About this opportunity
Kootenai Hospital lists this RN Case Manager opportunity in northern, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Department Transitional Care Services - Care Management
Schedule/Shift/Hours PRN - (As Needed) - Days
Position Summary The RN Case Manager functions as a resource and advocate on behalf of the patient and family while assisting in the navigation of the health care delivery continuum by operationalizing multiple processes. Coordinates hospital transitions to the next level of care, including, but not limited to, medical community partners, Kootenai Care Network, and ambulatory clinic care coordinators.
Responsibilities
Participates in utilization management, discharge planning, patient throughput, and evaluates the appropriate use of hospital resources by ensuring that patients meet medical necessity during their hospitalization
Utilizes the organizational approved references and software programs to assess medical necessity
Responsible for managing payer relations and requirements to achieve optimum reimbursement and patient outcomes
Reviews documentation for quality assurance and clinical validation
Ensures CMS discharge standards are achieved
Provides case management in collaboration with the medical staff, nursing, and ancillary departments throughout the hospital to ensure a safe, timely, transition to the appropriate level of care
Familiar with standard concepts, practices, and procedures within the field
Relies on experience and judgment to plan and accomplish goals
Regular and predictable attendance is an essential job function
Competent to meet age specific needs of the unit assigned
Requirements and Minimum Qualifications
State of Idaho Registered Nurse or licensure pending as documented by temporary licensure OR current RN licensure from a state participating in the "multistate privilege to practice" compact with Idaho
Licensed RN with a minimum 3 years’ patient-facing RN experience at time of hire, ADN or diploma required; BSN or higher preferred.
Licensed RN's with less than 3 years’ patient-facing RN experience as an ADN at time of hire are required to be enrolled in a baccalaureate (or higher) degree program in nursing within 1 year of employment, with BSN completion within 3 years of hire
Minimum 3 years clinical practice experience required
Current Certified Case Manager (CCM) certification, American Case Management (ACMA) certification, Certified Professional Utilization Review (CPUR) or Case Management Administration Certification (CMAC) preferred
Excellent communication, organizational and interpersonal skills. Ability to work independently and manage time and decisions
Proficiency with standard software applications including spreadsheets and word processing required. Experience using Interqual preferred
Knowledge of healthcare law and regulations related to acute care and the immediate post-acute continuum preferred
Working Conditions
Must be able to maintain a standing and/or sitting position
Typical equipment used in an office job
Repetitive movements
About Kootenai Health:
Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.
As your next employer, we are excited to offer you:
Comprehensive medical coverage, including fully employer-paid options for eligible full-time employees, plus affordable plans for part-time staff.Benefits begin on the 1st of the month following 30 days of employment.
Dental, vision, life, and pet insurance, with telemedicine and wellbeing resources available to all employees
Tuition assistance after 90 days to support your professional growth
Retirement plans with pre-tax and Roth options and employer matching from 3%-6%
Competitive pay, plus night, weekend, and PRN shift differentials
Award-winning wellness program with coaching, financial wellness resources, and free or discounted access to fitness centers and premium wellbeing apps
PerkSpot discountsproviding access to thousands of exclusive deals in over 25 categories
And an employee referral bonus program
Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!
Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.
Why I love my job as a Nurse at Kootenai Health
A variety of medical, dental, and vision insurance plans are available to both full and part-time employees, with some available at no cost to the employee. In addition, benefit-eligible employees also gain access to the following:
Tuition assistance and career development programs
Robust Retirement Plan
Night, weekend and PRN shift differentials
This is a snapshot of your potential career path highlights the series of job positions that help you progress towards your goals and objectives. Ultimately, your career path depends on your career values and personal goals.
Success Profile
What makes a successful nurse at Kootenai Health?
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.