RN Case Manager
Bozeman, MT
Learnbeyond Healthcare
5x8 hrs, Days
Referral Bonus

Job Name

RN- Case Manager w/ Utilization Review Experience!

Day Shift. 730am -430pm, Weekend Rotations

Job Description:

Position Summary:

The Registered Nurse Non-Certified Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through assessments and/or patient records. Identifies and resolves barriers that hinder effective patient care. Actively involved in discharge planning process.

Minimum Qualifications:

Required

• Montana Licensure (Registered Nurse)
• American Heart Association BLS
• Minimum of 2 years of nursing experience
• MUST HAVE UTILIZATION REVIEW EXPERIENCE

Preferred

• Bachelor’s Degree in Nursing
• 2 years of acute care hospital experience as a case manager

Essential Job Functions:

In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for members.

Knowledge, Skills, and Abilities

• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Strong interpersonal, verbal and written communication skills
• Exercises tact, discretion, sensitivity and maintains confidentiality
• Computer applications, MS Office, EMR, internet applications and standard office equipment
• Ability to analyze, organize and prioritize work while meeting multiple deadlines
• Strong emotional intelligence, interpersonal and teamwork skills