RN Case Manager NICU Full Time Days Position Available In Knox, Tennessee

RN Case Manager NICU Full Time Days RN Case Manager NICU Full Time Days
locations
Knoxville, TN
time type
Full time
posted on
Posted Today
job requisition id

JR101996

BASIC

PURPOSE OF THE JOB

To provide clinically and evidenced based patient care coordination. Support the delivery of safe, effective, high quality and efficient patient care. Collaborates with the care coordination team for discharge planning and implementation of home health care and related services to assigned patients. Coordinates prior insurance authorization for services and medications, coordinates the clinical and financial components of case management.

REPORTS TO

Director

• Care Coordination

JOB REQUIREMENTS

Supervisory Responsibilities:

No

Minimum Education:

Bachelors required; Masters preferred

Degree:

Nursing

License/Certification Required:

TN or Compact RN Licensure Required; Case Management certification desired

Minimum Work Experience:

1 year as a Case Manager

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

Computer literacy including word processing
Business skills and excellent written and verbal skills
Working knowledge of payer requirement, contracts and managed care required

DUTIES AND RESPONSIBILITIES

Reviews clinical and social data for patients referred by social work within 24 hours or first business day. Identifies case management needs through review of record, participation in rounds, care conferences and clinician/family contact.
Participates in benchmarking efforts via data collection, analysis and formulation of recommendations.
Advocates to facilitate positive outcomes for the client and the health care team. Provides requested documentation to providers/vendors to support “medical necessity” review/prior-authorization of ordered services and /or equipment, as available.
Assures thorough, early and ongoing transition/discharge plans by collaborating with patients, families, payers and providers across the continuum of care.
Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
Plans with client, family or caregiver, the primary care physician/provider, other health care providers, the payer, to maximize health care responses, quality and cost effective outcomes.
Actively participates in relevant meetings and committees.
Collaborates with leaders in program development, supports change and adapts to meet program goals.
Seeks new knowledge and participates in learning opportunities to support the care of children with medical complexities and their caregivers.
Willingly accepts any other assignment that may be requested.
Utilizes hospital resources and time respectfully and accountably.

PHYSICAL REQUIREMENTS

Note:

Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.
Light lifting, pushing and pulling is required for 1-20 lbs occasionally and frequent moving of objects of less than 10 lbs is required. Frequent sitting with some walking, standing, squatting, bending, and reaching is required. Keyboard/computer use and/or repetitive motions may be required.
Come work where you can make a difference everyday.
About East Tennessee Children’s Hospital
At East Tennessee Children’s Hospital, care is at the CORE of who we are. We are comprised of team members who live out our core values of Compassion, Ownership, Respect, and Excellence. We support each other by fostering a culture of team engagement that creates moments that matter

• every interaction, every time.
  Compassion
• We imagine what others are going through, work to alleviate suffering, and create joy whenever possible.
  Ownership
• We take pride in our work, act with integrity, and feel personal responsibility for achieving our mission.
  Respect
• We listen, understand, and communicate openly and politely. We recognize our diverse strengths.
  Excellence
• We set high standards for performance in delivering the safest patient care.

We give extraordinary and meaningful experiences to our patients, their families, team members, and the community we serve.