Registered Nurse RN Case Manager

Rn Case Manager

Wyoming Medical Center seeks to transform the lives of those we serve by fostering the highest level of health and wellness in our community and across our region and state. In the role of the RN Case Manager, you will have the opportunity to join a tight-knit team supporting Acute Care. You will have tools and support to achieve outcomes and positively affect transitions of care. Care Coordination/Case Management is a unique, important department that supports patients, families, and the operations of the facility. You will have the opportunity to work closely with all disciplines in the hospital and community to coordinate care and timely discharges for patients resulting in excellent care. This is a full-time working Monday - Friday with flexibility to work 4-10's or 5-8's and will join a monthly call rotation.

Banner Wyoming Medical Center is located in the heart of Casper, Wyoming. As the state's largest inpatient facility, Wyoming Medical Center is known and highly regarded for its cardiac and stroke services. With 249 beds and a level 2 trauma center, Wyoming Medical Center is proud to serve the entire state of Wyoming.

POSITION SUMMARY

This position provides comprehensive care coordination for patients as assigned. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill, and terminally ill patient.

CORE FUNCTIONS

1. Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.
2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
4. Maintains knowledge of Medicare, Medicaid, and other program benefits to assist patients with discharge planning and choices. Knowledge of community resources relevant to health care, end of life dynamics, substance abuse, abuse, neglect, and domestic violence.
5. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
7. May supervise other staff. Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations.

POSITION QUALIFICATIONS

Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (R.N.) license in state worked. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required. Requires a proficiency level typically achieved with 2-3 years clinical experience. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. May have to take rotating call based on the acute facility need. For Case Management positions in acute facilities, Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.

CERTIFICATION OR LICENSURE

Requires current Registered Nurse (R.N.) license in state worked. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.

PREFERRED QUALIFICATIONS

Certification for CCM (Certified Case Manager) preferred. Additional related education and/or experience preferred.