Munson Healthcare
RN/Social Work Patient Care Manager - Full Time Day Shift (32HRs/Week) - Traverse City, MI
Traverse City, Michigan, United States · Full-time
Sponsorship not specifiedDetected 26 days ago
NegotiationExcelCustomer SupportPatient CareResearchLeadershipCommunicationCollaboration
About the role
- When you join Munson Healthcare, you'll find a supportive work environment that is focused on continuously improving.
- This is a place where you can learn and grow, and your career can flex with your life.
- And when you step out of work, you'll find things to do in every season--from freshwater beaches and outdoor recreation to unique restaurants and world-class wineries.
Responsibilities
- Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.
- Maintains working knowledge/experience in utilization management, managed care, and payer issues that may impact the course of care.
- Collaborates with Post-Acute Coordinators to monitor and facilitate the progress of completing complex post-acute services
- Assertively manage resource utilization while appropriately navigating the patient's movement along the continuum of care.
- Performs other duties and responsibilities as assigned
Requirements
- A Bachelor's degree in Nursing or Social Work.
- Comparable experience will be considered in lieu of a Bachelor's degree in nursing (must have RN license or social work license).
- If Registered Nurse, must be licensed to practice in Michigan.
- Also, for those hired into this job after January 1, 2015, it is required to obtain a BSN within 5 years of start date.
- Must have recent hospital patient care experience (minimum 3 years) and knowledge of hospital operations
Benefits
- Supports the Mission, Vision and Values of Munson Healthcare
- Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
- Confirm admission diagnosis and identify related quality/care metrics to promote medical compliance.
- Advocate for patient by assessing that patients healthcare needs are being addressed in the most appropriate level of care.
- Educates members of the patient's healthcare team on the appropriate access to, and use of various levels of care.
- Consults with physician advisor as necessary to resolve progression-of-care barriers through appropriate administrative and medical channels.
- Interface with utilization review specialists to stay current on patient's eligibility for admission, continuing stay or readiness for discharge according to medical necessity guidelines. ( InterQual® criteria)
- Utilizes the Program Manager, Director and Medical Advisor as expert advisors to gain insights in dealing with physicians and Resource Management issues.
Company info
- Be part of a team that nurtures a culture of caring every day.
- Our dynamic work environment includes many opportunities for growth and development.
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