Current Employees:
If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Primary Location:
Department: RCH Care Management
Scheduled Weekly Hours: 40
Starting Pay Rate Range: (Determined by the knowledge, skills, and experience of the applicant.)
Job Summary:
It starts with heart. As a Case Manager at Monument Health, you will be valued as an essential team member providing compassionate patient-focused care. You will discover a culture of teamwork, professionalism, mutual respect, and a life-changing career. You will make a difference every day.
As a Case Manager, you will be responsible for collaborating with medical staff, patients, families, and the healthcare team by assessing, facilitating, planning, and advocating for the health needs of a patient, resulting in quality, cost-effective outcomes. You will establish goals and priorities consistent with the mission and goals of Monument Health as well as work to meet the individualized plan of care for the patients of our communities.
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you'll join us.
Benefits:
- Supportive work culture
- Medical, Vision, and Dental Coverage
- Retirement Plans, Health Savings Account, and Flexible Spending Account
- Instant pay is available for qualifying positions
- Paid Time Off Accrual Bank
- Opportunities for growth and advancement
- Tuition assistance/reimbursement
- Excellent pay differentials on qualifying positions (extra pay for working evenings, nights, or weekends)
- Flexible scheduling
Job Description:
Essential Functions:
- Coordination of services for hospitalized patients whose care needs range from observation level of care to emergent/urgent higher level of care transitions, including facilitation of payer authorization and transportation.
- Patient triage for hospitalized patients to ensure transitions to other appropriate settings, which range from post-acute care to acute care transitions.
- Uses critical thinking skills to assist providers in establishing plan of care recommendations for hospitalized patients.
- Partners with providers and Physician Advisors/Medical Directors to escalate cases for review on complex cases in compliance with Conditions of Participation and Escalation standards.
- Optimize care coordination with hospital, ER, nursing homes, assisted living facilities, physicians, and community resources as necessary.
- Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
- Supports the Medical Staff Quality Review process by identifying 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.
- Maintains a working knowledge and relationship with community resources and payer benefits.
- 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.
- Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication.
- All other duties as assigned.
Additional Requirements:
Required:
Education - Completion of a nursing education program that is approved by a board of nursing.
Certification - Registered Nurse (RN) - South Dakota Board of Nursing.
Preferred:
Education - Bachelors in Nursing.
Experience - 2+ years of Acute Experience; 2+ 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.
Job Category: Patient Services
Job Family: Care Coordination
Make a difference. Every day.
Monument 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.
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