Catholic Health Initiatives RN Case Manager - Lufkin (Full time) in LUFKIN, Texas

RN Case Manager - Lufkin (Full time)

Description

Position Summary:

Under the supervision of the Care Management Director, the RN-Case Manager coordinates patient care between patients, caregivers, and the multidisciplinary team; collects and evaluates information to facilitate care by assuring that admissions, continued stays, and ancillary services are medically necessary, cost-effective, and providing the appropriate setting to qualify for reimbursement. The RN-Case Manager intervenes when necessary to assure that case is care is coordinated and timely. Utilizing a collaborative approach, the RN-Case Manager maintains current knowledge of regulatory requirements and programs related to health care. Assists patients with basic patient care needs. Responsible for proper maintenance of equipment, accreditation, and Departmental Performance Improvement. Displays professional, safe conduct in all interactions. Maintains positive working relationships with staff, other departments, physicians and peers. Displays conduct in support of CHI St. Luke’s Health Memorial Mission & Vision.

Position Responsibilities:

  1. Quality – completes work with accuracy and thoroughness.

  2. Productivity – efficiently utilizes time in accomplishing work.

  3. Customer Focus – lives organizational and departmental service standards.

  4. Reliability – completes tasks assigned; follows up as needed.

  5. Availability – meets attendance standards; is punctual; works when needed.

  6. Decision Making – displays sound judgment; works with minimal supervision.

  7. Initiative – seeks out productive duties in absence of guidance; is a self-starter.

  8. Adheres to Policy – follows CHI St. Luke’s Health Memorial rules, policies, procedures and guidelines.

  9. Interpersonal Relationships – cooperates, communicates and works well with others.

  10. Professionalism – represents CHI St. Luke’s Health Memorial positively in actions and appearance.

  11. Documents on the day of admission, or within the first business day, a clinical assessment and anticipated discharge plan that addresses use of the full continuum of care

  12. Provides plan of care updates to providers inside and outside of the hospital, working with patients and caregivers.

  13. Continually assesses and modifies the plan of care based on clinical need and patient preference.

  14. Manages each patient’s plan of care and throughout the stay.

  15. Leads interdisciplinary rounds to coordinate care with the care team, and to address changes in the discharge plan.

  16. Consults with appropriate physicians on plan of care and discharge.

  17. Remains current of Medicare and Medicaid laws and guidelines, Medicare Conditions of Participation, managed care contracts, and other legal and regulatory requirements as they relate to health care case management services.

  18. Assures patients are informed of rights and responsibilities as participants in these programs.

  19. Fosters and promotes positive and professional relationships with physicians, physician office staff, other referral sources and insurance companies.

  20. Demonstrates tact and professionalism in working and communicating with patients/families, physicians, other members of the rehabilitation team, and other employees of the healthcare system.

  21. Adheres to CHI St. Luke’s Health Memorial policies, including but not limited to “CHI Values & Ethics at Work”, HIPAA, PHI, ePHI, Privacy Rule, and confidentiality.

  22. Maintains safe work habits; adheres to safety rules; immediately reports any unsafe condition; immediately reports any incident / injury.

  23. Supports department-based goals and contributes to the success of the organization.

  24. Complies with hospital policies and procedures; attends required in – services, education and training.

  25. Performs duties in accordance with that of hospital policies and procedures, and regulatory agency guidelines.

  26. Demonstrates a willingness to follow the chain of command, regularly channels suggestions, criticisms and complaints to the appropriate person.

  27. Performs other duties as assigned.

Qualifications

Minimum Qualifications:

Education Level

Required:

Associate's Degree in Nursing (ADN)

Preferred:

Bachelor's Degree in Nursing (BSN)

Licensure/Certification

Required:

Registered Nurse with valid Texas license

BLS certification (through an approved AHA program)

Knowledge, Skills, and Abilities

  • Clinical practice with experience acquired in assigned specialty required

  • Creative problem resolution skills

  • Exhibit positive professional and personal image

  • Computer skills required; must be able to document in electronic medical records

  • Exercises knowledgeable, independent judgment on routine and non-routine matters

  • Detail Oriented.

  • Displays quality patient assessment skills.

  • Excellent Customer Service Skills.

  • Ability to communicate effectively with others.

  • Strong interpersonal skills / ability to relate well to diverse groups.

  • Provides emotional support to patients.

  • Excellent communication skills in both the written and verbal form.

  • Ability to set priorities with little guidance.

Demonstrate organizational and time management skills.

Experience

Required:

Three (3) years of clinical experience.

Preferred:

Three (3) years of acute care case management experience.

Job RN

Primary Location TEXAS-LUFKIN-MEMORIAL HLTH SYS LUFKIN

Daily Schedule Days

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 1800001013

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.