This position is specific to the Emergency Department
Summary: A Registered Nurse responsible for working collaboratively with the medical staff and other health care disciplines to facilitate patient care throughout the continuum. The case manager will assume a leadership position within the department to direct and coordinate patient care by avoiding duplication and misuse of medical services. The case manager is required to maintain and support the standards of patient care.
Other information: Three to five years clinical experience.Previous experience in Case Management including knowledge of Interqual criteria and Utilization Management preferred.Skills include the ability to review cases for appropriate level of care for admission, continued stay and the utilization of discharge screens. Possess strong communication, problem solving and organizational skills.Must be proficient in word processing and the use of clinical software.
Responsibilities: Works to resolve questionable Utilization cases. Knowledge of InterQual criteria and appropriate levels of care. Promotes internal and external understanding of Utilization Management. Maintains familiarity with laws, regulations and their interpretations affecting utilization management processes and UM nurse role at BMC. Follows procedure to issue Hospital Issued Notices of Noncoverage (HINN) notices when appropriate. Leads the treatment team in understanding, monitoring and effective utilization of hospital resources. Displays leadership in promoting corporate integrity. Monitors for compliance to Federal, State and JC requirements. Takes action when deficiencies are found. Computer Skills/ Allscripts/ Invision/Document Imaging. Documentation competency, skill, and accuracy in entering data into Allscripts soft ware.
Credentials: Essential: * RN - Registered Nurse
Competencies and skills: Essential: * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records * Experience With Excel, Power Point, Word, Visio, Etc.
Education: Essential: * RN Diploma/RN Graduate Program
Location: Hospital-Main Campus
Shift : Flexible-hours/shifts may vary depending on department needs
Beebe Healthcare serves the Sussex County community with a medical center located in beautiful, historic Lewes, Delaware, and convenient outpatient locations throughout the county. Founded in 1916 by two physician brothers, Drs. James Beebe and Richard C. Beebe, the medical center in Lewes is a 210-licensed-bed, not-for-profit seaside community hospital. Beebe's specialized service lines include cardiac and vascular, surgical services, oncology, women's health, and orthopaedic services. Beebe offers an array of inpatient, outpatient, emergency, and diagnostic services.
Beebe's five satellite campuses offer imaging, physical rehabilitation, and lab services, as well as walk-in care centers. In addition, Beebe offers Wound Healing & Hyperbaric Medicine and Diabetes Management & Medical Nutrition Therapy.
With a mission to serve the community, Beebe also offers many free screenings and outreach programs through its Population Health Department; and advanced medical care for those who are recuperating at home through Beebe Home Care Services.
Beebe is also training the next generation of nurses through the Margaret H. Rollins School of Nursing, located behind the Medical Cente...r in Lewes.
Beebe's Medical Staff has grown tremendously since the early 1990s. Employed physicians through Beebe Medical Group and our affiliated physicians on Beebe's Medical Staff now serve patients from Milford to Millville in specialties including cardiac surgery, dermatology, endocrinology, family practice, gastroenterology, general surgery, internal medicine, pediatric neurology, and surgical oncology.
Beebe is proud to offer quality care, close to home for the residents and visitors of Sussex County.