Field RN/Case Manager
he Registered Nurse will perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review. The Registered Nurse is responsible for the implementation, evaluation and coordination of the plan of care for all assigned patients. Develops care plan and other case management tools by participating in meetings. Identifies progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers. Monitors delivery and utilization of care by completing patient rounds with Medical Directors.
Current unrestricted Registered Nurse licensure without restrictions
Minimum 5 years clinical experience with at least 3 years managed care experience
2 4 years experience in utilization management required.
Home health, SNF, and/or rehab experience desired
Medicare/Medicaid managed care programs preferred
Position is located in onsite facility (market specific), in onsite business office, and/or remote
Position is full-time during core business hours with the ability to work any shift between7am and 6pm CST, plus mandatory on call responsibility after business hours equivalent to approximately two weekends per year.
Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing
Dependable and reliable work schedule is essential
Field position requires use of own vehicle for travel 50% of time to onsite facilities and onsite participation in multi-disciplinary meetings
Time-management: Ability to effectively manage ones time and resources to ensure that work is completed efficiently Excellent organizational skills
Communication: Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership
Critical-Thinking/Decision-making: Ability to choose a course of action or developing appropriate solutions by identifying and understanding issues, problems, and opportunities
Autonomy: Ability to work independently with little to no supervision
Proficient in computer literacy skills with ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint required
Experience using videoconferencing systems such as WebEx