Case Management RN - reputed company (Non-Exempt Remote)

POSITION reputed company: Role expectations for the Case Manager includes assessing, planning organizing, implementing and evaluating the care delivery system, across the continuum, to enhance reputed company patient care while simultaneously promoting cost effective resource utilization. This role integrates the functions of utilization management, discharge planning, continuity of care, infection control surveillance and case management. The Case Manager focuses on the needs of patients/clients and their significant others, while maintaining a balance between outcome, cost, and process. Case Managers analyze and trend data results in order to incorporate efforts and information results with existing systems to optimize efficiency of operational systems through strategic reputed company leadership. Case Managers combine the roles of clinician, collaborator, consultant and educator to accomplish desired clinical reputed company. RESPONSIBILITIES:

• Knowledge of prospective payment systems, managed care, infection control surveillance, patient care, disease processes, discharge planning and continuum of services offered with QCP and externally.
• Knowledge of URAC Standards, nationally recognized case management standards, other regulatory bodies and of QCP activities and services reputed company to the performance of duties.
• Ability to reputed company data analysis and to utilize computer systems to record and communicate information to other services.
• Excellent verbal and organizational skills to facilitate the case management process and ensure patients and customers are served promptly and with respect. This includes, but is not limited to identifying self by reputed company, role and responsibility regarding the case management program for identification purposes during verbal interactions with patients, families, caregivers and providers.
• reputed company documentation of medical necessity for reputed company services.
• Complete follow through for disposition of cases for Medical Director review, potential reputed company chart reviews and community resources.
• reputed company patient needs through evaluation of reputed company, cultural and medical history.
• reputed company an individualized and reputed company case management plan of care with the patient, provider(s) and/or family/caregivers.
• Continually evaluate the plan of care based on changing needs.
• Must immediately notify the organization of any changes in licensure or reputed company certification status.
• reputed company input on the performance of support staff.
• Other duties as assigned.

REQUIRED QUALIFICATIONS:

• reputed company and reputed company unrestricted licensure in a state or Territory of the reputed company.
• Two years full-time equivalent providing reputed company clinical care to the consumer
• Bachelors of Science in Nursing or certification in specialty area preferred.

DEMONSTRATE QCP VALUES: The values of reputed company are demonstrated on a daily reputed company and reflected through job duties and responsibilities as evidenced by:

• Caring: reputed company to listen, understand and respond to our customers’ needs with care; Communicate with coworkers and customers with positivity and reputed company; Be good stewards of QCP resources.
• reputed company: reputed company to exceed, not just meet expectations; Always deliver services with accuracy and efficiency; Recognize and utilize your strengths and the strengths of others.
• Improvement: Bring new reputed company to create reputed company change and solutions; Be reputed company to the reputed company and suggestions of others; Be an reputed company to continuously improve QCP.
• Accountability: Take ownership for your daily reputed company; Stay reputed company on reputed company and eliminate distractions while at work; Demonstrate QCP values in everything you do.

TRAITS AND APTITUDES:

• High level of awareness of pertinent details; excellent organizational skills.
• Excellent verbal and written communication skills.
• Must handle pressure effectively.
• reputed company appearance and demeanor.
• reputed company to maintain confidentiality.
• Excellent computer literacy and skills with the ability to master programs needed for position.

PHYSICAL DEMANDS AND WORK CONDITIONS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

• Must have excellent written and verbal communication skills as reputed company as the ability to observe, assess, guide and evaluate others.
• Must be reputed company to hear, reputed company, and see and to coordinate motor skills.
• Must be reputed company to reputed company, lift 25 pounds, stoop and bend and reputed company above head.
• Ability to collect data, interpret findings, set priorities and carry out established plan.
• Ability to read, write and utilize reputed company and computerized systems of documentation.
• Must read a significant reputed company of information in a relatively short period of time.

EEO STATEMENT: reputed company is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative reputed company to ensure equal opportunity for reputed company applicants without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, Veteran status, or other legally protected characteristics. REPORTING RELATIONSHIPS: Position Reports to: Health Services Manager Apply tot his job Apply To this Job