This site uses cookies. To find out more, see our Cookies Policy

Nursing Supervisor Case Manager RBCH in Killeen, TX at AdventHealth

Date Posted: 2/12/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Killeen, TX
  • Job Category
  • Date Posted:
    2/12/2019
  • Job ID:
    19001755
  • Job Function
    Nursing
  • Travel
    No
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Central Texas

Job Description


Description
ER Registration Clerk - AdventHealth Rollins Brook
Location Address: 608 N. Key Avenue; Lampasas, TX 76550
Top Reasons to Work At AdventHealth Rollins Brook, Lampasas, TX
  • Our care for patients extend to the spiritual level by praying with patients and families and providing on call, 24 hours, 7 days a week Chaplains for spiritual support.
  • Award winning facility with opportunities to grow both professionally and personally working with great individuals, part of a bigger team that continues to build a world-class culture where you become family.
  • Extraordinary benefits to include tuition reimbursement and on-campus classes.
  • Cost of living is 20 percent lower than the national average
  • Largest school district in the area, with more than 50 elementary, middle, high school, and specialized campuses to choose from
  • Surrounded close to Ft. Hood, Copperas Cove, to Belton and Lampasas with plenty of restaurants, shopping and other family fun events.
  • Miles of scenic trails and parks available for recreational activity
Work Hours/Shift:
Day Shift
You Will Be Responsible For:
Case Management: Maintains expertise in all aspects of prospective payment and the different aspects of the clinical case management process. Is continuously aware of the outlier length of stays in the hospital and their treatment plans. Liaison between the clinical case managers and attending physicians with utilization or clinical quality issues, concurrent review problems, issues or concerns. Evaluates and communicates appropriateness of service level utilization and processing the patients through the continuum of care. (outpt., inpt., Swing Bed) Appeals denials as needed. Gathers statistics on utilization, LOS, and quality. Presents statistical analysis with recommendations for improving utilization and care. Can work independently on improving the case management process.
Supervise discharge planning with Social worker. Lead discharge interdisciplinary planning meetings. Include other clinical disciplines in the case management discharge planning meetings:  education, rehab, nutrition, pharmacy, cardiopulmonary on assigned unit.
Works independently, however, requires frequent instruction training, coordination, and supervision of hospital and medical staff on the utilization program and prospective payment system.
 
Works in a modern, well-equipped environment.   May be required to work additional hours.
 
Interfaces with fellow employees, physicians, patients, and families on a daily basis.  Interfaces with external contacts to establish good relationships with community agencies.
 
           
Maintains utmost confidentiality.  Has access to confidential information.  Requires establishing and maintaining confidential records.
Requires responsibility for department supplies, equipment, and adherence to budget.
Requires compliance with all safety and infection control policies required to prevent injury to patients.
  • Quality Measures: Incorporates the review of quality assessment indicators, clinical path compliance, infection control surveillance, occurrence monitoring, and utilization management. Abstract Charts for CMS Core measures. Prepare Core Measures reports of outcomes and monitor concurrently.
  • Nursing Administration perform as house supervisor and duties as assigned.

Qualifications
What You Will Need:
  • Registered Nurse with Bachelor’s Degree preferred. 
  • Working knowledge of PPS requirements. 
  • Licensed to practice as a Registered Nurse in the State of Texas.
  • Five (5) years clinical experience. 
  • Two (2) or more years supervising or administrative experience in acute care health setting. 
     
Job Summary:
Implement the activities of the discharge planning process for AdventHealth Central Texas - Rollins Brook Community Hospital. Ensures that the concurrent review process is performed in an efficient and effective manner.  Coordinates and implements the discharge planning function into the concurrent review process.  Additionally, when requested, functions as patient representative, utilization review representative and social services representative.  Responsible for referral and discussion of utilization problems and issues with the department director and physician reviewer to ensure appropriate intervention and resolution. Implement Quality measures are i at time of admissions and abstractions completed prior to lock date by compiling information from databases to prepare statistical reports for Quarterly reporting using computer software to support management decision making. To participate in assigned roles as House supervisor, Administrator on call and participate in Call Manager to follow-up on Inpatient discharge calls.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

CHECK OUT OUR SIMILAR JOBS

  1. Nurse Jobs
  2. RN Jobs

VIEW ALL JOBS BY:
Location | Organization | Category | Job Function