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RN Case Manager

Lancesoft

Cameron, AZ

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JOB DETAILS
SALARY
$56,000–$85,000 Per Year
SKILLS
COPD (Chronic Obstructive Pulmonary Disease), Case Management, Centers for Disease Control and Prevention (CDC), Certified Case Manager (CCM), Clinical Medicine, Communication Skills, Community Health, Community and Social Services, Congestive Heart Failure, Cross-Functional, Customer Satisfaction, Customer Support/Service, Discharge Plans, Employee Benefits, Establish Priorities, Healthcare, Hospital, Identify Issues, Infectious Diseases, Informed Consent, Licensed Clinical Social Worker (LCSW), Medical Record System, Medicare, Nursing, Nursing Home, Organizational Skills, Outpatient Care, Patient Care, Patient Follow-up, Pediatrics, Presentation/Verbal Skills, Public Health, Public/Media/Press/Analyst Relations, Registered Nurse (RN), Reimbursement, Resource Utilization, Risk, Service Delivery, Social Work, Special Needs, Substance Abuse, Team Player, Treatment Plan, Utilization Management, Writing Skills
LOCATION
Cameron, AZ
POSTED
19 days ago
Job Title: RN Case Manager 
Location:  Echo Cliffs/Cameron, AZ
Duration: Full time 
Salary range: $56K - $85K/yr with benefits 

Enter Job Description...
  • Must have a minimum of three (3) years of experience in the clinical care setting
  • Experience and knowledge of discharge planning, case management, or utilization review processes.
  • Demonstrate knowledge of electronic health record systems.
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
  • Positive working relationships with others
  • Possession of high ethical standards and no history of complaints
  • Reliable and dependable;reports to work as scheduled without excessive absences
  • Effective verbal & written communication skills
  • Team management focus promoting a positive and pro-active approach to problem resolution
  • Completion of satisfactory and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
  • Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
  • Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
  • Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.
PREFERRED QUALIFICATIONS
Education:
  • Bachelor’s Degree in Nursing
  • Certificate in Case Management
  • Master’s Degree in Social Work (MSW);Licensed (LCSW, LMSW)
Experience:
  • Three (3) years of Case Management experience in ’Hospital/Clinic Setting working with Adults and Pediatric Clients.
  • Experience in arranging cost-effective transfers and plan of care.
  • Possess knowledge in the Case Management process and social service programs available within the Echo Cliffs service area.
  • Case Management experience in Clinical/Hospital setting working with adults and Pediatric clients.
  • Demonstrated knowledge of the case management, contract health, and utilization review processes
  • Experience with all facets of the Case Management continuum (i.E., social support alternate resources, community referrals, discharge planning). Nursing home placement and resource utilization.
  • Experience with Patient-Centered Medical Home (PCMH) requirements and responsibilities
  • Experience working with Medicare or AHCCCS services.
  • Experience working with culturally diverse low-income populations having multiple barriers to self-sufficiency such as: illiteracy, welfare dependency, domestic violence, substance abuse, and mental health issues
Other Preferred Skills and Abilities:
Ability to speak Navajo, Hopi, or San Juan Southern Paiute.
ESSENTIAL FUNCTIONS
  1. Coordination of service specific assessments, service planning and enrollment
  2. Works with all facets of the Case Management continuum (i.E., social support, alternate resources, community referrals, discharge planning, Nursing Home/Skilled Nursing Placement and resource utilization).
  3. Comprehensive and client centered service planning and coordination
  4. Works proactively with the established RN Case Managers and Social Workers of all TCRHCC campus as a team member for care coordination of the patient populations served by Tuba City Regional Health Care.
  5. Resource acquisition facilitated referrals and linkages.
  6. Consistent and on-going case consultation with all direct service providers
  7. Developing and maintaining internal and external resource relationships
  8. Service monitoring and following up to ensure continuity of care and updating the client service plan
  9. Identifies patient through consultation and high-risk diagnoses (i.E., COPD, CHF, DM)
  10. Accountable for the education, knowledge and process related to the Recovery Audit Contractors role in inpatient and outpatient reimbursement as related to the impact on TCRHCC revenue.
  11. Assists with the development of department reports, policy/procedures manuals, and program objectives
  12. Assists with special projects as assigned
  13. Conducts system and procedural efficiency evaluation to determine progress, performance, and conformity with program requirements
  14. Assist in managing outpatient referrals for Purchased Referred Care (PRC)
  15. Follow up outside inpatient referrals for continued follow up ( i.E., appointments and PHN referrals)
  16. Will provide coverage for the Outpatient Clinics. Manages care of prioritized TCRHCC, SPHC, and Echo Cliffs outpatient based upon consultation from providers within the organization’s healthcare delivery system;provides a consistent and on-going consultation with service providers.
  17. Works proactively and collaboratively with Public Health Nursing (PHN), Patient Benefit Coordinators (PBC), Utilization Review (UR) and Purchased Referred Care (PRC)
  18. Facilitate communication and coordination between members of the health care team, involving the client in the decision-making process in order to minimize fragmentation in the services (CMSA, 2010).
  19. Develops with the patient/family and multidisciplinary team (including service area and/or other non-TCRHCC, SPHC, or Echo Cliffs providers as appropriate) a care and service delivery plan based upon the needs identified and available provider and financial resources of the patient and provides consistent and on-going case consultation with all direct service providers.
  20. Provides service monitors and follow-up to ensure continuity of care, and updates of the client service plan and provides follow-up if needed. Striving to promote client self-advocacy and self-determination (CMSA, 2010).
  21. Prepares patient and family for discharge from case management when services are no longer required. Arranges for any ongoing support/direct care services that the patient will need post-discharge in coordination with discharge planners and other entities such as PHN, Community Health Representatives or Tribal Social Services.
  22. Will be familiar with Advance Directives and be a resource person for patients and families;facilitate informed choice, consent, and decision-making.
  23. Promote use of evidence-based care, as available, in conjunction with the MCG Care Guidelines.
  24. Pursue professional excellence and maintain competence in practice.
  25. Serves as the outpatient coordinator, such as:
  • Collaborate with provider and nursing personnel to ensure admissions are conducted seamlessly and without delay of patient care.
  • Collaborates with provider, nursing personnel and patient benefits coordinators that all referrals for third party resources are complete prior to the departure of patients.
  1. Will be committed to Case Management Services and have some assignments with Purchased and Referred Care (PRC) formally known as Contract Health Services, providing assistance with the PRC Case Specialist
  2. Incumbents will be required to take call on scheduled weekends as deemed necessary
  3. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
  4. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current processes)
  5. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction.
  6. Performs other duties as assigned.

EEO Employer
LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.

About the Company

L

Lancesoft

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc). 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2000
WEBSITE
http://www.lancesoft.com/

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