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Your next career move matters. We invite you to explore open positions at Havasu Regional Medical Center, which is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® and creating places where employees want to work. Whether you’re an experienced professional or just beginning your career, you’ll find opportunities to use your skills and expertise. Looking for nursing career opportunities? Please visit here.

RN - Case Manager ED - FT

Lake Havasu City, Arizona

Req ID 7430-7865 Post Date Dec. 12, 2024 CategoryRegistered Nurse FacilityHavasu Regional Medical Center
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Havasu Regional Medical Center

$18,000 Sign On Bonus

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. Havasu Regional Medical Center is a 171-bed hospital that offers a broad scope of services in major medical disciplines. A medical staff of more than 33 affiliated physicians represents a broad cross-section of expertise in 31 medical specialties.

Where We Are:

Lake Havasu City has earned the reputation as the outdoor recreation mecca of the southwest. Blessed by an ideal climate, captivating scenery, beautiful yet rugged mountains, tranquil desert and the azure waters of the Colorado River, Lake Havasu's 45-mile long lake is an oasis of natural beauty.

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:

Monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance.

Reports to: Director of Care Management

FLSA:  Non-exempt 

To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation. 
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Effective, professional and concise communication with all services involved with the management of patients to establish a good working rapport. Ensures respect for patient/employee rights and promotes patient/employee advocacy.
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Performs and documents admission and continued stay reviews on assigned patients including initial discharge assessment on first business day after admission and continued stay reviews every 72 hours during admission.
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Reviews all new patients on assignment daily to determine if the correct admission status is ordered. Notifies physician immediately if status needs to be revisited and documents in the computer system. Notifies director if status could present as a denial.
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Initiates and obtains all initial insurance authorizations daily during normal business hours. Must make the initial phone call to the UR department and fax all pertinent clinical to validate the admission. All subsequent documentation is placed the computer timely.
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Working knowledge of Medicare, Medicaid, State, and Insurance regulations and guidelines that will dictate care during and post discharge of hospitalized patients.
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Establishes, documents and facilitates a safe discharge plan for designated patients utilizing appropriate criteria and services available. Plans will be established proactively with patient, family, nurses, physicians and any outside sources to ensure timely discharges. insurance authorizations for all services will be obtained in a timely fashion.
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Determines assigned patients designated length of stay and works proactively with all services including family, patients, physicians, nurses and ancillary services to ensure discharge in a timely manner.
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Records avoidable days and LACE tools as needed daily on all assigned patients.
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Initiates, collects and files all required forms for patient care and delivery including but not limited to Medicare IM letters, MOON observation letters, HINN letters and Choice letters.
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Performs daily criteria reviews including Interqual and 5 elements on all new assigned patients. These are documented on CM UR worksheet and filed in the appropriate computer folder..
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Attends all assigned meetings timely and is prepared for presentation as required.
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Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. This position description does not restrict the right of management to assign or reassign duties and responsibilities with and without notice.

Minimum Qualifications:

Minimum Education
Associate’s degree Required
Bachelor's or Master's in Nursing preferred
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Required Skills
Certifications:
Basic Life Support (BCLS) required within 30 days of hire. (If ACLS is current, BLS is not required).
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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.
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Required Skills
Licenses: AZ registered Nurse or compact state license required on hire

EEOC Statement:

Havasu 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.

 


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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