RN Care Manager

Company: Yavapai Regional Medical Center
Location: Prescott
Posted on: September 9, 2020

Job Description:

Job SummaryThe RN Care Manager supports the vision of the Total Healing Environment and the values of respect, integrity, accountability, commitment and quality, facilitating appropriate admissions, transfers, assessments and discharges with alternative placement in a manner which effectively and efficiently provides for patient care needs; seeks to ensure the medical plan is implemented in a quality, cost- effective manner; encourages the involvement of the patient in the decision making process to obtain optimal health and wellness and a multidisciplinary approach to the plan of care and services across the continuum.Job QualificationsRequired Qualifications:

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• Must hold a current, valid Arizona or compact state RN license
  
  
• One year of care management experience in a hospital setting; may consider three years of acute care medical/surgical or population health management RN experience as equivalent experience. Three years of hospital based care management experience preferred.
  
  
• Knowledge of admission and continued stay criteria
  
  
• Knowledge and skills necessary to evaluate appropriate care for patients from neonates to geriatrics
  
  
• Knowledge of federal, state and managed care rules and regulations including CMS and AHCCCS
  
  
• Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service
  
  
• Computer literacy and proficiency in Microsoft Windows
  
  
• Basic proficiency with MS Office (Outlook, Word, Excel)
  
  Preferred Qualifications:
  
  
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  • Bachelor's degree in Nursing
    
    
  • CCM certification
    
    
  • Experience with INTERQUAL or Milliman
    
    
  • Electronic Medical Record (EMR) experience; Cerner strongly preferred
    
    *Must pass pre-employment screeningCompany OverviewYavapai Regional Medical Center is a not-for-profit, integrated healthcare provider that offers a broad range of inpatient and outpatient services. Our healing network includes two full-service acute care hospitals, primary and specialty care clinics, the YRMC Wellness Center and the YRMC Outpatient Services Building. YRMC's unmatched continuum of care covers a 5,500 square mile service area and includes cardiac surgery, neurosurgery, a comprehensive Women's Health Pavilion and Arizona's only Patient Blood Management Program. YRMC has earned numerous awards for quality and has earned national recognition as an exceptional provider of care. Our MissionTo provide comprehensive, high quality healthcare consistent with our communities' needs.Our VisionCreating a "Total Healing Environment" wherein the people of YRMC work in partnership with the patients and their families seeking peace of mind and peace of heart as well as physical cures or comfort because we understand the indivisible relationship that exists between body, mind and the human spirit. Our ValuesRespect: Behaving in a way that honors self and others.Integrity: Being consistent and honest in word and deed. Accountability: Following through and being answerable for one's performance.Commitment: Demonstrating dedication to one's work, personal development, the organization, the Mission and the Vision.Quality: Providing service excellence.

Keywords: Yavapai Regional Medical Center, Prescott , RN Care Manager, Executive , Prescott, Arizona