RN Care Manager

Overview

CHI Health St. Elizabeth founded by the Sisters of St. Francis of Perpetual Adoration in 1889 is a full-service 260-bed nonprofit regional medical center in Lincoln, Nebraska. St. Elizabeth specializes in the treatment areas of newborn and pediatric care, women’s health, burn and wound, cardiology, oncology, emergency medicine, orthopedics, and neuroscience.

Responsibilities

The purpose of the Case Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors.  The role integrates and coordinates utilization management, care facilitation and discharge planning functions.

• Collaborates with and supports the Care Coordination team, including, but not limited to the RNCC and Social Worker.
• Manage timely post-acute care referrals, to assist with length of stay management and mitigation of denials.
• Communicate and collaborate with interdisciplinary teams, patients, and family to facilitate care progression.
• Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care.
• Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed to meet regulatory compliance.
• Manage transportation referrals as requested.
• Comply with confidentiality policies, HIPAA regulations, and organizational standards when transmitting protected patient information to external agencies and vendors as needed for placement, payment or referral.

Qualifications

Graduate of an accredited Nursing program.

RN License valid in the state of NebraskaThree to five years clinical experience in clinical practice area to which assigned - Preferred

Basic Life Support - American Heart Association

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