Case Manager II/Exempt

Methodist Le Bonheur Healthcare Germantown, TN 38138, US

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.

The Case Manager II is responsible for coordination of care and service delivery for an assigned group of patients and promoting inter-dependent communication and collaboration with the patient, caregiver, physician and other members of the health care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost effective outcomes appropriate to patient's needs and resources. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview
The Case Manager II is responsible for coordination of care and service delivery for an assigned group of patients and promoting inter-dependent communication and collaboration with the patient, caregiver, physician and other members of the health care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost effective outcomes appropriate to patient's needs and resources. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

Performs and participates as part of the Case Management team to support a collaborative effort to facilitate quality patient care. This role integrates and coordinates various aspects of service delivery, care facilitation, payor authorizations, service access, discharge and post-discharge activities, and utilization review.
Identifies patients that meet criteria for case management services using an appropriate screening and assessment process.
Communicates necessary information to stakeholders and educates patients and families.
Plans effectively to meet patient needs, manage authorizations and length of stay, and promote efficient utilization of resources (fiscal, human, environmental, equipment and services).
Maintains reliable systems to document, track, and monitor assigned cases.
Performs other job functions as assigned or requested.

Education/Formal Training Requirements

Required - Bachelor's Degree Nursing
Preferred - Associates Degree Nursing
Preferred - Master's Degree Nursing

Work Experience Requirements

Required - Case Management 1-3 years
Required - Clinical healthcare (acute or hospital) 3-5 years
Preferred - Substitutions allowed: In lieu of Bachelor’s degree, the candidate must have an Associate’s degree in Nursing with minimum seven (7) years of combined clinical and Case Management experience 7-9 years

Licenses and Certifications Requirements

Required - Registered Nurse Tennessee - Tennessee Board of Nursing
Required - Accredited Case Manager - American Case Management Association
Preferred - Registered Nurse Mississippi - Mississippi Board of Nursing
Preferred - Registered Nurse Arkansas - Arkansas State Board of Nursing
Preferred - Case Manager - The Commission for Case Manager Certification

Knowledge, Skills and Abilities

Working knowledge of case management techniques.
Demonstrated oral and written communication skills required.
Demonstrated ability to develop and maintain working relationships with physicians and work collaboratively with health professionals at all levels to achieve established goals.
Demonstrated excellent facilitation skills.
Ability to plan and schedule tasks and to maintain control of own work flow.
General computer skills required, advanced computer skills preferred.
Ability to use initiative in decision-making; independent judgment and critical thinking skills

Supervision Provided by this Position

There are no supervisory responsibilities assigned to this job; may delegate to UR Specialists and Social Workers, if applicable.

Physical Demands

The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
Frequent non-invasive patient contact
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
This role may be scheduled for weekend and holiday rotations as required by the department.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

Share this job

Related Jobs

Full-time

2 months ago

RN-Nurse Practitioner

Baptist Memorial Health Care West Memphis, AR

Overview Job Summary Practices autonomously and in collaboration with other health care professionals to treat and manage patient's health problems and serve in various settings as researchers, consultants, and patient advocates for individuals, families, groups, and communities. Performs comprehensive assessments, diagnoses, and manages illness and disease. Performs other duties as assigned. Responsibilities Develops a plan of care within scope of practice of the nurse practitioner utilizing written protocols to ensure quality patient care. Uses prescriptive authority, procedures, referrals, treatments, and theories in accordance with state/federal laws and regulations. Enhances quality and effectiveness of nursing practice. Interacts with and contributes to the professional development of peers and colleagues. Provides clinical leadership. Supports life long learning. Completes assigned goals. Specifications Experience Minimum Required Preferred/Desired Education Minimum Required Either a Masters or Doctoral level as a nurse practitioner. Preferred/Desired Training Minimum Required Preferred/Desired Special Skills Minimum Required Computer literate. Preferred/Desired Licensure Current certification - nurse practitioner. Eligible for or have certificate of fitness/prescription privileges. Minimum Required RN Preferred/Desired

Wound Care

Part-time

2 months ago

Part Time Wound Nurse Practitioner

CareMed West Memphis, AR

DESCRIPTION Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long-term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team provides medical care to patients in long-term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Wound Care Nurse Practitioners to provide wound services to patients living in long-term care facilities. WOUND NP ROLE AND RESPONSIBILITIES: Provide wound care services for long-term care patients residing in skilled nursing facilities. Prescribe appropriate medications, including controlled substances in accordance with AR Law. Order, review, and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with the primary care physician. WOUND NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of Arkansas. Board Certification. DEA licensure (Optional) Clinical background in adult, family, or geriatric specialties. Clinical background of wound care; including but not limited to chronic, debilitating, stalled, or infected wounds Must be comfortable with diagnosing and treating diabetic, arterial, venous, and mixed etiology wounds or Kennedy Ulcers. Must be comfortable staging pressure injuries according to the NPIAP Must be familiar with wound care best practice and advanced wound care products; collagens, alginates, foams, silvers, etc. Must have experience with wound vacs and other DME, such as pressure relieving/ reducing devices Strong preference to having wound certification or be open to getting certified Experience working in a long-term care setting. Ability to work with an EMR. Ability to work within an interdisciplinary care team to coordinate patient care. NP BENEFITS Recertification Reimbursement Continuing Education Credits Malpractice Insurance Bonus Pay Disability Insurance Paid Time Off $5000 Sign On Bonus Mileage Reimbursement

