RN (Registered Nurse) Case Manager - Resource Mgt Ctr Chesapeake

Location
Chesapeake, VA
Posted
May 18, 2018
Closes
Jul 11, 2018
Function
Management, Nurse
Industry
Healthcare
Hours
Full Time
Job Description: The Resource Management Center located in Chesapeake, Virginia, is hiring an RN (Registered Nurse) Case Manager.

Department/Position Overview
  • The Resource Management Center is a highly specialized nursing department focused on utilization management, cost effectiveness, and clinical medical necessity reviews.
  • The department has responsibility for revenue, compliance, and patient advocacy.
  • The department is comprised of approximately 40 nurses with diverse backgrounds such as medical-surgical, critical or step down care, emergency department, home care, and outpatient surgery.
  • Staff perform medical necessity reviews for 11 Sentara hospital and communicate clinical information to payor sources.
  • Nurses in this area should be seasoned, have a strong background in patient care and a focus on excellence.
  • Good communication skills, an ability to self-direct and good time management skills are critical.
Sentara Benefits

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: https://www.sentaracareers.com/employment-benefits/

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth.

Responsible and accountable for the provision and facilitation of comprehensive care coordination services and quality outcomes for patients across the continuum. Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation of patient/caregiver needs. Functions in one of the following practice settings: Acute Care, Service Lines, Ambulatory/Community-based, Home Health, and Long Term Care.

Education Level
RN-Bachelor's Level Degree

Experience
Required: Nursing - 3 years

Preferred: None, unless noted in the “Other” section below

License
Required: Registered Nurse

Preferred: Basic Life Support

Skills
Required: Communication, Critical Thinking, Service Orientation

Preferred: None, unless noted in the “Other” section below

Other
BLS (if in a clinical setting). For Integrated Care Management departments, specialty certification required within one year of eligibility (ACM, CCM, CCCTM or RN-BC). For other service lines, certification based on specialty area required within one year of eligibility. 3 years Case Management experience preferred. For those in Behavioral Health - Certification in de-escalation training within 15 days of hire and annually. PACE specific incumbents for this position require a minimum of one year of experience working with the frail or elderly population.

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