T
RN - Integrated Nurse Case Manager - PRN
The University of Kansas Health System
10 hours ago
Part-time
On-site
Olathe, Kansas, United States
Registered Nurse
POSITION TITLE
RN - Integrated Nurse Case Manager - PRN
Varies - PRN
Olathe Hospital
POSITION SUMMARY / CAREER INTEREST:
The Integrated Nursing Case Manager, under the direction of the Director/Manager
of Case Management, provides care/service safely and efficiently for a full
range of services to patients of all ages and their families. Primary role is to
collaborate, communicate and facilitate coordination of services during
hospitalization and post-hospitalization as established by the healthcare team.
Integrated Nursing Case Manager concurrently facilitates proactive patient care
services to ensure that care is appropriate, timely, and cost-effective and
achieves the desired outcome. The Integrated Nursing Case Manager coordinates
the care and service of selected patient populations across the continuum of
illness; promotes effective utilization and monitoring of health care resources;
and guides all disciplines toward positive quality outcomes.
Responsibilities and Essential Job Functions
* Accepts responsibility and accountability for achievement of optimal outcomes
within their scope of practice. Follows policies, procedures and standards;
complies with Corporate Compliance program. Assumes responsibility for risk
and safety issues associated with the position. Takes call as required by the
department expectations. Performs specific job responsibilities and
demonstrates accountability for own actions and decisions.
* Acquires and maintains knowledge and competence related to the expectations
of their position and practices within their scope. Brings ideas and concerns
to supervisor, participates in department decision making. Maintains current
licensure.
* Advocates on behalf of patients and caregivers for identification and access
to services. Advocates for the protection of the patient's health, safety and
rights. Ensures patient choice and consistently supports a patient centered
environment.
* Identifies and manages other patient needs making referrals to the
appropriate personnel; validate the need was addressed.
* Identifies patient educational, social and financial needs; referring to the
appropriate personnel.
* Spiritual support. Refers to Pastoral Care or their pastor.
* Assures prudent utilization of all resources (fiscal, staff resources,
environmental, equipment and services) by evaluating the options available.
Demonstrates ability to balance cost and quality to assure the optimal
clinical and financial outcomes. Participates in performance improvement
activities.
* Reviews all assigned Outpatient Observation patients and verifies correct
status assignment and develops discharge plan.
* Conducts admission and continued stay reviews to evaluate medical necessity
of admission/continued stay and appropriateness of treatment plan using
screening criteria and benchmark tools as defined by the department. When
appropriate confers with the attending physician, department management,
physician advisor, and insurance companies to assure the justification of
admission/continued stay.
* Facilitates external payer certification for hospital and discharge needs.
* Initiates the process to move the patient appropriately through the continuum
of care.
* Minimizes and informs patients of their financial responsibilities.
* Ensures compliance with payer rules and regulations.
* Monitors, records, and reports all variances related to utilization of
resources.
* Communicates timely, relevant and accurate information to all parties
involved with patient's care. Communicates effectively and frequently within
the multidisciplinary team and patient/family throughout the hospitalization.
* Facilitates the progression of care by advancing the care plan to achieve
desired outcomes. Monitors the patient's progression towards the desired
outcome. Facilitates discharge planning, resource referral and patient
education.
* Uses critical thinking skills to facilitate proactive discharge planning,
initial discharge assessment on assigned patient population, establish daily
goals, validate medical record documentation of the patient’s clinical
picture all as it relates to the case management process.
* Identify discharge needs such as equipment, home health services, nursing
home, and etc.
* Completes education and resource referrals as appropriate.
* Facilitates transfers to a lower level of care.
* Explores discharge options and communicates to the patient, family and
physician.
* Coordinates and facilitates communication among all team members, including
community providers.
* Integrates the work of the healthcare team by coordinating resources and
services necessary to accomplish agreed-upon goals and desired discharge
plan. Continuously monitors the patient through frequent interactions
starting at admission through discharge.
* Documents appropriate information in Case Management computer system,
progress notes and any other required documentation.
* Prepares for and participates in daily Interdisciplinary Care Coordination
(ICC) Huddles by providing relevant and discipline specific information to
the entire healthcare team.
* Works collaboratively with patients, families, all members of the healthcare
team, and community partners to make an appropriate discharge plan based on
identified needs. The Integrated Nursing Case Manager and healthcare team are
jointly accountable for measurable outcomes which are cost effective and
reflect patient preferences and values. Participates as a member of a team to
achieve organizational and departmental goals.
