WI3668737

1

Unspecified

1

JOB REQUIREMENTS: POSITION SPECIFICS Title: Case Manager Registered
Nurse FTE: Per Diem Schedule: Variable days. Monday - Friday, 8:00am -
4:30pm Holiday Rotation: None Weekend Rotation: None On Call
Requirements: None POSITION SUMMARY The Case Manager- RN coordinates and
facilitates patient care activities to promote optimum and appropriate
utilization of resources, improve continuity of care across the
continuum, and to contribute to patient satisfaction and outcomes. The
Case Manager- RN evaluates patient health status, facilitates the proper
plan for care and manages the implementation of nursing services to meet
the patient\'s individual health needs. This position acts as a patient
advocate, as a resource to patients/families and staff as a leader of
the interdisciplinary team continuity of care/discharge planning. This
position serves as a liaison between the patient, staff and physician to
establish and implement a plan of care for each patient. This individual
supports the utilization management (UM) program by developing and/or
maintaining effective and efficient processes for determining the
appropriate admission status based on the regulatory and reimbursement
requirements of government payers. This individual is responsible for
performing a variety of concurrent and retrospective UM-related reviews
and functions and for ensuring that appropriate data is tracked,
evaluated, and reported. POSITION TECHNICAL RESPONSIBILITIES 1. Monitors
adherence to the hospital\'s Utilization Review (UR) Plan to ensure the
effective and efficient use of hospital services. 2. Performs UR
functions and reviews: applies approved utilization acuity criteria to
monitor appropriateness of admissions as part of the initial review
(i.e. observation vs. inpatient status) and continued stays, Utilizes
secondary physician reviews as appropriate. 3. Assess patients for
potential needs in a timely manner and identifies those in need of case
management intervention. 4. Identify patients with high risk or high
cost care, coordinates interventions, and facilities appropriate
discharge plans. 5. Coordinate the integration of social services/case
management functions into patient care, discharge, and home planning
processes with other hospital departments, external service
organizations, agencies and healthcare facilities. 6. Plan and
coordinate care of the patient from pre-hospitalization through
discharge. 7. Evaluate, plan, coordinate, and revise patient continuity
of care/discharge plan based on patient need in collaboration with
medical staff and the multidisciplinary team. 8. Continue contact with
patients with chronic diagnoses to assist with life style changes as
needed to prevent recurrence or exacerbation of chronic illness. 9. Meet
with patient and family to assist with disease management planning. 10.
Work closely with social worker to integrate psychosocial management of
patient/family needs. POSITION REQUIREMENTS Education: Required:
Associate Degree in Nursing (ADN). Preferred: Bachelor\'s degree in
nursing (BSN); Master\'s Degree in nursing (MSN) Experience: Required:
Minimum of 2 years of nursing, case management or utilization review
experience Preferred: Two or more years of experience of case management
and/or Utilization Review in a healthcare setting Licenses and
Registrations: Required: Current State of Wisconsin licensure as a
Registered Nurse Preferred: None Certification(s): Required: Basic Life
Support (BLS) within 3 months of hire Preferred: American Case
Management Association (ACMA) Case Management certification BENEFIT
SUMMARY 1. Retirement plan with immediate vesting and employer match 2.
Discounted membership to our state-of-the-art fitness facility 3. Free
parking at facility \*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
https://www.saukprairiehealthcare.org/about/careers/

Attn: Human Resources - SAUK PRAIRIE HEALTHCARE
260 26th Street
PRAIRIE DU SAC, WI 53578