RN, Registered Nurse Care Manager - Wound Care Center- Full Time
CHRISTUS Health
Application
Details
Posted: 18-Jan-25
Location: Longview, Texas
Categories:
Mental Health/Social Services
Internal Number: 243862
Description
Summary:
The Care Manager effectively communicates with internal and external clinical professionals. Efficiently organizes the care of the patients and assess the homes for needs and makes appropriate arrangements. Critically thinks for appropriateness of care provided the patients within the scope of care of the healthcare center. Effectively multitasks the workday, accurately inputs computer info, and successfully accomplishes difficult tasks as assigned.
Responsibilities:
Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
Identify, evaluate and provide case management services for patients, and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards.
Coordinate certifications of services with the appropriate payor.
Identify and refer over/under utilization issues and refer appropriate cases to VP Medical Affairs.
Initiate timely and appropriate Discharge Planning.
Collect and analyze data to assure quality outcomes.
Serves as liaison for patient, family and physician to assist in communication.
Reinforces and interacts with patients, physicians and families across the continuum to include post-acute services.
Assures timely medical record documentation to coordinate appropriate clinical documentation for all services
Requirements:
Experience
Minimum of five years recent clinical experience as an RN. Negotiating skills which support the ability to interact with physicians, nursing staff, discharge planners, and payers.
Excellent verbal and written communication skills
Knowledge of clinical protocol, normative data and health benefit plans, particularly coverage and limitation clauses.
Ability to manage several projects and cases simultaneously.
Knowledge of community resources.
Education
Bachelor?s Degree in Nursing, preferred
Licenses, Registrations, or Certifications
Current Registered Nurse License
Work Type:
Full Time
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CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.