* Presents at the Weekly Length of Stay (LOS) Meeting on patients reaching or
surpassed the assigned length of stay threshold.
* Facilitates care within the financial restraints.
* Prioritizes daily activities based on payer reimbursement, length of stay,
level of care, and charges to date.
* Intervenes per hospital/department policy with potential over-utilization of
clinical resources.
* Assists in the appeal process by proactively requesting reconsideration on
all adverse determinations from external payers.
* Identify, escalate, and document avoidable days for reporting purposes.
* Provide crisis intervention as needed/when directed by Case Management
Director/Manager. A Case Management staff member is available "on call"
24-hours a day, seven days a week. All members of the Case Management
Department are expected to accept "on call" responsibilities on a monthly
basis.
* Continually participates in the study and improvement of process providing
health care services to meet the needs of patients, the organization and the
department.
* Monitors individual patient outcomes and intervenes as necessary.
* Identifies opportunities for performance improvement and refers to the
appropriate person or department.
* Identifying opportunities for Medical Staff performance improvement,
collecting data, reporting variances and statistical data to the Medical
Staff Performance Improvement Committee, Credentialing Committee, or any
other appropriate group or team.
* Assist the medical staff department with conducting peer review activities
and completion of special studies.
* Serves as a resource for the PI process, and is able to lead team and
facilitate teams.
* Completes all Case Management system requirements, and assist in data
analysis and identifying opportunities to improve performance.
* Monitors outcomes related to the financial impact on patient care.
* Participates in professional development activities.
* Attends workshops, conferences or seminars suggested by Manager.
* Completed the objectives identified on last performance appraisal.
* Identifies professional development needs and pursues educational
opportunities.
* Participates on hospital task forces and committees.
* Attends and participates in department meetings.
* Acts as a preceptor for new team members.
* Assists in training of new team members.
* Seeks clinical supervision when needed.
* Demonstrates flexibility and teamwork among case management staff members.
* Assists peers in the event of fluxuating census.
* Provides coverage to other services as needed or as requested by Manager
* Identifies, monitors and reports opportunities for quality and performance
improvement to the appropriate department. The Integrated Nursing Case
Manager takes an active role in performance improvement activities as it
relates to their area of assignment.
* Must be able to perform the professional, clinical and or technical
competencies of the assigned unit or department.
* These statements are intended to describe the essential functions of the job
and are not intended to be an exhaustive list of all responsibilities. Skills
and duties may vary dependent upon your department or unit. Other duties may
be assigned as required.
Required Education and Experience
* High School Graduate
* Associate Degree Nursing
* Nurses hired after September 1, 2026, must have a BSN degree.
Preferred Education and Experience
* 2 or more years clinical experience
* 2 or more years clinical experience in a health care setting
Required Licensure and Certification
* Licensed Registered Nurse (LRN) - Single State - State Board of Nursing
Registered Nurse in Kansas
* Must have current active multistate state Register Nurse (RN) license in good
standing in state in which you live OR active single state RN license in good
standing in the state you will be working with proof of application of a
multistate RN license in the state in which you live. Staff hired prior to
2/1/2024 are required to obtain a multistate state RN license from the state
in which they live at the time of their next RN license renewal by 3/31/2026.
* Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA)
Knowledge Requirements
* Ability to proficiently read and document in electronic medical record
required.
* Basic typing and word processing ability required.
* High degree of cognitive skill - strong attention to detail required
TIME TYPE:
Part time
JOB REQUISITION ID:
R-53956
IMPORTANT INFORMATION FOR YOU TO KNOW AS YOU APPLY:
* The health system is an equal employment opportunity employer. Qualified
applicants are considered for employment without regard to race, color,
religion, sex (including pregnancy, gender identity, and sexual orientation),
national origin, ancestry, age, disability, veteran status, genetic
information, or any other legally-protected status. See also Diversity,
Equity & Inclusion
[https://jobs.kansashealthsystem.com/diversity-equality-and-inclusion].
* The health system provides reasonable accommodations to qualified individuals
with disabilities. If you need to request reasonable accommodations for your
disability as you navigate the recruitment process, please let our recruiters
know by requesting an Accommodation Request form using this link
asktalentacquisition@kumc.edu [asktalentacquisition@kumc.edu].
* Employment with the health system is contingent upon, among other things,
agreeing to the health-system-dispute-resolution-program.pdf
[https://tbcdn.talentbrew.com/company/38901/cms/health-system-dispute-resolution-program.pdf]
and signing the agreement to the DRP.
