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RN Case Manager

Supplemental Healthcare is looking for a RN Case Manager for a 16 week contract at one of Missouri's top facilities.
The Care Manager will ensure the following responsibilities are met:
Actively supports Care Management plans and processes to measure, assess and improve quality, patient outcomes and Care Management metrics.
Collects data on variances from quality screening criteria approved by the appropriate committees, as needed.
Reports to Care Management leadership, the identification of avoidable days and other Care Management measures including, but not limited, readmissions, saved days, core measure monitoring, interventions, and delays, to ensure data is accurately collected.
Implements strategies in collaboration with the healthcare team to reduce length of stay (LOS) and resource utilization, never compromising quality or outcomes.
Participates in quality improvement activities using information and creative thinking skills to promote positive health status and improved outcomes; resolve problems; establish benchmarks as needed; identify and adopt best practices.
Implements action plans of identified improvements to resolve problems, increase effectiveness and efficiency, maximize resources and/or decrease cost and LOS as evidenced by metric dashboards.
Works on performance improvement plans to increase patient satisfaction.
Provides the Professional clinical component of the inpatient Care Management model to ensure that department services support quality patient care and safety while coordinating patient throughput.
Prioritizes patient's need for Care Management services based on: target/high volume Diagnosis-Related Group (DRG), high cost, outlier, LOS, frequent inpatient admissions, unplanned readmission or significant variance.
Supports the healthcare team with identifying decision maker to ensure all plans and expectations are communicated in a timely manner including discharge plans and expected LOS outcomes and documents appropriately in the patient's electronic medical record.
Identifies risk factors for potential crisis intervention needs related to clinical diagnosis, prognosis and/or patient/family dynamics.
Coordinates the discharge planning process.
Ensures the multidisciplinary discharge plan is consistent with the patient's clinical course, continuing care needs and covered services.
Candidate Requirements:
Education
o Graduate of an accredited School of Nursing, Minimum Required
o Bachelors Degree of Science in Nursing, Required
Licensure
o Current License in the state of employment, Minimum Required
Experience
o 2-3 years acute care hospital setting, Minimum Required
o Care Management or Utilization Management experience, Preferred
Certification/Registration
o BLS (CPR) at hire date, Minimum Required
o Certification in Case Management, Preferred
Other Skills & Knowledge
o Strong verbal and written communication and facilitation skills, Minimum Required
o Strong assessment skills, time management skills, critical thinking skills, Minimum Required
o Advanced computer skills, Minimum Required
o Must have ability to interact effectively with a variety of people and situations at all levels of the organization, Minimum Required
o Knowledge of InterQual criteria, Preferred

Qualified candidates please submit your resume and salary requirements


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