Case Manager, RN - Case Management
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At a glance
Requirements
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Job overview
Hawaii Pacific Health is hiring a Case Manager, RN - Case Management. The RN Case Manager ensures considerate and confidential management of unique and high-risk patient cases through direct referrals and medical record reviews. This role involves determining the appropriateness and medical necessity of admissions, continued hospital stays, and ancillary service use. The manager also performs treatment plan assessments, discharge needs interviews, and planning/coordination for high-risk cases.
Key focus areas include Ensure considerate and confidential management of unique and high-risk patient cases, Perform case management through direct referrals and reviews of medical records, and Determine appropriateness and medical necessity of admissions.
Successful candidates bring Hawaii RN License, Bachelor's Degree And/Or Equivalent Combination Of Education, Training, And/Or Experience, and 3 Years Clinical Experience In Acute Care, Community Or Long Term Care, Or Related Field. Important skills include Organizational Skills and Communication Skills.
Skills & qualifications
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Full job description
Founded in 1938, Wilcox Medical Center is a not-for-profit medical center dedicated to providing the Kaua‘i community with accessible quality health care. The largest medical center on Kaua‘i, it is a state-of-the-art acute care facility with a full suite of services offering 30 specialties and programs, including cardiology, emergency, family practice, gastroenterology, health management, internal medicine, neurology, OB-GYN, oncology, orthopedics, pediatrics and urology. Its 18-bed emergency department serves as the island’s Primary Stroke Center. The medical center also has four birthing suites, seven intensive care beds and 20 same-day surgery beds. Wilcox is the first American College of Surgeons-verified Level III Trauma Center in the state of Hawai‘i. Wilcox is part of Hawai‘i Pacific Health, one of the state’s leading health care systems and a not-for-profit health care organization with medical centers, clinics, physicians and other caregivers working together to create a healthier Hawai‘i.
The Case Management team puts great emphasis on helping each patient transit their health care treatment with an appropriate set of support tools and information. Our caring, professional staff provides timely medical and discharge management to meet clinical and service goals, and to provide an effective, appropriate continuum of care. We want to ensure that our patients receive the attention they need, especially when they require care from several different services and other combinations of medical, financial or social intervention.
As the RN Case Manager, you will ensure the considerate and confidential management of unique and high-risk patient cases by performing case management through direct referrals and reviews of medical records. This includes determining the appropriateness and medical necessity of admissions, continued hospital stay, and the use of ancillary services. You will also perform treatment plan assessments, discharge needs interviews, planning/coordination for high risk cases, and participate in organizational quality improvement activities. We are looking for someone perceptive to patient needs, with outstanding organizational and communication skills and a commitment to delivering the highest quality health care to Hawai‘i’s people.
Location: Wilcox Medical Center
Work Schedule: Day/Evening - 8 Hours
Work Type: Full Time Regular
FTE: 1.000000
Bargaining Unit: Non-Bargaining
Exempt: Yes
Req ID 29404
Pay Range: 127,691.20 - 159,619.20 USD per hour
Category: Nursing
Minimum Qualifications: Current Hawaii RN License. Bachelor's Degree and/or equivalent combination of education, training, and/or experience.
Three (3) years clinical experience in acute care, community or long term care, or related field.
Preferred Qualifications: Current Case Management or Utilization Management Certification.
EOE/AA/Disabled/Vets
Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.
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