RN Case Manager I/Registered Nurse

<p>Work for the health system that brings out the best in you!&nbsp;<br />When you work with Henry Ford Health System, you're not just another employee, you're part of a community of experts dedicated not only to helping our patients, but also helping each other succeed.<br /> <br /> With ample opportunity, competitive benefits and a collaborative atmosphere, working at Henry Ford is not just another job, it's a way to do what you love and to be your best you!</p>

Detroit, MI

Henry Ford Health System

<p>Founded in 1915 by auto pioneer Henry Ford, Henry Ford Health System (HFHS) is one of the nation&rsquo;s leading comprehensive, health systems. It provides health care delivery including acute, specialty, primary and preventive care services backed by excellence in research and education.<br /><br /></p> <ul> <li>Mission: To improve people's lives through excellence in the science and art of health care and healing.</li> <li>Vision: Transforming lives through health and wellness, one person at a time.</li> </ul> <br />Search for your next career with Henry Ford Health System &mdash; then apply, or recommend a friend. <a href="http://henryford.referrals.selectminds.com/" target="_blank" rel="noopener noreferrer">CLICK HERE</a> to view all open careers. https://www.henryford.com/

keywords: facilitate patient care,management,values,analysis,communication,support,professional,license,quality assurance,organization,degree,experience,communication,analysis,knowledge,professional

Case Manager I

Overview: The purpose of the&nbsp;Case Manager I<strong>&nbsp;</strong>position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, patient education, care facilitation, and discharge planning functions.&nbsp;
Responsibilities: <div>The&nbsp;Case Manager I&nbsp;is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include: Facilitation of precertification and payor authorization processes. Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement. Application of process improvement methodologies in evaluating outcomes of care.&nbsp;</div> <div>&nbsp;</div> <div>Support and coaching of clinical documentation efforts and serving as a clinical resource for coders ensuring that documentation accurately reflects severity of illness and intensity of service. Coordinating communication with physicians. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Ability to demonstrate knowledge of the principles of growth and development as it relates to the different life cycles.</div>
Requirements: <strong><u>EDUCATION/EXPERIENCE REQUIRED:&nbsp;</u></strong> <ul> <li>&nbsp;Bachelors of Science in Nursing, required.&nbsp;</li> <li>&nbsp;Minimum of three years RN clinical experience, preferred.&nbsp;</li> <li>&nbsp;Possess interpersonal communication and negotiation skills.&nbsp;</li> <li>&nbsp;Possess analytical, data management and PC skills.&nbsp;</li> <li>Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement, preferred.&nbsp;</li> <li>Organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components with minimal supervision.&nbsp;</li> <li>Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families.&nbsp;</li> <li>Performs duties in amanner to promote quality patient care and customer satisfaction, while promoting safety, cost efficiency, and a commitment to Continuous Quality Improvement process.&nbsp;</li> </ul> <div><strong><u>CERTIFICATIONS/LICENSURES REQUIRED:&nbsp;</u></strong></div> <ul> <li>Current and valid license to practice as a Registered Nurse in the State of Michigan.</li> </ul>