Registered Nurse RN Case Manager

Company: Henrico Doctors Hospital Forest
Location: Richmond
Posted on: October 14, 2021

Job Description:

Description

• Medical, Dental, Vision, Life and Disability Insurance
• 401k, Employee Stock Purchase Plan
• Paid Time Off, Wellness Resources
• Flexible Spending Accounts
• Tuition Reimbursement Program ($5,250/calendar year)
• Student Loan Assistance 

• 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 discharge.
• 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 medical directives.
• Takes a proactive role in discharge planning.
• Maintains knowledge base with an awareness of current trends that influence health care practice

Qualifications

Notice

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Keywords: Henrico Doctors Hospital Forest, Richmond , Registered Nurse RN Case Manager, Other , Richmond, Virginia