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Registered Nurse (RN) - Case Manager

Mayo Clinic


Location:
Rochester, MN
Date:
04/03/2018
2018-04-032018-09-14
Categories:
  • Medical/Surgical
  • Case Manager
  • LPN/LVN
  • Operating Room/PACU
  • Infection Control
  • Cardiology
  • Social Services
  • Medical Records, Informatics
Mayo Clinic
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Job Details

City
Rochester
State
Minnesota
Telecommute
No
Department
Nursing
Position description
The RN CASE MANAGER provides ongoing support to Mayo Clinic Rochester medical practices with direct interaction with clinical staff in the hospital setting, including nursing, social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission status and continued stay clinical review; , clarification and face to face education to clinical staff regarding quality metrics, continued admission status review to ensure accurate clinical documentation to support the care provided, and communication with clinical providers on projected length of stay based on diagnosis.. This position requires strong independent decision making, assessment, and reasoning while determining the appropriateness of patient admission status following established admission criteria and regulations. This position requires knowledge, understanding, and continued education on current regulatory compliance requirements of Government Payers in relation to Admission Status, Clinical Documentation, and Value Based Purchasing. THE RN CASE MANAGER communicates with physicians, patients, and other clinical staff regarding documentation, Quality, and Admission Status criteria and regulatory requirements and penalties. The RN CASE MANAGER works with Third-Party and Government payers to meet managed care and continued stay requirements. The RN Case Manager participates with interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. CM2018
Qualifications
Student or Graduate of an accredited baccalaureate, associate, or diploma nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN- formerly NLN) or Commission on Collegiate Nursing Education (CCNE). If graduated from a nursing program that was not accredited by ACEN or CCNE, at least one year of RN experience (within the last 5 years) in an applicable care setting is required. If graduation did not occur within the last two years, one year of RN experience in an applicable care setting is required or, effective October 1st, 2017 one year of current LPN experience at Mayo Clinic is required.

All associate degree or diploma registered nurses hired into the Department of Nursing with a RN start date after September 1, 2010, must provide documented evidence of program completion of their baccalaureate degree in nursing from an accredited nursing program within 5 years from the last day of the month of their RN start date.
Additional qualifications
Must have in-depth understanding of anatomy, physiology medical terminology and disease processes. Knowledge of CPT coding, resource management systems, electronic medical record and personal computers beneficial. Demonstrated leadership, independent problem solving, conflict resolution, critical thinking skills, and team building skills required. Must be self-motivated and able to work as part of a team with minimal supervision. Must possess the ability to work well within a creative and challenging work environment. Experience in utilization review, ability to navigate medical records, value based purchasing metrics, or pre-certification helpful. Additional nursing experience in specialty area beneficial. Certification in Case Management preferred.

Internal applicants should attach their three most recent performance appraisals.
License or certification
Must obtain prior to start date:

Current RN license by applicable state requirements.
Arizona and Florida: Maintains Basic Life Support (BLS) competency.

Midwest: Basic Cardiac Life Support for healthcare providers- BCLS – certificate of course completion required and must not expire within 3 months after start date. A scanned copy of the certificate of completion or transcripts, including your full name, must be attached to your profile to be considered.

We will only accept certificates of course completion from the following providers:

•American Heart Association (Title: BLS for Healthcare Providers or BLS Provider)
•Red Cross (Title: CPR/AED for Professional Rescuers and Health Care Providers or BLS for Healthcare Providers)
•Military Training Network

Additional specialty certification/training as required by the work area.
Exemption status
Exempt
Compensation Detail
Education, experience and tenure may be considered along with internal equity when job offers are extended.  The minimum salary every 2 weeks is approx $2,669.60, based on a full-time position.
Benefits eligible
Yes
Schedule
Full Time
Schedule details
Monday-Friday; Days; 8-hour shifts – NOT NEGOTIABLE
This is subject to change at any time however based upon business needs.
Weekend schedule
1 in 7 with occasional holidays – NOT NEGOTIABLE
This is subject to change at any time however based upon business needs.
Site description
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Category
Nursing
Career profile
Nursing
Job posting number
96385BR
Recruiter
Sarah Martin
Equal opportunity employer
Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).
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