The work location for this position is Lewiston, Idaho
Part-Time: 40-hrs per pay period
Hours: 9:00am to 1:00pm
Benefits May Include:
Medical, Dental, Vision
401k w/ employer match
Short & Long-term disabilities
Life & AD&D insurances
Employee Assistance Program
Pet Insurance
and more?
Are you an RN, LPN or Social Worker looking to expand your horizons, make some extra money, or need a change of scenery? If so, St. Joe's is the place for YOU!
Here at St. Joseph Regional Medical Center, we value our staff and recognize their exceptional contributions to our patients' health and wellness. As part of our commitment to attracting the best talent, we are offering increased pay rates that are highly competitive in the industry.
As a Case Manager on our team, you will have the chance to:
- Make a real difference in the lives of our patients through the delivery of exceptional, personalized care.
- Be part of a collaborative, professional environment where your opinions and expertise are valued.
- Enjoy a flexible schedule that respects your work-life balance.
We are looking for a compassionate & qualified Case Manager who shares our dedication to delivering outstanding patient care. If you are passionate about being part of a dynamic team, we want to hear from you!
Thank you and we look forward to hearing from you! Below is our job description and minimum requirements to apply.
Position Summary:
The goal of hospital Case Management is resource coordination along a continuum to help patients to achieve optimal health, access to care and appropriate utilization of resources. Case managers work collaboratively with patients, nurses, physicians and other practitioners, caregivers and community resources and agencies to provide cost effective care that reflects a patient?s preferences and values. Healthcare is a right, and patients have choices. Our services should reflect that concept.
Primary Duties:
Manage entire census for UR/DC planning for the floor you are assigned.
Review every status order and ensure accuracy. Handle inappropriate status orders per protocol.
Review all observation cases minimally twice daily.
Review all new admissions and provide UR to insurance companies per regulations.
Perform and submit continued stay reviews daily.
Perform continued stay reviews every 48 hours for payor not requiring submission.
Organize and plan discharges for the day.
Daily rounding with treatment team.
Perform high risk assessment on all patients when admitted.
Perform discharge screen/assessment on day one. Reassess every 48 hours.
Have patients sign choice letters, when needs are identified.
Make post-acute care referrals as need is identified.
Issue Important Message from Medicare letters initially if needed, and within 48hours prior to discharge.
Issue MOON to observation patients.
Issue HINNs as needed.
Complete Code 44?s as necessary.
Identify and review 30 day readmits. Collaborate with treatment team to prevent further readmissions.
Understand DRG/GMLOS to appropriately discharge plan in collaboration with physicians.
Avoidable days management.
Responsible for knowing and practicing the Utilization Management Plan.
Scion Health considers a consistently positive, cooperative, self-motivated, courteous, and professional attitude to be an essential function of every position. While different positions have different primary areas of responsibility, everyone needs to work as a team, and we expect all employees to roll up their sleeves and pitch in as necessary to get the job done.
Employees must be able to relate to other people beyond giving and receiving instructions: (a) can get along with co-workers or peers without exhibiting behavioral extremes, (b) perform work activities requiring negotiating, instructing, supervising, persuading, or speaking with others; and (c) respond appropriately to constructive feedback from a supervisor.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g., emergencies, changes in workload, rush jobs or technological developments) dictate.
Qualifications
Required:
Licensed Practical Nurse (LPN) -OR- associate degree in nursing (ADN) OR-bachelor?s degree in social work (BSW) -OR- master?s degree in social work (MSW).
Evidence or ability to develop programs to support the delivery of professional practice based on current knowledge and sound theoretical principles.
Preferred:
Bachelor?s degree in nursing (BSN) or related field and an active Idaho State RN or LPN License.
Three years? experience in utilization/case management or acute care nursing