NEED HELP FINDING THE RIGHT JOB?
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RN - Integrated Nurse Case Manager - PRN
Varies - PRN
Olathe Hospital
POSITION SUMMARY / CAREER INTEREST:
The Integrated Nursing Case Manager, under the direction of the Director/Manager
of Case Management, provides care/service safely and efficiently for a full
range of services to patients of all ages and their families. Primary role is to
collaborate, communicate and facilitate coordination of services during
hospitalization and post-hospitalization as established by the healthcare team.
Integrated Nursing Case Manager concurrently facilitates proactive patient care
services to ensure that care is appropriate, timely, and cost-effective and
achieves the desired outcome. The Integrated Nursing Case Manager coordinates
the care and service of selected patient populations across the continuum of
illness; promotes effective utilization and monitoring of health care resources;
and guides all disciplines toward positive quality outcomes.
Responsibilities and Essential Job Functions
* Accepts responsibility and accountability for achievement of optimal outcomes
within their scope of practice. Follows policies, procedures and standards;
complies with Corporate Compliance program. Assumes responsibility for risk
and safety issues associated with the position. Takes call as required by the
department expectations. Performs specific job responsibilities and
demonstrates accountability for own actions and decisions.
* Acquires and maintains knowledge and competence related to the expectations
of their position and practices within their scope. Brings ideas and concerns
to supervisor, participates in department decision making. Maintains current
licensure.
* Advocates on behalf of patients and caregivers for identification and access
to services. Advocates for the protection of the patient's health, safety and
rights. Ensures patient choice and consistently supports a patient centered
environment.
* Identifies and manages other patient needs making referrals to the
appropriate personnel; validate the need was addressed.
* Identifies patient educational, social and financial needs; referring to the
appropriate personnel.
* Spiritual support. Refers to Pastoral Care or their pastor.
* Assures prudent utilization of all resources (fiscal, staff resources,
environmental, equipment and services) by evaluating the options available.
Demonstrates ability to balance cost and quality to assure the optimal
clinical and financial outcomes. Participates in performance improvement
activities.
* Reviews all assigned Outpatient Observation patients and verifies correct
status assignment and develops discharge plan.
* Conducts admission and continued stay reviews to evaluate medical necessity
of admission/continued stay and appropriateness of treatment plan using
screening criteria and benchmark tools as defined by the department. When
appropriate confers with the attending physician, department management,
physician advisor, and insurance companies to assure the justification of
admission/continued stay.
* Facilitates external payer certification for hospital and discharge needs.
* Initiates the process to move the patient appropriately through the continuum
of care.
* Minimizes and informs patients of their financial responsibilities.
* Ensures compliance with payer rules and regulations.
* Monitors, records, and reports all variances related to utilization of
resources.
* Communicates timely, relevant and accurate information to all parties
involved with patient's care. Communicates effectively and frequently within
the multidisciplinary team and patient/family throughout the hospitalization.
* Facilitates the progression of care by advancing the care plan to achieve
desired outcomes. Monitors the patient's progression towards the desired
outcome. Facilitates discharge planning, resource referral and patient
education.
* Uses critical thinking skills to facilitate proactive discharge planning,
initial discharge assessment on assigned patient population, establish daily
goals, validate medical record documentation of the patient’s clinical
picture all as it relates to the case management process.
* Identify discharge needs such as equipment, home health services, nursing
home, and etc.
* Completes education and resource referrals as appropriate.
* Facilitates transfers to a lower level of care.
* Explores discharge options and communicates to the patient, family and
physician.
* Coordinates and facilitates communication among all team members, including
community providers.
* Integrates the work of the healthcare team by coordinating resources and
services necessary to accomplish agreed-upon goals and desired discharge
plan. Continuously monitors the patient through frequent interactions
starting at admission through discharge.
* Documents appropriate information in Case Management computer system,
progress notes and any other required documentation.
* Prepares for and participates in daily Interdisciplinary Care Coordination
(ICC) Huddles by providing relevant and discipline specific information to
the entire healthcare team.
* Works collaboratively with patients, families, all members of the healthcare
team, and community partners to make an appropriate discharge plan based on
identified needs. The Integrated Nursing Case Manager and healthcare team are
jointly accountable for measurable outcomes which are cost effective and
reflect patient preferences and values. Participates as a member of a team to
achieve organizational and departmental goals.
* Presents at the Weekly Length of Stay (LOS) Meeting on patients reaching or
surpassed the assigned length of stay threshold.
* Facilitates care within the financial restraints.
