Registered Nurse RN Case Manager
Company: Henrico Doctors Hospital Forest
Posted on: October 14, 2021
SHIFT: Weekends Only
Henrico Doctors' Hospitals is a 767 licensed bed facility that
consists of five community campuses, Henrico, Parham and Retreat
Doctors' Hospitals, West Creek Emergency Center and Hanover
Hospital is a 340-bed community hospital offering a full
range of healthcare services. We are a Level II Trauma facility,
offering specialized vascular surgery, Neurosurgery, a
comprehensive certified stroke center, orthopedics and
groundbreaking diagnostic imaging. We're also a national
trendsetter in kidney transplants through the Virginia Transplant
Center and as part of the Virginia Institute of Robotic Surgery; we
lead the state in minimally-invasive procedures with da Vinci
63rd on Fortune’s 100
One of the largest healthcare
systems in the U.S.
Ranked by Fortune as a Most Admired
Company for 3 consecutive years
Named by Ethisphere one of the World’s
Most Ethical Companies
- Medical, Dental, Vision, Life and Disability
- 401k, Employee Stock Purchase
- Paid Time Off, Wellness
- Flexible Spending
Reimbursement Program ($5,250/calendar
- Student Loan
SPECIFIC ELEMENTS AND ESSENTIAL
- Applies the rules of Severity of Illness,
Intensity of Service, and Discharge Screens/Indicators consistently
in evaluating medical necessity.
- Performs admission and concurrent review for all
payers and maintains legible documentation as directed by the
Utilization Management Plan.
- Educates patients and families to
the patient’s needs post discharge and informs them of the
alternatives available to meet those needs.
- Refers patients who require extended care post
discharge to long term care facilities. Once an appropriate
bed is located, arranges for the patient’s transfer
- Collaborates with community
agencies to provide services to assist with housing, financial,
transportation, psychosocial, educational, home health, and home
medical equipment needs of patients/families post
- Initiates patient/family conference with the
health care team to achieve positive outcomes.
- Identifies, tracks, and records
Alternative Care Days (ACDs). Intervenes to prevent or
decrease ACDs as appropriate.
- Initiates denial
and appeal process in accordance with policy. Refers HINN
letters to Director.
- Maintains knowledge base for identification and
reporting of potential patients with contractual adjustment needs
and length of stay issues.
- Provides crisis and supportive
counseling to enhance the patient’s and family’s problem solving
and coping skills. Counsels patient/families regarding advance
- Takes a proactive role in discharge
- Maintains knowledge base with an
awareness of current trends that influence health care
Required: Five +
years of recent clinical experience as RN.
Utilization Management and/or Case Management experience; Quality
Registered Nurse with current Virginia
We are an Equal Opportunity
Employer celebrating diversity. We do not discriminate on the basis
of race, color, religion, gender, national origin, citizenship,
age, disability, sexual orientation, genetic information, gender
identity, protected veteran status, or any other legally protected
category in accordance to applicable federal, state, or local
Our Company’s recruiters are here to help unlock the next
possibility within your career and we take your candidate
experience very seriously. During the recruitment process, no
recruiter or employee will request financial or personal
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For questions about your job application or this
site please contact HCAhrAnswers at 1-844-422-5627 option
Keywords: Henrico Doctors Hospital Forest, Richmond , Registered Nurse RN Case Manager, Other , Richmond, Virginia
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