Case Management Coordinator (PRN)
Company: Maria Parham Health
Location: Henderson
Posted on: April 17, 2024
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Job Description:
Maria Parham Health
Who We Are:
People are our passion and purpose. Come work where you are
appreciated for who you are not just what you can do. With 205
licensed beds, Maria Parham Health is equipped for every health
care need one can encounter. We are fully licensed by Joint
Commission, the College of American Pathologists, and Rated Highest
In-Patient Safety from Leapfrog.
Where We Are:
Henderson offers a great outdoors, including the region's largest
lake, providing endless hours of fun boating, fishing, water
skiing, and camping. Throw in great golfing, hunting and two
fantastic recreational organizations and you may find yourself
having a hard time deciding what to do next!
Why Choose Us:
- Health (Medical, Dental, Vision) and 401K Benefits for full-time
employees
- Competitive Paid Time Off, PTO cash out, and PTO donation
programs
- Employee Assistance Program - mental, physical, and financial
wellness assistance
- Loan Repayment and Tuition Reimbursement/Assistance for qualified
applicants
- Robust employee recognition and awards programs
- And much more---
Position Summary
Case Manager Coordinator is knowledgeable about the program and is
responsible for interacting with the patients, team, and other
stakeholders, both internal and external, assisting the person
served to become oriented to their program, participating
consistently in team conferences concerning the person served,
promotes the participation of the person served on an ongoing basis
with discussions of plans, services, goals, and status throughout
the process, facilitates and ensures the completion of discharge
recommendations including consideration of financial information,
communicates information to the person served, is responsible for
handling all admission inquiries, working in liaison with physician
to ensure appropriate and compliant admissions for the unit,
completing the admission intake process, collecting and entering
the PPS data and transmissions, assisting in the QI process and
data collection, and is responsible for remaining competent and
knowledgeable about CMS and IRF regulations, CMS changes, and
training staff on these changes and regulations.
Reports to: Director of Case Management
Responsibilities of the PositionCoordination of clinical care
(medical necessity, appropriateness of care and resource
utilization for admission, continued stay, discharge and post-
acute care) compared to evidence-based practice, internal and
external requirements. (40% daily, essential).
Identify and report variances in appropriateness of medical care
provided over/under utilization of resources compared to
evidence-based practice and external requirements. This priority
includes work with relevant software and communicating information
through clear, complete, and concise documentation in eCCM (40%
daily, essential).
Effective collaboration with physicians, nurses, ancillary staff,
payors, patients, and families to achieve optimum clinical outcomes
(10% daily, essential).
Remain current with relevant clinical/case management practices.
(10% daily, essential).
Maintains established departmental policies and procedures,
objectives, performance improvement program, safety, environmental,
and Infection Control standards.
Communicates effectively with customers of all ages.
Evaluates learning needs of patient and/or family and provides
patient/family education appropriate to age, culture, condition,
and circumstances.
Reports patient's complaint of pain to the licensed nurse.
Works as an advocate for the physical and emotional well-being of
the patient.
Recognizes and meets the needs of customers.
Meets expectations for attendance at Ethics, Forums, meetings, and
other required training/ workshop sessions.
Performs other related duties as assigned and requested.
Required Education
Associate's/Bachelor's degree in Nursing is required.
Licenses/Certifications
A current North Carolina or compact state Registered Nurse (RN)
license is required upon hire.
Basic Life Support (BLS) through the American Heart Association
(AHA) is required upon hire.
Case Management certification is preferred.
Required Skills
Critical thinking skills, decisive judgment, and the ability to
work with minimal supervision.
Minimum Work Experience
RNs with a minimum of 5 years of bedside experience or LPN with 10
years' experience in the relevant clinical specialty (e.g., case
manager for pediatrics patients should have pediatric nursing
experience) is preferred.
Supervisory experience is preferred.
Case Management experience is preferred.
EEOC Statement
Maria Parham Health is committed to providing Equal Employment
Opportunities for all applicants and employees and complies with
all applicable laws prohibiting discrimination against any employee
or applicant for employment because of color, race, sex, age,
religion, national origin, disability, genetic information, gender
identity, sexual orientation, veterans' status, or any other basis
protected by applicable federal, state, or local law.
Equal opportunity and affirmative action employers and are looking
for diversity in candidates for employment:
Minority/Female/Disabled/Protected Veteran
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Keywords: Maria Parham Health, Durham , Case Management Coordinator (PRN), Executive , Henderson, North Carolina
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