Acute Care, Case Management, Centers for Medicare and Medicaid Services (CMS), Community Providers, Critical Care, Discharge Plans, Documentation Plan, Durable Medical Equipment, Electronic Medical Records, Healthcare, Healthcare Reimbursement, Home Care, Hospital, Medicaid, Medical Record System, Medicare Reimbursement, Needs Assessment, Nursing, Patient Care, Quality of Care, Registered Nurse (RN), Regulations, Regulatory Requirements, Utilization Management
Job Title: Registered Nurse (RN) – Case Manager
Locations: Arlington, VA 22205
Duration: 3 Months (Possible Extension)
Shift : Mon-Fri (8:30AM-5PM)
Description:
- The RN Case Manager is responsible for overseeing the management and coordination of care for the acute inpatient population.
- The Nurse collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure continuum of patient care progressions for clinical and cost-effective outcomes.
- The Nurse facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.
Responsibilities:
- Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24 hours of admission.
- Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family.
- Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies and regulatory requirements.
- Send referrals/communicate with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV Infusion, SNF Sub-Acute and Acute Rehab.
Experience Required:
- 1 year in an acute medical/surgical/ ED or critical care nursing area
- Experience using an electronic medical record system
- Knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules)
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Careers Integrated Resources Inc