Wound Care

Part-time

1 month ago

Part Time Nurse Practitioner

Integrated Wound Care Memphis, TN

$150 - $200 / hour

Are you a Nurse Practitioner looking for a part-time opportunity in focused wound care? Integrated Wound Care is seeking a compassionate and skilled Nurse Practitioner to join our team. Our company develops and provides quality wound care to skilled nursing, long-term care, and rehabilitation facilities. We establish services that surpass clinical standards in wound healing while administering the care with efficiencies in costs and services. Through our programs, facilities see reduced wound-related hospitalizations and improved outcomes for their residents/patients. As a Nurse Practitioner with Integrated Wound Care, you will play an instrumental role in making a positive impact on the lives of our patients. Responsibilities Conduct wound assessments and provide personalized treatment plans for patients Work collaboratively with a team of healthcare professionals to ensure optimal patient care Complete documentation accurately and in a timely manner Educate patients and their families on wound care, prevention, and management Monitor patient progress and adjust treatment plans accordingly MUST HAVE AR LICENSE Active Nurse Practitioner license in AR and TN Minimum of 1 year of experience in wound care Ability to work independently and as part of a team Exceptional critical thinking and decision-making skills Excellent verbal and written communication skills Strong time management and organizational abilities Comfortable with technology and electronic medical records. Responsibilities Conduct wound assessments and provide personalized treatment plans for patients Work collaboratively with a team of healthcare professionals to ensure optimal patient care Complete documentation accurately and in a timely manner Educate patients and their families on wound care, prevention, and management Monitor patient progress and adjust treatment plans accordingly $150-$200 per hour average Administrative support that allows you to keep your focus where it counts: practicing wound care Flexibility and autonomy - a healthy work-life balance Reprieve from being confined to an office all day Malpractice insurance provided No call, no weekends, and no hospital rounding responsibilities Part Time positions with the possibility of future growth #IND100

Full-time

3 weeks ago

Case Manager I

Methodist Le Bonheur Healthcare Memphis, TN

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South. The Case Manager is responsible for coordination of care and service delivery for an assigned group of patients and promoting inter-dependent communication and collaboration with the patient, caregiver, physician and other members of the health care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost effective outcomes appropriate to patient's needs and resources. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview The Case Manager is responsible for coordination of care and service delivery for an assigned group of patients and promoting inter-dependent communication and collaboration with the patient, caregiver, physician and other members of the health care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost effective outcomes appropriate to patient's needs and resources. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Performs and participates as part of the Case Management team to support a collaborative effort to facilitate quality patient care. This role integrates and coordinates various aspects of service delivery, care facilitation, payor authorizations, service access, discharge and post-discharge activities, and utilization review. Identifies patients that meet criteria for case management services using an appropriate screening and assessment process. Communicates necessary information to stakeholders and educates patients and families. Plans effectively to meet patient needs, manage authorizations and length of stay, and promote efficient utilization of resources (fiscal, human, environmental, equipment and services). Maintains reliable systems to document, track, and monitor assigned cases. Performs other job functions as assigned or requested. Education/Formal Training Requirements Required - Bachelor's Degree Nursing Preferred - Associates Degree Nursing Work Experience Requirements Required - Clinical healthcare (acute or hospital) 1-3 years (2 years) Preferred - WORK EXPERIENCE QUALIFICATION-3-1622 3-5 years Licenses and Certifications Requirements Required - Registered Nurse Tennessee - Tennessee Board of Nursing Preferred - Registered Nurse Mississippi - Mississippi Board of Nursing Preferred - Registered Nurse Arkansas - Arkansas State Board of Nursing Knowledge, Skills and Abilities Demonstrated oral and written communication skills required. Demonstrated ability to develop and maintain working relationships with physicians and work collaboratively with health professionals at all levels to achieve established goals. Demonstrated excellent facilitation skills. Ability to plan and schedule tasks and to maintain control of own work flow. General computer skills required, advanced computer skills preferred. Ability to use initiative in decision-making; independent judgment and critical thinking skills. Supervision Provided by this Position There are no supervisory responsibilities assigned to this job; may delegate to UR Specialists and Social Workers, if applicable. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. Frequent non-invasive patient contact The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. This role may be scheduled for weekend and holiday rotations as required by the department. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

Full-time

5 days ago

RN-Nurse Practitioner

Baptist Memorial Health Care Southaven, MS