RN Case Manager – Quality Improvement
Tucson, Arizona
Intro:
Are you an experienced Registered Nurse with Quality Improvement and Case Management experience looking for a new opportunity with a prestigious healthcare company as a Case Manager in Tucson, AZ? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!
Position Summary: Quality Improvement Registered Nurse Case Manager for a hospital in one of the following departments:
- Pediatric: Early childhood (1 year and < 5 years)/ Late childhood (5 years < 13 years)
- Adolescent (13 to < 17 years)
- Adult: (Young adult 17 to < 30 years) / Middle Adult (30 to < 60 years)
- Geriatric (> 60 years)
Hours for this Position: Day/Evening/Varied Shifts Available
Salary: 28.00-36.00 Based on experience
Advantages of this Opportunity:
- Competitive salary
- Fun and positive work environment
Required Skills
What We Look For:
- 2 years of clinical experience
- Active RN License in AZ
- BLS active certification Required
Responsibilities
More Insight of Daily Responsibilities:
Using established criteria, reviews appropriateness of patient’s admission, need for continued stay, information needed for discharge.Coordinate with all staff necessary to develop a mechanism to monitor patient progress against guidelines and evaluate variances for individual patients and targeted populations.
| Discuss estimated length of stay, treatment and discharge plan with the attending physician, as indicated |
| Initiate discharge planning by assessing the patient’s needs and documenting the assessment on the interdisciplinary plan of care. Interviews patient, family, and appropriate health team members to develop a discharge plan that incorporates patient choice, and is clinically appropriate, cost effective, and safe. |
| Ensure that the interdisciplinary care plan and the discharge plan are consistent with the patient’s clinical course, continuing care needs and covered services. |
| Refers complex discharge planning issues to other members of the case management team as directed by referral criteria. |
| Provides leadership to the health care team to implement the discharge plan and facilitate patient transfer to the next level of care when medically able. |
| Obtain from third party payer certification due to patient status change, information needed for discharge. |
| Conducts interdisciplinary rounds |
| Discuss with attending physician and/or physician advisor the appropriateness of resource utilization, consultation and treatment plan. |
| Collect data on variances from quality screening criteria by the Clinical Excellence Council. Report quality concerns to Quality Assurance. Continually ensure and enhance quality outcomes |
| Respond to third party requests for concurrent clinical information. |
| Complete all necessary forms in a timely manner. |
| Act as a liaison/patient advocate and influence interactions to ensure high quality patient care. |
| Coordinate appropriate educational material/instruction for patients, families, medical staff, and multi-disciplinary personnel to accomplish patient care outcomes. |
| Maintain cost effective utilization of care continuum resources. |
| Identify possible delays and avoidable days; work with providers to prevent delays and identify system/provider opportunities for improvement. |
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Marjorie Mora at marjorie@healthcaresupport.com for immediate consideration.
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
V2014
Salary
Based on Experience