nurse outreach case manager

Homeward Bound of Western North Carolina

<div></div><div><div>Department: Homeless Services</div>
<div>
Job Title: Outreach Case Manager</div>
<div>
Reports to: Outreach Program Manager</div>

The Organization:

Homeward Bound is the leading nonprofit organization in Buncombe County focused on preventing and ending homelessness using the best practice Housing First model. We work collaboratively with community partners and have a proven track record of helping individuals and families achieve housing stability. Since 2006, Homeward Bound has moved more than 2,615 people off the streets, out of cars, camps, and shelters and into permanent housing.

Overview: Homeward Bound&rsquo;s outreach team works to connect homeless individuals to housing and community resources. The Outreach Case Manager is a source of support and guidance to individuals, trained to assist individuals with identifying barriers to housing and engage in goal planning that aims to link individuals to the resources and skills that they need in order to achieve long-term housing. Most importantly, we are looking for individuals that have passion for the work and compassion for all people experiencing homelessness in our community, no exceptions.

This Outreach Case Manager is primarily focused downtown and serves as a liaison between people experiencing homelessness, faith communities, businesses, residents, and City of Asheville emergency services staff, offering harm reduction strategies and problem-solving support to all parties.

Schedule and compensation: This is a full-time, non-exempt position with $24.15 hourly compensation. The schedule has some flexibility but does require some evening and Saturday hours.
<div>
Education/Experience Requirements:</div> 

<ul><li>
<div>BA/BS in Human Services or comparable experience</div>
</li><li>
<div>Prior experience with homeless population or populations with high clinical needs</div>
</li><li>
<div>Demonstrated ability to work independently and proactively</div>
</li></ul>
<div>Our values:</div>
<ul><li>
<div>We believe in the absolute value and worth of every single human being.</div>
</li><li>
<div>We believe that housing is a basic human right, integral to self-worth and dignity.</div>
</li><li>
<div>We believe that homelessness is a solvable problem.</div></li></ul> 


Mission: To prevent and end homelessness in our community through permanent housing and support
<div>
Homeward Bound bases its human resource decisions on objective criteria without regard to any characteristic or condition protected by law. We are committed to a workplace that offers equal opportunity without discrimination based on race, color, national origin, citizenship, sex, pregnancy, sexual orientation, gender identity or expression, age, religion, disability, genetic information/medical history, military/veteran status, or any characteristic or condition protected by law, but not specifically mentioned here.</div><div> 
Responsibilities:</div> 

<div>
Client Services</div>
<ul><li>
<div>Proactively outreach individuals experiencing homelessness in Asheville, with a particular focus on downtown</div>
</li><li>
<div>Complete intake paperwork and assessments in order to connect clients with housing resources</div>
</li><li>
<div>Connect clients with supportive services in order to meet both their immediate needs and long-term goals</div>
</li><li>
<div>Work with each client to develop and/or strengthen their goal plan according to individual goals and objectives</div>
</li><li>
<div>Ensure that client interactions are person-centered, goal-focused and reflect each client&rsquo;s goal plan</div>
</li><li>
<div>Maintain contact with all clients on a scheduled basis that is appropriate to their particular status and needs</div>
</li><li>
<div>Ensure that all services are offered with a trauma informed approach</div>
</li><li>
<div>Arrange and/or provide transportation to clients when required</div>
</li><li>
<div>Exercise patience, understanding, and concern for each client&rsquo;s well-being, safety, development, and enjoyment of life</div>
</li><li>
Attend weekly case management meetings and other specified meetings/trainings as required
</li></ul>
Community
<ul><li>
<div>Build and maintain relationships with community mental health treatment providers, crisis service agencies and other community partners working with homeless individuals</div>
</li><li>
<div>Work closely with police and fire departments and other emergency services staff to improve outcomes</div>
</li><li>
<div>Be responsive to community stakeholders questions and concerns about interactions with individuals experiencing homeless</div>
</li><li>
<div>Assist community stakeholders in addressing behavioral issues with individuals experiencing homelessness</div>
</li><li>
Conduct trainings/meetings for community stakeholders about how to best work with homeless community and problem solve any issues
</li></ul>
Admin
<ul><li>
<div>Ensure all documentation is completed in a timely manner, including data for HMIS</div>
</li><li>
<div>Follow Homeward Bound&rsquo;s Client confidentiality policy and procedures for sensitive client information.</div>
</li><li>
<div>Assist Coordinated Entry with Data Management and City By Name List referrals</div>
</li><li>
<div>Work with supervisor to complete reporting requirements for county, city, or public grants</div></li></ul> 


