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Registered Nurse - Case Manager

Company: Mayo Clinic
Location: Rochester
Posted on: April 15, 2019

Job Description:

City
Rochester

State
Minnesota

Telecommute
No

Department
Nursing

Position description
The RN CASE MANAGER provides ongoing support to Employer Rochester medical practices with direct interaction with clinical staff in the hospital setting, including nursing, social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission status and continued stay clinical review; , clarification and face to face education to clinical staff regarding quality metrics, continued admission status review to ensure accurate clinical documentation to support the care provided, and communication with clinical providers on projected length of stay based on diagnosis.. This position requires strong independent decision making, assessment, and reasoning while determining the appropriateness of patient admission status following established admission criteria and regulations. This position requires knowledge, understanding, and continued education on current regulatory compliance requirements of Government Payers in relation to Admission Status, Clinical Documentation, and Value Based Purchasing. THE RN CASE MANAGER communicates with physicians, patients, and other clinical staff regarding documentation, Quality, and Admission Status criteria and regulatory requirements and penalties. The RN CASE MANAGER works with Third-Party and Government payers to meet managed care and continued stay requirements. The RN Case Manager participates with interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay.

The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Employeral Nursing Professional Practice Model, which includes accountability for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The RN Case Manager utilizes the principles of mutual respect, patient/family advocacy and provides leadership within the team of internal partners and outside agencies to facilitate best practices that achieve quality clinical, financial, and patient satisfaction outcomes. The RN Case Manager provides leadership through education on case management/utilization management concepts, committee work, research, and community involvement. The RN Case Manager bridges communication between providers, patients and families, members of the interdisciplinary team, and outside agencies to assure high-quality care that meets the patient's needs and is delivered in a cost-effective and timely manner. The ANA Nursing: Scope and Standards of Practice and Code of Ethics provide a basis for the practice of the RN. The American Case Manager Association Standards of Practice and Scope of Services for Health Care Delivery System Case Management and Transitions of Care Professionals (2013) are reflected. (011686)

Qualifications
Graduate of an Accreditation Commission for Education in Nursing (ACEN) accredited associate's degree or diploma program. Exceptions to this may be made in the MCHS sites prior to a law change requiring accreditation expected in 2018. If graduated from a nursing program that was not accredited by ACEN, at least one year of RN experience (within the last 5 years) in an applicable care setting is required. If graduation did not occur within the last two years, one year of RN experience in an applicable care setting is also required. Rochester campus: All entry-level associate degree registered nurses with a RN start date after September 1, 2010 to August 31, 2014 must provide documented evidence of program completion of their baccalaureate degree in nursing from an accredited nursing program within 6 years from the last day of the month of their RN start date. All entry-level associate degree registered nurses with a RN start date of September 1, 2014 and after must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program within 5 years from the last day of the month of the RN start date. Florida campus: All entry-level associate degree registered nurses with a RN start date after January 1, 2013, must provide documented evidence of program completion of their baccalaureate degree in nursing from an accredited nursing program within 6 years from the last day of the month of their RN start date. Arizona campuses: All entry-level associate degree registered nurses with a RN start date after January 1, 2013, must provide documented evidence of program completion of their baccalaureate degree in nursing from an accredited nursing program within 6 years from their RN start date. Employer Health System: All entry-level associate degree registered nurses with a RN start date after September 1, 2013, must provide documented evidence of program completion of their baccalaureate degree in nursing from an accredited nursing program within 6 years from the last day of the month of their RN start date.

Additional qualifications
3-5 years of acute nursing preferred; 1-2 years of Case Management experience preferred. Certification (CCM or ACM-RN) preferred.

License or certification
Current RN license by applicable state requirements. Arizona and Florida: Maintains Basic Life Support (BLS) competency. Midwest: Maintains current Basic Life Support (BLS) for Health Care Providers from one of the following programs: American Heart Assoc

Exemption status
Exempt

Compensation Detail
Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum salary every 2 weeks is approx $2,669.60, based on a full-time position.

Benefits eligible
Yes

Schedule
Full Time

Schedule details
Monday-Friday; Days; 8-hour shifts - NOT NEGOTIABLE
This is subject to change at any time however based upon business needs.

Weekend schedule
1 in 7 with occasional holidays - NOT NEGOTIABLE
This is subject to change at any time however based upon business needs

Site description
Employer is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.

Category
Nursing

Career profile
Nursing

Job posting number
111428BR

Recruiter
Sarah Martin

Equal opportunity employer
Employer is an equal opportunity educator and employer (including veterans and persons with disabilities).

by Jobble

Keywords: Mayo Clinic, Rochester , Registered Nurse - Case Manager, Executive , Rochester, Minnesota

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