Case Management Nurse - Case Manager - Travel - (CM RN) - NursesRx

Job Description Continued: Actively participates in ongoing department operations: Actively participates in interviews for Case Mangers, Social Workers, and Case Management Assistants and recommends selected applicants for hire. Serves as a resource for the CM Assistants. Identifies new system, processes, protocols and/or methods to improve practices. Actively contributes to the creation of cost effective practices that ensure the best patient experience, effective resource utilization and enhance outcomes. Accurately prepares handoff report for the next day. Uses effective interpersonal and communication skills to promote customer service with internal and external customers: Develops and maintains positive, productive, professional relationships with the healthcare team and representatives of the community agencies. Relates with tact and respect to all customers with diverse cultural and socioeconomic backgrounds without personal judgment, some of whom may be exhibiting varying levels of distress. Functionally supervises and positively contributes to the team's decision making process. Willingly provides and accepts direct, constructive feedback to and from colleagues and the leadership team. Actively uses effective communication skills with colleagues to resolve issues in a timely manner. Knowledge: Excellent interpersonal communication and negotiation skills. A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. Some awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS preferred. Post-acute levels of care such as Home Health, Hospice, AIM, and Palliative Care. SNF, LTAC, B&C, Sub-acute, Acute rehab. General Knowledge of coding and DRG assignment process preferred. Skills: Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners. Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families. Demonstrates commitment to service excellence in all patient, family and employee interactions and in performing all job responsibilities. Functions in a manner to promote quality patient care and assure a positive patient experience. Excellent verbal and written communication skills. Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities. Ability to promote teamwork and to effectively function in teams. Ability to interact effectively with key internal and external constituents using collaboration, and customer service skills that promote excellence in the patient experience. Skills/Certifications: National Certification in Case Management (ACM, ANA RN-BC Case Management) within 24 months of hire - Required Previous Case Management experience - Highly desired Three years in acute medical/surgical/ED/ or critical care nursing area. Masters of Nursing in Case Management in lieu of three years in acute medical - Required: 3 Years Previous leadership abilities preferred. Experience utilizing electronic InteQrual or other standardized criteria strongly preferred.