Location(s)
WILL THIS HIRE NEED TO REPORT TO A SPECIFIC LOCATION?
Yes, they must report in-person to a specific location
COUNTRY
United States of America
CITY
Columbus
STATE
GA
POSTAL CODE
31904
Monetary
Confidential
CURRENCY
$ USD
SALARY MINIMUM
$62,000.00
SALARY MAXIMUM
$94,000.00
SIGNING BONUS
No
RELOCATION PACKAGE
None
Must-Haves
1
Georgia RN License
2
5 years or more in an acute setting
3
Associates Degree in Nursing
Job Description
Under the general supervision of the Case Management Director, acts as a patient advocate/ Case Manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost-effective patient outcomes.



Essential Functions include but are not limited to:

· Knowledge of and works within the CMS Conditions of Participation for Discharge planning

· Timely assessment of patients identified with discharge planning needs

· Development and implementation of discharge plans for each patient targeting optimal cost and quality outcomes

· Re-evaluation for discharge needs upon change of condition of the patient or caregiver's ability to care for the patient

· Maximizes care coordination efforts and collaborates with the healthcare team to promote efficient movement through the continuum of care

· Identifies and mitigates delays in the delivery of care

· Effective and appropriate communication with the healthcare team, patient, and family

· Timely, appropriate, and accurate documentation of the discharge plan, patient progress to plan, and communication with the healthcare team, patient, and family in the medical record

· Assists the Director of Case Management with collection of data for the UM Committee and other reports

· Escalates cases appropriately

· As required, collaborates with payers to ensure authorization for discharge plan needs

· Participates in Interdisciplinary Rounds

· Displays effective communication skills

· Assists the Director of Case Management with other job duties as requested

· Demonstrates knowledge of HIPAA guidelines and utilizes them in all aspects of communication





Education:



Associate degree in Nursing required. Bachelor's Degree in Nursing is desirable. The Registered Nurse must possess a license to practice in the state of Georgia.



Experience:



5 or more years in the acute care setting. Experience in other related healthcare settings considered. Previous case management experience is desirable, but not required.