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RN CASE MANAGER

Posted Date  Tue Sep 15, 2009
Closing Date  until filled
Salary  * Negotiable *
FLSA Status  Exempt
Department  Social Work - University Hospital - St Paul
Job Category  Nursing
Hours  weekdays-8 AM - 5 PM
Requisition Number  10000153
Position Number  42994
Experience & Education Required (any one of the following):

1. Graduate of accredited nursing school, and six (6) years experience in clinical and UR; OR Registered Nurse, CCM with four (4) years in related field is required. **Texas Registered Nurse and CPR certification is required.** Preferred: BSN  

Skills And Abilities Effective Communications Skills
Customer Service
Security This position is security-sensitive and subject to Texas Education Code §51.215, which authorizes UT Southwestern to obtain criminal history record information.
 Job Duties 1. Collaborates with other disciplines, physicians and payors to assess, develop, implement and monitor comprehensive plan of care to ensure continuity of care and cost effectiveness.

2. Collaborates with physicians and staff regarding medical necessity for admission, continued stay or alternative treatment facilities and/or levels of care. Collaborates with Social Work and others to arrange discharge planning referrals per physician orders.

3. Relates utilization assessment to payors that are needed to justify continued stay review and to obtain pre-certification.

4. Assesses appropriateness of level of care on concurrent basis.

5. Evaluates effectiveness of care and facilitates coordination of care toward specific outcomes criteria.

6. Maintains timely documentation. Meets department and St. Paul University Hospital documentation standards.

7. Identifies quality and risk issues, makes appropriate referrals. Confers with supervisor and/or Medical Director as appropriate.

8. Communicates effectively with other health care providers, patients, families, other hospital personnel and visitors. Demonstrates effective communication with adolescents, adults and older adults.

9. Demonstrates knowledge of unit performance improvement and is aware of expected participation.

10. Identifies need for professional growth and seeks appropriate development opportunities.

11. Evaluates care management outcomes data to identify trends and areas for improvement.

12. Performs other duties as assigned.

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