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Registered Nurse (RN), Clinical Case Manager
Who We Are:
People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Frye Regional Medical Center includes a 355-bed acute care hospital and features a 32-bed Emergency Department, 29-bed Inpatient Rehabilitation Center, 15-bed Surgical Suite and Inpatient/Outpatient Imaging. Our South Campus is an 81-bed adult Behavioral Health Hospital.
Where We Are:
Hickory is the hub of the Metro Center area with over 365,000 people. Here you will find small town values with big city amenities, including arts, entertainment, and education. We are located about an hour from cities like Charlotte, Boone, Asheville and Winston-Salem so you can easily experience all the beauty that North Carolina has to offer.
Why Choose Us:
* Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
* Competitive Paid Time Off / Extended Illness Bank package for full-time employees
* Employee Assistance Program - mental, physical, and financial wellness assistance
* Tuition Reimbursement/Assistance for qualified applicants
* Professional Development and Growth Opportunities
* And much more...
Position Summary:
Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence to a designated Geometric Length of Stay (GLOS) for each patient.
Reports to: Director of Case Management
ESSENTIAL FUNCTIONS
- Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization.
- Assesses the quality of patient care delivered and coordinates patient care services with patients, staff, physicians, and other departments.
- Creates and fosters an environment that encourages professional growth. Integrates evidence-based practices into operations and clinical protocols.
- Works with physicians, nurses, ancillary staff and social services at the point of care to facilitate multidisciplinary decision-making that is consistent with the goals and objectives of the plan of care and the wishes of both the patient and family.
- Must understand payer issues with regard to patient management and resulting implications of clinical decisions and anticipate to opportunities to reduce expense and capture revenue appropriately from admission through discharge.
- Coordinates care and services within the case managed population.
- Educates Physicians and staff in Case Management standards and assists them in meeting the regulations and standards as requested by Joint Commission, OSHA, CMS, HCFA, AHCA and other regulatory agencies. Educates and mentors all staff in UR standards and LOS topics
Minimum Qualifications:
Minimum Education
Associates Degree in Nursing required
Bachelor's Degree in Nursing preferred.
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Licenses: Current RN license to practice in NC (NC licensure or multi-state (compact) license). ACMA Certification highly preferred CCM Certification highly preferred
Minimum Work Experience 1-3 years case management experience preferred
EEOC Statement:
Frye Regional Medical Center is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.