(RN) REGISTERED NURSE CASE MANAGER (FT DAYS)
Company: Williamson Health
Location: Franklin
Posted on: May 8, 2024
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Job Description:
Summary
Located in Franklin, Tennessee, Williamson Health is one of the
South's most exceptional health care systems with a 203 bed
hospital (Williamson Medical Center), over 40 providers at our
Williamson Health Medical Group locations, the Bone & Joint
Institute and the Monroe Carell Junior Children's Hospital
Vanderbilt at Williamson Medical Center. Williamson Health offers
comprehensive in-patient and out-patient services. We have more
than 825 providers representing over 70 medical specialties and
sub-specialties.
Williamson Health is a system where your talents will be valued and
your skillset expanded. We are rooted in our promise to
world-class, compassionate care for the residents of Williamson
County and surrounding communities, taking exceptional pride in
serving our community. We're committed to empowering our employees
to work in innovative ways and reserve time and space for
curiosity, laughter and creativity. We value and support the
diversity and cultural differences among one another and are
committed to upholding an inclusive environment that appreciates
the uniqueness of all individuals. Our values are at the heart of
everything we do: respect for every individual, the health and
total well-being of all people, human compassion and integrity.
These shape who we are as an organization and are essential for
delivering the highest level of culturally competent care and
treatment of every patient, family member, visitor, physician and
employee.
Williamson Health is pleased to offer a comprehensive benefits
program, that offers you choice and flexibility, so you can take
charge of your physical, financial, and emotional well-being.
o Medical, Dental, Vision
o PTO
o Retirement Matching
o Tuition reimbursement
o Discount programs
o FSA (Flexible Spending Accounts)
o Identity Theft Protection
o Legal Aid
Williamson Health is an equal-opportunity employer and a drug-free
workplace.
POSITION SUMMARY
To perform the activities of Case Management and Utilization
Management to facilitate the collaborative management for an entire
episode of care for all patients with the multidisciplinary health
care team, focusing on resource management and discharge planning.
Performs timely review and delivery of necessary clinical
information according to governmental regulations and insurance
guidelines for approval of hospital care and correct admission
status optimizing appropriate reimbursement for services, while
supporting the mission of Williamson Health.
POSITION REQUIREMENTS
Formal Education / Training:
Workplace Experience:
Recent minimum 5 years related experience in hospital or managed
care setting.
Prior utilization/case management experience is preferred.
Equipment and Skills Training:
Demonstrated clinical knowledge base in medical/surgical nursing
and or critical care.
Demonstrated organization, time management, problem-solving and
critical thinking skills.
Able to perform independently and in team situations under the
supervision of a Director/Manager.
Demonstrated effective verbal and written communication skills.
Efficient review and interpretation of the medical record.
Familiar with Meditech, Allscripts Care Management, Fax, Copier,
basic computer skills preferred.
General knowledge of Governmental and Insurance guidelines related
to case management compliance, reimbursement, DRG system and
Interqual Criteria preferred.
Positive attitude with a willingness to learn new processes and
adjusts well to change.
Required Weekend Rotation
Physical Environment:
Office and Clinical environment.
Possible exposure to airborne pathogens.
Physical Effort:
Telephone and computer use for extended periods of time.
Able to walk/stand, up to 2 hours/day.
Clear legible handwriting
Clear understandable voice.
PERFORMANCE STANDARDS
Keywords: Williamson Health, Franklin , (RN) REGISTERED NURSE CASE MANAGER (FT DAYS), Healthcare , Franklin, Tennessee
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