Fairview Health Services

  • RN Care Manager

    Job Locations US-MN-Woodbury
    Requisition Post Information* : Posted Date 1 week ago(9/10/2019 5:33 PM)
    Requisition ID
    2019-39483
    Profession
    Nursing (RN/LPN)
    Speciality
    Nursing Resources/Education/Care Mgmt
    Location
    Woodwinds Hospital
    Shift
    day/evening
    Hours per 2 weeks
    60
    Department
    Care Management Services
  • Overview

    Oversees care management process for patients, ensures the achievement of desirable outcomes, appropriate length of stay, efficient utilization of resources, increased patient and family involvement, and patient/staff/family education.

    Responsibilities/Job Description

    • Develops, coordinates and implements clinical care management through partnership with Social Work Care Manager and Care Management Assistant in collaboration with clinical leadership, physicians, nursing staff, and other interdisciplinary clinicians
    • Participates in psychosocial management of patients
    • Facilitates plans for the transitions of patient care to the next level and location of care
    • Partners with system care navigation resources and care navigators from other settings to provide continuity of care and effective transitions
    • Maintains accountability for utilization management and communication with payers to assure continued stay authorization and assists with financial activities affecting the hospital stay
    • Conducts review activities on a daily basis following InterQual guidelines
    • Performs concurrent reviews to respond to payers
    • Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards
    • Actively participates in creating and implementing improvements
    • Performs other responsibilities as needed/assigned

    Qualifications

    Required:

    • Associate's degree in Nursing
    • Registered Nurse MN (RN) through MN Board of Nursing
    • 1 to 3 years experience

    Preferred:

    • Bachelor's degree

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