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    · Full Time

    RN, Inpatient Case Manager, Full Time (Day-Weekend)

    Posted 7 days ago
    decatur, georgia, united states · Onsite

    About the job

    AI Summary

    Collaborate with physicians to optimize quality and efficiency of care for hospitalized members through daily utilization and quality review. Develop safe discharge plans, assess high-risk patients, perform psychosocial assessments, and coordinate care transitions. Ensure compliance with requirements and maintain high customer satisfaction.

    Job Title: Case Management Nurse

    Location: Georgia, Decatur, Emory - Decatur

    Job Description:

    Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members. This includes daily utilization and quality review, improving care, and developing a safe discharge plan. Activities include:

    • Daily review of hospital care through chart review and discussion with attending physician.
    • Admission and concurrent review for inpatient admissions.
    • Meetings with patients and families to develop discharge planning.
    • Identification of patients for ambulatory case management.
    • Communication with case managers, home care reviewers, social workers, and providers.
    • Quality improvement reviews and education of members/families, providers, and hospital staff.

    Essential Responsibilities:

    • Plan, develop, assess, and evaluate care provided to members.
    • Collaborate with physicians and the multidisciplinary health care team to ensure continuity and quality of care.
    • Review and coordinate patients' hospital stays to assure timely and efficient delivery of services.
    • Begin discharge planning immediately upon new inpatient admissions.
    • Assess high-risk patients for post-hospital care planning.
    • Perform psychosocial assessments and provide patient education.
    • Attend scheduled rounds with the Physician Director of Resource Stewardship.
    • Act as a liaison between inpatient facilities and referral agencies.

    Requirements:

    • Minimum two (2) years of experience in patient care delivery or completion of a Master's degree in Case Management Program.
    • Associates Degree in Nursing.
    • Registered Professional Nurse License (Georgia) or Licensed Registered Nurse (Temporary - Georgia).

    Additional Skills:

    • Advanced communication and interpersonal skills.
    • Ability to collaborate with a multidisciplinary healthcare team.
    • Excellent time management and self-direction.
    • Functional computer knowledge.
    • Experience with managed healthcare delivery, including Medicare.

    Preferred Qualifications:

    • Minimum five (5) years of clinical nursing experience in a hospital setting.
    • Experience in utilization review, case management, and discharge planning.
    • Bachelor's Degree in Nursing, Healthcare, or Master's degree in Case Management.

    Professional Development:

    • Opportunity to work in a dynamic and supportive environment.
    • Engage in continuous learning and skill enhancement.

    Community Overview:

    Emory - Decatur offers a vibrant community with rich cultural and historical attractions. Enjoy a supportive work environment with opportunities for professional growth and development.

    Work Schedule:

    • Part-time position
    • Hours per week: 36
    • Shift: Day
    • Workdays: Fri, Sat, Sun
    • Working hours: 07:30 AM - 08:00 PM