Healthcare Professionals (HCP) compliance with necessary vaccinations ensures the uninterrupted operational continuity of Oaklawn and leads by example in the health and safety of the community we serve. COVID-19 and Influenza are required vaccinations at Oaklawn, EEOC exemption requests will be considered. Please consider this before applying for positions.
Case Manager - RN
JOB SUMMARY: Responsible for compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning. Responsible for ensuring compliance with DNV provisions of care regarding discharge planning and patient needs for care, treatment, and services after discharge or transfer are met. Responsible for assisting in carrying out the hospital’s Utilization Management Plan. Educates staff regarding effective allocation of the hospital’s resources, while encouraging provision of high quality patient care. Is cognizant of regulations and policies of all review organizations relating to billing of the fiscal intermediaries. Coordinates, monitors and evaluates options and services to meet an individual’s health needs. Provides a full range of case management services in collaboration and communication with other staff members. Assesses, plans, implements, coordinates, monitors, and evaluates options to facilitate the continuum of care.
Minimum Qualifications: Bachelors degree in nursing, Licensed in the state of Michigan. Five (5) years of experience working as a registered nurse in an acute hospital setting.
Knowledge, Skills & Abilities: Ability to work with diverse patient and staff populations with knowledge and sensitivity to cultural and spiritual influences impacting patient care. Demonstrated ability to efficiently and independently manage own time and tasks with minimal supervision. Knowledge of state and federal programs that provide medical care and financial support to individuals and community resources. Knowledge of the Continuum of Care and Utilization processes. Ability to read, analyzes, and interprets professional journals, technical procedures, or governmental regulations.
Working Conditions: May experience traumatic situations including psychiatric, dismembered and deceased patients.
Physical Requirements: Constantly see/visual acuity, talk/hear. Frequently stand, sit, walk, handle/grasp/feel. Occasionally lift/carry 1 to 50 lbs.