* Prioritizes daily activities based on payer reimbursement, length of stay,
level of care, and charges to date.
* Intervenes per hospital/department policy with potential over-utilization of
clinical resources.
* Assists in the appeal process by proactively requesting reconsideration on
all adverse determinations from external payers.
* Identify, escalate, and document avoidable days for reporting purposes.
* Provide crisis intervention as needed/when directed by Case Management
Director/Manager. A Case Management staff member is available "on call"
24-hours a day, seven days a week. All members of the Case Management
Department are expected to accept "on call" responsibilities on a monthly
basis.
* Continually participates in the study and improvement of process providing
health care services to meet the needs of patients, the organization and the
department.
* Monitors individual patient outcomes and intervenes as necessary.
* Identifies opportunities for performance improvement and refers to the
appropriate person or department.
* Identifying opportunities for Medical Staff performance improvement,
collecting data, reporting variances and statistical data to the Medical
Staff Performance Improvement Committee, Credentialing Committee, or any
other appropriate group or team.
* Assist the medical staff department with conducting peer review activities
and completion of special studies.
* Serves as a resource for the PI process, and is able to lead team and
facilitate teams.
* Completes all Case Management system requirements, and assist in data
analysis and identifying opportunities to improve performance.
* Monitors outcomes related to the financial impact on patient care.
* Participates in professional development activities.
* Attends workshops, conferences or seminars suggested by Manager.
* Completed the objectives identified on last performance appraisal.
* Identifies professional development needs and pursues educational
opportunities.
* Participates on hospital task forces and committees.
* Attends and participates in department meetings.
* Acts as a preceptor for new team members.
* Assists in training of new team members.
* Seeks clinical supervision when needed.
* Demonstrates flexibility and teamwork among case management staff members.
* Assists peers in the event of fluxuating census.
* Provides coverage to other services as needed or as requested by Manager
* Identifies, monitors and reports opportunities for quality and performance
improvement to the appropriate department. The Integrated Nursing Case
Manager takes an active role in performance improvement activities as it
relates to their area of assignment.
* Must be able to perform the professional, clinical and or technical
competencies of the assigned unit or department.
* These statements are intended to describe the essential functions of the job
and are not intended to be an exhaustive list of all responsibilities. Skills
and duties may vary dependent upon your department or unit. Other duties may
be assigned as required.
Required Education and Experience
* High School Graduate
* Associate Degree Nursing
* Nurses hired after September 1, 2026, must have a BSN degree.
Preferred Education and Experience
* 2 or more years clinical experience
* 2 or more years clinical experience in a health care setting
Required Licensure and Certification
* Licensed Registered Nurse (LRN) - Single State - State Board of Nursing
Registered Nurse in Kansas
* Must have current active multistate state Register Nurse (RN) license in good
standing in state in which you live OR active single state RN license in good
standing in the state you will be working with proof of application of a
multistate RN license in the state in which you live. Staff hired prior to
2/1/2024 are required to obtain a multistate state RN license from the state
in which they live at the time of their next RN license renewal by 3/31/2026.
* Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA)
Knowledge Requirements
* Ability to proficiently read and document in electronic medical record
required.
* Basic typing and word processing ability required.
* High degree of cognitive skill - strong attention to detail required
TIME TYPE:
Part time
JOB REQUISITION ID:
R-53956
IMPORTANT INFORMATION FOR YOU TO KNOW AS YOU APPLY:
* The health system is an equal employment opportunity employer. Qualified
applicants are considered for employment without regard to race, color,
religion, sex (including pregnancy, gender identity, and sexual orientation),
national origin, ancestry, age, disability, veteran status, genetic
information, or any other legally-protected status. See also Diversity,
Equity & Inclusion
[https://jobs.kansashealthsystem.com/diversity-equality-and-inclusion].
* The health system provides reasonable accommodations to qualified individuals
with disabilities. If you need to request reasonable accommodations for your
disability as you navigate the recruitment process, please let our recruiters
know by requesting an Accommodation Request form using this link
asktalentacquisition@kumc.edu [asktalentacquisition@kumc.edu].
* Employment with the health system is contingent upon, among other things,
agreeing to the health-system-dispute-resolution-program.pdf
[https://tbcdn.talentbrew.com/company/38901/cms/health-system-dispute-resolution-program.pdf]
and signing the agreement to the DRP.
NEED HELP FINDING THE RIGHT JOB?
We can recommend jobs specifically for you! Create a custom Job Alert by
selecting criteria that suit your career interests.