Skip navigation
Unable to save this job. Please try again later.

{msg}

Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

  • Rapid City, SD

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest Registered Nurse jobs in Rapid City, SD delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
• 
8 to 15 characters
• 
1 uppercase letter
• 
1 number or symbol
• 
1 lowercase letter
Cancel
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

Registered Nurse Case Manager Rapid City Hospital Emergency Department Full Time

Regional Health • Rapid City, SD

Posted 10 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
Nurse

Job Description

Department

RCH Care Management

Scheduled Weekly Hours

40

Shift

Rotating (United States of America)

Job Summary

Responsible for collaboration with medical staff, patients, family, and the Healthcare team by assessing, facilitating, planning, and advocating for health needs on an individual basis resulting in quality, cost-effective outcomes. Establishes goals and priorities consistent with mission and goals of Rapid City Regional System of Care, as well as meets requirements of JCAHO and other applicable federal, state, and local regulatory and/or accrediting bodies.

Job Description

Essential Functions:
●Applies up-to-date information related to reimbursement procedures, managed care contracts and patient status in facilitating/collaborating in the plan of care.
●Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
●Supports compliance with Utilization Review and regulatory guidelines. Identify trends related to compliance of regulations and collaborates with appropriate hospital personnel and external agencies to ensure appropriate process changes are implemented.
●Supports the Medical Staff Quality Review process by identification of issues related to quality indicators set forth by the Medical Staff.
●Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
●Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the Healthcare team and patient/family in decision making.
●Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care.
●Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition.
●Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patient’s Healthcare needs based on the best practice standards to ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines and True North metrics.
●Performs follow-up phone calls to patients within 48 hours of discharge and triages patients/family calls up to the first outpatient follow-up visit. Confirms follow up appointments are made and coordinates further communication/clarification with providers as indicated.
●All other duties as assigned.

Additional Requirements

Required:
Education - Associates degree in Nursing

Certification - Registered Nurse (RN) - South Dakota Board of Nursing

Preferred:
Education - Bachelors in Business or Nursing

Experience - 5+ years of Acute Experience; 5+ years of Registered Nurse Experience
Certification - Commission for Case Management Certification (CCMC) - Accredited University or accredited training professionals

Physical Requirements:
Medium work - Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

Make a difference.  Every day.

Regional Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Job ID: R3708
Help us improve CareerBuilder by providing feedback about this job: Report this Job.
CAREERBUILDER TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

More Jobs at Regional Health

View All Similar Jobs View All Similar Jobs