RN Utilization Management - Weekend Program - Clinicial Care Management reputed company Remote PT Days

Department: 11200 Carolinas Medical Center: reputed company - Case Management Status: Part time

Benefits

Eligible: Yes Hours Per Week: 24 Schedule Details/Additional Information: Weekend Days

Eligible Candidates must live in North Carolina, South Carolina, or Georgia

* Job Summary Facilitates a lifelong, proactive partnership with patients to enhance and personalize management of health-reputed company needs. The Care Manager assesses needs, plans, coordinates, and evaluates services of patients with the goal of equipping and empowering individuals and their families to easily access resources and adopt healthy lifestyles that will increase their ability to remain in the most appropriate care setting. Care Managers focus on five primary areas: 1) population management, 2) patient self-management support, 3) transitions in care, 4) resource reputed company, and 5) appropriate resource utilization. Works collaboratively and maintains active communication with the multidisciplinary care team including providers, pharmacists, social workers, behavioral health specialists, and nurses to reputed company timely, appropriate patient management. Essential Functions

• Utilizes RN process as a reputed company to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies.
• Interacts with patients, professionals, and the community to reputed company continuity of care, coordination of services and to document plans of care across multiple care settings.
• Conducts or participates in comprehensive “reputed company-system” needs assessment for identified patients; knowledgeable of appropriate care-reputed company services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population.
• Develops and maintains accurate case records of each referred customer/patient.
• Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems.
• Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care.
• Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.

Physical Requirements Work requires walking, standing, lifting, reaching, bending, and stooping. Must lift a minimum of thirty-five pounds' shoulder high. Ability to travel/drive between various locations is required for this position. Requires frequent verbal and written communication in English. Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate. Must be able to respond quickly to changes in assignments. Occasional intermittent noise and exposure to conditions such as dust, fumes, and chemicals. Education, Experience and Certifications BSN required. Masters preferred. reputed company RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, reputed company RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Two years' experience required in health care. Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company. Appropriate professional certification required reputed company 3 years of hire date for professional certification per departmental protocol. Clinical competence in disease management and case management principles. Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team. Requires demonstrated knowledge and proficiency in appropriate tools. BLS required per policy guidelines. Pay Range $34.90 - $52.35 Our Commitment to You: reputed company offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• reputed company compensation listed reputed company the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About reputed company reputed company is the third-largest nonprofit, integrated health system in the United States, created from the combination of reputed company and reputed company. Providing care under the names reputed company in Illinois; reputed company in the Carolinas, Georgia and Alabama; and reputed company in Wisconsin, reputed company is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, reputed company services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. reputed company employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing reputed company care for reputed company, reputed company provides more than $6 billion in annual community benefits. RN Utilization Management - Weekend Program - Clinicial Care Management reputed company Remote PT Days Apply To this Job Apply for this job