Wayne, Indiana
Using discretion, independent judgement and clinical problem solving, the Case Manager serves to provide management of the patient's hospitalization from pre admission through post dischage payment. The purpose of Case Management is to have a multidisciplinary, collaborative team approach to managing all patients in the most efficient and effective manner. This individual will possess the skills to conduct psychosocial interviews, negotiation and conflict resolution, and appropriate chart documentation. He/She is an effective communicator and manager of information in coordinating health care decisions. This individual will be knowledgeable of the medical aspects of acute and chronic illness treatment and care options and to implement the appropriate psychosocial interventions as needed. The Case Manager will oversee effective service delivery and utilize managed care concepts in insurance relations, fiscal processing, and completion of precertification. The Case Manager will assure that healthcare ethics and regulations pertaining to patient's rights are fulfilled. This individual will provide patient/family advocacy, admission, and discharge coordination, communications related to patient care, conferencing, coordination of community resources and suport systems. This individual will assist to provide information on public benefit programs, compensation, work related issues, life planning, environmental adaptation and assistive technology. The age of the patients served by this facility range from neonate to geriatric. The individual in this position will possess an understanding of age dynamics, multicultural psychiatric and behavioral concepts. The team member in this position provides direct case management services but does not provide direct patient care.
Minimal Acceptable Job Qualifications
Licensure: Current Indiana State RN licensure.
Experience: Five years experience in a hospital setting as a Registered Nurse or two years experience in hospital case management/utilization review.
Education: Completion of nursing program and/or Bachelor degree.
Other: Demonstrate knowledge of the hospital service theme.
Demonstrates a working knowledge of insurance industry requirements.
Demonstrates strong interpersonal and communication skills.
Must be able to accept responsibility, make independent decisions and interact with professionals.
Must have the ability to manage multiple tasks/projects simultaneously.
An Equal Opportunity Employer
Job: Case Management / Utilization Review
Organization: Dupont Hospital
Location: IN-Fort Wayne
Requisition ID: 1736213