RN Case Manager

At Sharon Regional Medical Center, we are committed to improving the health of our communities by delivering exceptional, personalized behavioral health care with dignity, compassion, and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.

We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.

In support of this, we commit ourselves to the following values:

Compassion

Accountability

Respect

Excellence

Stewardship

If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit.

Summary: The RN Case Manager is accountable for coordinating care delivery for an identified caseload of patients in collaboration with medical staff and other members of the interdisciplinary care team. Major goals of the RN Case Manager include clinical quality enhancement, appropriate length of stay and resource utilization, continuity of care, quality documentation and customer satisfaction.

Job Responsibilities:

• Case Management reviews: assesses each patient within identified caseload within one to two working days of admission including clinical, functional, developmental, psychosocial, and financial status.
• Discharge Planning: Develops, implements, and revises case management plans for each patient targeting optimal cost/quality outcomes for each episode of care.
• Applying InterQual criteria: familiar with InterQual criteria and appropriately applies to each case and determines level of care. Follow-up assessment for criteria is done within 48 hours via a continued stay review. Identifies variances from the Case Management plan and intervenes timely to correct the variance and/or prevent further delays.
• Interdisciplinary Collaboration: Collaborates with physicians and other members of the interdisciplinary care team in evaluating patient process against the case management plan.

• Case Management education: maintains an awareness of regulatory standards and local, regional, and national trends in patient care and reimbursement and integrates this knowledge into Case Management
• Appeals: Can complete an appeal for securing appropriate reimbursement for services provided by communication clinical information and discharge plans to payer within the established timeframe set up by the payer.
• Initiative: Able to individually resolve issues with minimal assistance
• Hand off communication: able to give aa thorough hand off to peer with goal of efficient throughput of patient.
• Demonstrates professional behaviors.

The above statements reflect the general duties and are not to be considered as a detailed description of all the work assignments.

Requirements:

• Registered Nurse (PA or Multistate License)
• CPR
• Bachelor of Nursing
• Clearances as required by state and federal guidelines.

Benefits:

• Medical
• Dental
• Vision
• 401K
• Vacation time
• Sick time

About Steward Health Care
Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.
Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.

For more information, visit www.steward.org.

Steward Health Care is proud to be a minority, physician-owned organization. Diversity, equity, inclusion, and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and/or expression or any other non-job-related characteristic.