Case Manager, Registered Nurse

Job Description

02185 RN Case Manager

Monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance.

Reports to : Director of Quality

FLSA : Non-exempt

Education : Graduate of a Program in Discipline Required; Graduate from an accredited school of nursing ADN Preferred

Licenses : RN licensure to practice to work in the state of Kentucky; Obtain ACM (Accredited Case Manager) certification within 2 years of hir / transfer date.

• New Graduates may work under a KY provisional license for up to 6 months with the expectation that an RN license will be obtained within the first 6 months of employment. If an RN license is not earned within 6 months of employment, the provisional licensee must immediately cease practicing in a licensed nursing position.

Certifications : Basic Life Support (BLS) - to be obtained within 30 days

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Essential Functions

Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and

appropriateness of medical care, including admission, length of stay, transfer and discharge.

Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care.

Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.

Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.

Non-Essential Functions

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.