**This job description does not list all of your job duties. Occasionally, your supervisor or manager might request that you perform other reasonable duties in order to most effectively work towards Homeward Bound&rsquo;s mission of ending homelessness.</div>

Outreach Case Manager 2 of 2

Axiom Medical

<div>Duties:
 
The Intake Nurse Case Manager (&ldquo;NCM&rdquo;) is an integral member of Axiom&rsquo;s Nursing Department (&ldquo;Nursing&rdquo;). The NCM is primarily responsible for performing telephonic medical case management for work-related and non-work-related injuries and illnesses. The NCM will be accountable for providing first aid recommendations to injured employees, keeping detailed records on employee injuries and communications in Axiom&rsquo;s database, and properly communicating any pertinent/necessary information with Axiom&rsquo;s clients. It is the responsibility of the NCM to maintain their home state RN/BSN license and obtain/maintain additional licenses as requested by management. This role is expected to uphold Axiom&rsquo;s dedication to providing the highest quality of service, care, and expertise. Additionally, the NCM will have other duties and responsibilities as determined from time to time by the Nurse Case Manager Team Manager. 
 
Essential Functions:
 
The essential functions of the NCM are to:<ul><li>
Perform and document telephonic medical case management according to Axiom's Best Practice Guidelines and Nursing Directives.</li><li>
Uphold Axiom&rsquo;s dedication to maintaining excellent client service and relationships by providing the highest quality of service, care, and expertise.</li><li>
Educate injured workers, safety representatives, and supervisors on Axiom&rsquo;s style of case management, as needed</li><li>
Transfer cases to the Outcome Team according to Axiom procedures</li><li>
Adhere to current OSHA Guidelines and Case Management Procedures</li><li>
Adhere to current state specific Worker's Compensation Guidelines</li><li>
Participate in departmental meetings and in-services</li></ul> 

Qualifications: 
The successful candidate should have an active RN or BSN license in good standing plus a minimum of 5 years demonstrated experience with a focus on ER, acute injury, triage management or related fields. Previous nurse case management or telephonic case management is preferred. 
 
Physical Requirements:<ul><li>
Regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach,
</li><li>Specific vision abilities required by this job include close vision requirements due to computer work,</li><li>
Light to moderate lifting is required,</li><li>
Ability to uphold the stress of traveling,</li><li>
This is a remote position. Regular, predictable attendance is required.</li></ul>
8nzWrnIRcG</div>

