RN Case Manager

We are seeking a Case Manager RN at Providence Medical Center.

Shift's Available: Days

Employment Type: Per Diem (PRN)

Hours: 8hr

Location: Providence Medical Center in Kansas City, KS

Here are some of the benefits of working at Prime Healthcare:

Health, dental, and vision insurance options
• Paid vacation, sick time and holidays
• Bereavement leave, FMLA and other leave options
• Employer 401K options
• Tuition reimbursement options
• Life, disability, and other insurance options
• Many other amazing benefits

Essential Duties and Responsibilities (includes, but not limited to):

• Upholds and supports the philosophy, objectives, and policies of the Medical Center.
• Performs admission and concurrent reviews in a timely manner utilizing criteria approved by the Utilization Review Committee. Determines priorities for the order in which patients need to be reviewed.
• Applies appropriate clinical judgment in the concurrent review process to ensure that information in the medical records meet the criteria for intensity of care level of service for continued hospital stay and/or discharge.
• Documents all deviations from criteria for continued length of stay and promptly discusses these with the attending physician and/or Medical Director.
• Communicates daily, as needed, with the Medical Director, or his designee, regarding concurrent reviews and/or difficulties with resource utilization.
• Participates actively in discharge planning; coordinating appropriate discharge plan based upon the identified needs of the patient and the availability of resources.
• Functions as the liaison with the Medi-Cal/Medicaid field representative and other Medical/Medicaid providers within the hospital if applicable; completes TAR's accurately and timely.

Education and Work Experience

• Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
• Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
• Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
• Current BCLS (AHA) certificate, preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Experience and knowledge in basic to intermediate computer skills.

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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