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Case Manager RN

Continuing Care Hospital Inc Lexington-Fayette, Kentucky
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The posted compensation range of $30.47 - $44.19 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2024-375165 Employment Type Full Time Department Case Management Hours/Pay Period 80 Shift Day Weekly Schedule Monday-Friday 8-5 Remote No Category Case Management and Social Work
Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.


Responsibilities

Job Summary / Purpose

Coordinates a system of direct case management to effectively follow patients throughout the continuum of care in a multiple health care delivery system.  Role includes assessment of patient's status, evaluation, coordination of on-going needs, and planning of care and delivery of services, appropriate implementation of community resources through proper discharge planning functions, and monitoring of quality of service throughout the case management process.  Performs direct Interqual/M&R utilization review on all acute admissions.

Essential Key Job Responsibilities

  1. Complies with safety and emergency procedures.
  2.  Complies with Hospital/Department/Unit policies.
  3. Documents activities consistent with Hospital/Department/Unit Guidelines.
  4. Performs critical/frequent procedures or services.
  5. Provides care/services based on identified needs.
  6. Uses required equipment for providing care/services.
  7. Consults with Hospital/department resources.
  8. Demonstrates professional responsibility as per job classification.
  9. Demonstrates Core Values Guest Relations/Guest Service Standards.
  10. Demonstrates Core Values Based on Behavioral Standards.  
  11. Other duties as assigned by management.

Qualifications

Minimum Qualifications

Required Education (for CHI Leadership Job Levels from Supervisor through President)

Does Not Apply

Required Education for Staff Job Levels

Graduate from accredited school of nursing. 

Required Licensure and Certifications

Kentucky state licensure as a Registered Nurse.

Required Minimum Knowledge, Skills and Abilities

Prefer 2 years recent varied acute hospital experience.  Strong clinical background with a broad range of clinical experience, and the ability to utilize data and regulatory information in decision making process.  Adequate conversational English is required in order that the individual be able to take direction from management, understand how to complete job tasks, communicate adequately with patients and co-workers as necessary, understand and follow safety guidelines, and understand the Associate Handbook and all hospital policies.

PREFERRED Qualifications

Associates Degree in Nursing, CCM, Interqual, M&R, or Discharge Planning Certification.  3-5 years recent varied acute hospital experience, 1 year Case Management or home health working with Medicare/Medicaid and other federal guidelines or 2 years Utilization management in hospital setting.  Also desirable, experience in discharge planning with case management model.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.