RN Case ManagerHeart of the Rockies Regional Medical Center • Salida, California, United States
RN Case Manager
Heart of the Rockies Regional Medical Center
- Salida, California, United States
- Salida, California, United States
À propos
Ability to work both independently and collaboratively in a dynamic environment Adaptable to changing priorities with strong organizational skills Demonstrates resourcefulness, critical thinking, and effective problem-solving abilities Education and Experience:
Graduate of an accredited nursing program (Diploma or Associate Degree required; BSN or higher preferred) Minimum of two (2) years of hospital-based case management or utilization review experience preferred OR At least five (5) years of acute care nursing experience Active Registered Nurse (RN) license in the state of Colorado Essential Duties & Responsibilities
Monitor and evaluate patient care plans to ensure services are appropriate, effective, and aligned with patient needs, including post-discharge requirements Conduct comprehensive assessments of patients' physical, functional, psychosocial, environmental, and financial needs to develop cost-effective, individualized care plans Implement and manage care plans, ensuring timely delivery of services and alignment with patient and family goals Coordinate referrals to appropriate community resources; facilitate communication among providers and ensure services are delivered without duplication Evaluate patients' formal and informal support systems to support safe and effective care transitions Track patient progress toward established goals and perform ongoing reassessments based on changes in health status Serve as a patient advocate by addressing barriers to care, supporting problem resolution, and identifying opportunities to enhance available resources Facilitate interdisciplinary team meetings to promote collaboration and continuity of care Maintain accurate, timely, and compliant documentation related to discharge planning, care coordination, and utilization review activities Balance patient advocacy with responsible resource management, ensuring appropriate and cost-effective use of healthcare services Perform concurrent and retrospective utilization reviews of admissions and continued stays using established criteria, including MCG (Milliman Care Guidelines)
Compétences linguistiques
- English
Avis aux utilisateurs
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