Case Manager - Green Bay, Part Time/As Needed Only with Aurora Health Care in GREEN BAY, WI

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Aurora Health Care

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Job Location: GREEN BAY, WI
Job Type: Part-Time
Facility: AURORA BAYCARE MED CTR

Job Description

Job Title: Case Manager - Green Bay, Part Time/As Needed Only
Job ID: 101337
Location:
AURORA BAYCARE MED CTR
Full/Part Time: Part-Time
Regular/Temporary: Regular
Number of Hours Per Pay Period: 0.01
Schedule Type: Part-Time
Military Leave Position:

Responsibilities:

Serves as an educator and resource to the medical staff and hospital staff regarding hospital resource utilization issues and relevant regulatory requirements. Collaborates with physicians daily regarding patient care course. Makes suggestions in expediting care and modification to a tentative plan on a timely basis, if necessary.
May work as a member of the Outcome Facilitation Team (OFT) in a collaborative and proactive manner to promote best practice. Along with the Patient Care Manager and Clinical Nurse Specialist of the unit, proactively works to achieve the objectives outlined in the multidisciplinary Outcome Facilitation Team meetings.
Facilitates communications between and negotiates with the patient/family, physicians, nurses, dietary, rehab, homecare, social services, and other disciplines that need to collaborate to provide care for the patient. Identifies, evaluates, and acts to resolve any potential barriers to delivery of care and a timely and appropriate discharge. May coordinate and document discharge plans of care.
Conducts concurrent and retrospective clinical review based upon pre-established criteria approved by the Medical Staff for admission appropriateness and avoidable day(s) surveillance.
Collects accurate data on outcomes and resource utilization issues and facilitates reporting of utilization monitoring/review activities to the appropriate committees/persons on a quarterly basis. Provides clinical updates for the purpose of obtaining certification to third party payers and fourth party external review groups, as stipulated in contractual agreements.
Responds to and coordinates appeals as appropriate, for denials in coverage. Works closely with the medical staff, hospital departments and ancillary services in expediting care delivery and appropriate documentation to avoid delays in timely service provision. Validates care that is provided. Collaborates as a partner with jointly assigned social worker to ensure safe and appropriate discharge planning.

Qualifications:

Registered Nurse license issued by the state of Wisconsin.
Bachelor`s degree (or equivalent knowledge) in Nursing.
Requires 3 years of experience in clinical nursing.
Knowledge of the components of quality and acute patient care needs specifically related to the area/function in which care management will be performed.
Excellent analytical and Interpersonal communication skills necessary to negotiate with families, patient, physicians and third party payers for optimum plan.
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner.

Location Address: 2845 GREENBRIER RD (MED CTR) GREEN BAY , WI 54311 BROWN COUNTY

Discover the Benefits...
Imagine a work environment where you are valued for finding better ways of caring for our patients and are offered flexibility, mobility and growth through a wide range of career options. With Aurora you`ll find a diverse and comprehensive blend of benefits designed to make your life better both inside and outside of the workplace.
Aurora supports a safe, healthy and drug-free work environment through criminal background checks and pre-employment drug testing. We maintain a smoke-free environment at all our locations. We are an equal opportunity employer and maintain an environment that attracts, recruits, engages and retains a diverse workforce.

We are committed to a unique approach of delivering care that keeps people healthy and out of the hospital. Our work is guided by our philosophy of improving patient care through prevention, early detection and disease management. We back this commitment with a promise to our caregivers to listen, implement better ideas and build a wide range of career opportunities across eastern Wisconsin.

Aurora Health Care

Aurora supports a safe, healthy and drug-free work environment through criminal background checks and pre-employment drug testing. We maintain a smoke-free environment at all our locations. We are an equal opportunity employer and maintain an environment that attracts, recruits, engages and retains a diverse workforce.

See all jobs in GREEN BAY WI

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