HCA, Hospital Corporation of America RN Case Manager in Iola, Kansas

  • Essential Functions: * (Detailed tasks, duties and responsibilities)

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    1. Coordinates insurance reviews, negotiations and appeals

    2. Coordinates interdisciplinary care plans and discharge planning

    3. Coordinates the patient data collection and review

    4. Coordinates the patient Swing Bed assessments and appropriate follow up

    5. Coordinates with Patient Accounts to ensure accurate patient record documentation and charging

    6. Works with Patient Accounting and HIM departments to assist in providing accurate records, as requested by CMS and KFMC

    7. Assists the Risk Manager in the collection of patient quality data

    8. Reports Utilization Review patient data to the Medical Staff Medicine Committee

    9. Collaborates with members of the Medical Staff to discuss:

  1. Patient in-hospital needs and plan of care

  2. Patient needs as they approach discharge

  3. Develops and implements Utilization Review and Case Management policies and procedures, as well as the educating of hospital staff relating to these policies

  4. Reports quality of care issues identified during the Utilization Review process, in accordance with establish policies and procedures

    • Minimum Requirements: * (Educational and job experience requirements. Knowledge, skills, abilities)

    Graduated from an accredited school of nursing, AND/or BSN is preferred.

    Current Kansas License in good standing

    A minimum of two years of acute care nursing is required

    Experience as a hospital Case Manager is preferred

    Working knowledge of Cerner EMR is preferred

Job: *Case Management

Title: RN Case Manager

Location: Kansas-Iola-SS- Allen County Hospital

Requisition ID: 8200-000740