Per Diem / PRN Nurse RN - Case Management - $31+ per hour
Company: North Mississippi Health Services
Location: Tupelo
Posted on: October 26, 2024
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Job Description:
Job DescriptionNorth Mississippi Health Services is seeking a
per diem / prn nurse RN Case Management for a per diem / prn
nursing job in Tupelo, Mississippi.Job Description &
Requirements
Review Activities:
* monitors individual cases in relation to established criteria,
LOS & patient care guidelines
* assures patient is meeting level of care criteria & issues denial
of care letters as necessary
* intervenes as indicated to promote the timely provision of care &
utilization of resources
* serves as a resource for physicians & nurses in understanding
criteria for continued stay & medical necessity
* monitors patient outcomes to evaluate clinical & financial
effectiveness
* reconciles services rendered with patient benefits & communicates
with physicians & 3rd party payers to assure appropriate
reimbursement
Clinical Practice:
* collaborates with patient care team to move population along the
continuum by effectively planning for continued care as moving to
another level of care to ensure all patient needs are addressed
* assesses social/emotional factors affecting health status of
patients & makes appropriate referrals
* participates on Discharge Planning Team & initiates d/c planning
early in the treatment process based on requirements of the plan of
care & needs identified during initial assessment
Swing Bed Responsibilities:
* participate on SWB Team and facilitates screening of patients for
eligibility
* provides SWB information to patients & families as
appropriate
* monitors patient progress for timely discharge to the appropriate
setting
* assists with MDS as required for billing/reimbursement as
needed
Reports:
* identifies & reports physicians practice patterns & resource
utilization
* maintains accurate records of review & discharge planning
activities
* trends & reports lack of medical necessity for admissions,
observation vs admission appropriateness, and LOS
Customer Service:
* maintains constructive working relationships & communication with
physicians, professional staff, and other members of the health
care team regarding issues of continued stay & documentation of
medical necessity
* collaborates with business office to ensure accurate billing and
statistical information
* collaborates with social worker to identify & coordinate
resources, internal and external, to best meet patient needs
* competent to communicate on all levels to assess discharge needs
of all age groups of patients
participates in educational meetings with physicians office
personnel as requested
Job Knowledge:
* currently licensed in Alabama as a Registered Nurse & in good
standing with the State Board of Nursing
* minimum of 5 years of experience with a broad base of clinical
expertise
* ability to read & interpret medical record documentation
* ability to operate a PC
* good organizational skills & high level of self-initiative
* effective verbal & written communication skills
maintains current ACLS and BLS certificationsNorth Mississippi
Health Services Job ID #2232-0008PM. Posted job title: Case Manager
- Tupelo, PrnAbout North Mississippi Health ServicesAt North
Mississippi Health Services, we believe in connecting you to a
career that challenges you, engages your mind and inspires you to
be the "you" you always wanted to be. We also believe in
celebrating everything that makes you uniquely you – your talents,
your perspectives and your passions – and connecting you with
others to create a supportive and innovative team that aspires and
achieves together. Most of all, we believe in helping you leverage
and connect your personal passion with a much greater purpose.
We're committed to helping our team of over 7,000 unique
individuals discover what connects you to our mission, vision and
ultimate "why" – our patients.With seven hospitals, more than 60
clinics, four long-term care facilities, state-of-the-art women's
and behavioral health facilities and multiple outpatient care
centers, we have a variety of career opportunities waiting for
you.
Keywords: North Mississippi Health Services, Oxford , Per Diem / PRN Nurse RN - Case Management - $31+ per hour, Executive , Tupelo, Mississippi
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