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Case Manager RN Off Shift

Dell Children's Medical Center of Central Texas
Seton Family of Hospitals
Type Full time Posted 1/2/2013
Salary - n/a - Starts 5/23/2013
TX - Texas (All) - Austin Referral - n/a -    
040725
DCMC Case Management
Case Manager RN Off Shift
Dell Children's Medical Center
Part-Time
Days - 8hr
019P
Responsibilities
1.     Formulates and promotes continuity of care assuring appropriate medical treatments, processes, and utilization of resources based upon established criterion.  Supports management of concurrent review, discharge planning processes, social services, home care and other post discharge continuity of care needs.
2.   Consistent with professional standards integrates patient/family preferences and values into a quality supportable plan for their care across the continuum.  Advocates for resources and removal of barriers for the promotion of outcomes that are consistent with patient values and preferences across the continuum.  Conducts ongoing research to build a network of resources and alternative health care services that can better meet patient/family continuum of care needs.
3.  Collaborates with the PI program by gathering sentinel events and target diagnosis data.  Stays current with trends/research in professional field.  Makes suggestions for improvement of current processes and practice trends based on research.
4.   Collaborates with physicians, RN Care Manager and other team members in the planning, implementation and evaluation of the continuum care needs for patients/families.  Collaborates with physicians, nursing directors/clinical managers and department directors to improve practice issues that impact continuum of care needs of the patient.
5.   Participates in providing education support for newly hired staff persons within the department.  Mentors interdisciplinary healthcare team in critical thinking processes essential to continuum of care issues.
6.   Coordinates patient education as needed to address continuum needs.  Collaborates with social worker to educate patients, families on discharge planning processes.
7.    Facilitates appropriate lengths of stay and reimbursement for all hospital admissions in accordance with goals and objectives established in the utilization management plan.  Facilitates patient movement to the appropriate (acuity) level of care including observation status through collaboration with patient/family, multidisciplinary team, and third party payors.
Minimum Qualifications
Bachelor's or Master's in Nursing is preferred. Two (2) years of nursing experience in an acute care or surgical setting is required.  Current Registered Nurse (RN) license to practice in Texas is required.   Experience in utilization review, knowledge of managed care rules and regulations, government policy rules and regulatons, and computer skills is preferred.
Preferred Qualifications
Ability to perform utilization review on the weekends.
Skills
 
Physical Demands
Lights (requires lifting 20 lbs, with frequent carrying of up to 20 lbs)
Balancing:............Occasionally
Bending:...............Occasionally
Carrying:...............Occasionally
Climbing:.............Occasionally
Crawling:..............Rarely
Crouching:............Occasionally
FineDexterity:.......Continuously
FootControls:.......Occasionally
Handing:..............Frequently
Hearing:...............Continuously
Kneeling:.............Occasionally
Lifting:..................Occasionally
PushingPulling:.Occasionally
Reaching:............Occasionally
Sitting:...................Continuously
Standing:..............Occasionally
Talking:................Continuously
Twisting:..............Occasionally
Vision:..................Continuously
Walking:...............Occasionally
Work Environment
Involves no exposure to bloodborne pathogens as part of duties
Supervision Received
CASE MANAGEMENT PROGRAM MANAGER
Supervision Exercised
N/A
Physical Other
NONE
Other Functions
1. Other duties as assigned.