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Case Manager Registered Nurse
Career Insights for Nurse Case Manager
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Scorecard
Based on Kansas data
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What they do
A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.
$68,574 / year median in Kansas
+1% projected growth
Job Description
Overview Responsibilities
+ Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
+ Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
+ Ensures the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
+ Regularly assess care plans and outcomes to ensure compliance with insurance guidelines and healthcare regulations. Utilize analytics to improve care processes and patient satisfaction.
+ Establish strong communication channels between patients, providers, and work teams to deliver quality outcomes and seamless service delivery. Qualifications
+ Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
+ Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
+ Knowledge of Milliman Criteria and InterQual Criteria preferred.
+ Behavioral Violence Prevention Training within 3 months of hires and maintain current. Employment Status Per Diem Shift Variable Equal Employment Opportunity EEOC KnowYourRights\ screen\_reader\ 10\ Need help finding the right job? We can recommend jobs specifically for you!
https:
//click.appcast.io/pixels/icims-25851.js?ent=417&jsid=$T{Submittal}.$T{Person}.$F{PersonID}script> ICIMS FacilityProvidence Medical Center LocationUS-KS-Kansas City
ID2026-274065
CategoryRN Position TypePer Diem ShiftVariable Job TypeNon-Exempt To view full details and how to apply, please login or create a Job Seeker account