Registered Nurse RN Case Manager

• StudentLoan Repayment-up to $150 a month
• TuitionReimbursement/Assistance Programs
• PaidPersonal Leave
• 401k(100% annual match - 3%-9% of pay based on years of service)
• IdentityTheft Protection discounts
• Auto,Home, and Life Insurance options
• AdoptionAssistance
• EmployeeStock Purchase Program (ESPP) You contribute to our success. Every role has an impact onour patients' lives and you have the opportunity to make a difference. We arelooking for a dedicated RN Case Manager like you to be a part of our team. Check us out on Facebook! Responsibilities of theCase Manager
  • Develops a case management plan of care for new and reoccurring patients to include identified clinical, psychosocial and discharge needs; coordinates plan of care; plan is documented in the medical record; plan is communicated to appropriate clinical disciplines.
  • Evaluates admissions for medical necessity using approved criteriaat defined intervals throughout the episode of care; escalates medicalnecessity and admission status issues through the established chain ofcommand
  • Performs utilization management reviews and communicates information to third party payers
  • Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies
  • Makes appropriate referrals to third party payer disease and case management programs for recurring patients and patients with chronic disease states
  • Assesses patients' post discharge needs and facilitates the provision of services necessary to meet identified needs
  • Identifies patients with the potential for high risk complications and makes appropriate referrals acting as an advocate for the individual's healthcare needs
  • Directs activities to identify and provide for the needs of the under resourced patient population to include patient education activities, patient assistance programs, and community based resources
  • Develops individual plans of care for recurring patients to include education on appropriately accessing healthcare resources, preventative education, and community based resources
  • Assumes a leadership role in the development, revision, and implementation of clinical protocols which transition patients across the continuum of care or discharge patients to an appropriate service level of careLewisGale Medical Center (LGMC), a 521-bed acute care facility, is a Hospital Corporation ofAmerica (HCA) facility, one of the nation's largest and leading healthcaresystems. Through our extensive networkstretching from the Alleghany Highlands and Rockbridge County to the Roanokeand New River Valleys, we have the privilege of serving more than 250,000patients each year. LewisGale is also ranked among the top hospitalsin Virginia for benchmarked quality cancer care, patient safety andsatisfaction and health outcomes. The Centers for Medicare and MedicaidServices (CMS) has ranked us among the top hospitals nationwide on qualitymeasures for our services and treatments to address heart attack, heartfailure, pneumonia and surgical care. Most importantly, ourhealthcare family is community focused and dedicated to enhancing the healthand quality of life by putting our patients first. For more information on the cultureat LGMC click on the video below:https://www.youtube.com/watch?v=vs7IFayiuhw HCA Healthcare has been continually named a World'sMost Ethical Company by Ethisphere since 2010. In 2018, HCA Healthcare spentan estimated $3.3
    
    
    EDUCATION REQUIRED AND/OR PREFERRED:
    • Diploma or Associates Degree from a professional nursing program (required)
    • BSN or current enrollment in a BSN program at an accredited school of Nursing (preferred) LICENSURE/CERTIFICATION:
      • Current licensure as an RN in the state of Virginia or current multi-state compact RN license with eligibility to practice in VA is required.
      • American Heart Association Basic Life Support (BLS) Health Care Provider (required)Be a part of an organization that invests in you. We areactively reviewing applications for our RN Case Manager opening. Highlyqualified candidates will be promptly contacted for interviews. Submit yourapplication and help us raise the bar in patient care! We are an equalopportunity employer and value diversity at our company. We do not discriminateon the basis of race, religion, color, national origin, gender, sexualorientation, age, marital status, veteran status, or disability status.
        
        

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