RN-Care Manager
SSM Health
It's more than a career, it's a calling
WI-SSM Health ErdmanWorker Type:
RegularJob Highlights:
Hybrid opportunity must be able to work onsite (1 Erdman Place, Madison, WI) three days a week while two days a week will be remote.
Job Summary:
Utilizes skilled intervention, clinical best practice knowledge and collaboration with the patient, physician and multidisciplinary treatment team to pace care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless clinical transition of patients through medically appropriate levels of care.Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program.Assesses all assigned patients and integrates family information from social work to collaboratively determine potential, actual and the next level of care needed.Holds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care.Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes.Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting.Actively participates in clinical performance improvement activities as assigned.Builds a network of positive working relationships that advocate for the patient.Documents clinical activity in the medical record and supports and coaches accurate clinical documentation by physicians and others.Pursues continuing education in area of expertise/leadership.Works in a constant state of alertness and safe manner.Performs other duties as assigned.EDUCATION
Graduate of accredited school of nursing or education equivalency for licensingEXPERIENCE
Two years' registered nurse experience
PHYSICAL REQUIREMENTS
Work Shift:
Day Shift (United States of America)Job Type:
EmployeeDepartment:
8149000069 Project VibranceScheduled Weekly Hours:40SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
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