ER Experienced - Nurse Case Manager

Southwest Youth & Family Services

<div>Description: 
Case Management, a program of SWYFS, will provide systems navigation and trauma intervention activities for young people of color who have experienced racial profiling, racial bias, and either personally experienced or witnessed prejudice and bias in the legal system, maltreatment, and police brutality toward friends, family, and community members of color.
The Case Management Outreach Specialist is responsible for identifying, engaging, and supporting high-risk youth and young adults who are often disconnected from traditional service systems. This role blends proactive street/community outreach with intensive, person-centered case management. The primary goal for this role is to identify at-risk youth through a comprehensive outreach strategy and enroll them into the Case Management Program.
The focus population for this position is people of Black/African American/African Descent.
Essential Functions:
Program Implementation<ul><li>
Conduct consistent outreach in community &ldquo;hot spots&rdquo;, schools, and courtrooms to identify and build rapport with eligible youth.</li><li>
Utilize a &ldquo;meet-them-where-they-are&quot; approach to build trust with individuals wary of institutional authority.
</li><li>Coordinate and collaborate with network-identified agencies, as necessary, to ensure youth are actively engaged in programs</li><li>
Develop and maintain working relationships with participating programs to ensure successful referrals and communicating with direct service</li><li>
Develop/implement appropriate goals and objectives using Individual Service Plans</li><li>
Maintain an active caseload of 5-10 participants each, follow-up with them regularly, provide support and resources, and monitor their progress towards ISP goals.</li><li>
Meet with participants weekly and conduct formal ISP reviews with participants every 90 days.</li><li>
Removes barriers and empowers participants to take control of their lives through building self-confidence, identifying and achieving personal goals, and connecting participants to available resources.</li><li>
Advocate for young adult and work with community/educational/support service agencies to overcome access barriers</li><li>
Support young people to develop their voice and advocate for themselves in mainstream systems.</li><li>
Provide in-depth systems navigation including education, immigration, legal, public benefits enrollment, housing, utilities, employment systems navigation, and basic and emergency assistance.</li><li>
Coordinate and facilitate support group as needed, including Aggression Replacement Training</li><li>
Collaborate with other network case managers as needed</li><li>
Maintain client confidentiality.</li><li>
Use standardized forms for intake and assessment to enroll young adult</li><li>
Provide age and culturally competent services</li><li>
Attend community meetings, case management meetings, and other meetings as needed</li><li>
Maintain cooperative working relationships with educational, social, legal, and health service agencies</li><li>
Maintain contact with youth to identify additional needs or barriers to service access; to provide support and encouragement; and to follow up to ensure connection with program.</li></ul>
 Documentation and Performance<ul><li>
Maintain compliance with documentation with the agency&rsquo;s client database, ensuring all interactions are logged within 24 hours.</li><li>
Meet regularly with the Case Management team to coordinate services provided.</li><li>
Attend the monthly City of Seattle meeting</li><li>
Attend weekly case consultation and/or team meetings.</li><li>
Perform other duties as assigned by the Case Management Program Manager.</li></ul>
Requirements:

 Minimum Qualifications<ul><li>
Experience working effectively with diverse populations</li><li>
Experience providing referral, advocacy &amp; case management services</li><li>
Valid WA State Driver&rsquo;s license, proof of insurance and reliable transportation</li><li>
Clear driving record with no more than two moving violations in the last three years</li><li>
BA Preferred or equivalent work experience</li><li>
Computer skills required</li><li>
Must be willing to complete a Background Check and Fingerprinting
</li><li>Demonstrated ability to communicate in writing and verbally</li><li>
Demonstrated ability providing community outreach</li><li>
Demonstrated ability to utilize time management techniques to organize and prioritize
</li><li>Ability to be flexible and adapt to programming change</li><li>
Able to work evenings &amp; weekends based on programming schedule</li></ul>
Other Requirements<ul><li>
Maintain client confidentiality</li><li>
Provide age and culturally competent services</li><li>
Ability to meet deadlines</li><li>
Attend weekly case consultation and/or team meetings</li><li>
Attend other monthly meetings</li></ul>
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions<ul><li>
Prolonged periods sitting at a desk and working on a computer.</li><li>
Frequently talk, hear, use hands and fingers to feel, handle and operate objects or controls, and occasionally stand, bend, stoop, kneel and crouch</li><li>
Must be able to lift up to 15 pounds at times.</li></ul>
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 
 
Hiring Timeline
March 16th - 29th - Applications are open
March 30th - April 3rd - Applications are process and first round of interviews scheduled
April 6th - 17th - First round of interviews
April 20th - 24th - Second round of interviews
April 27th - May 1st - Hiring decisions are made
May 4th - potential start date</div>

Case Management Outreach Specialist

Kenosha Human Development Services, Inc.

<div>KENOSHA HUMAN DEVELOPMENT SERVICES, INC. 
3536 52nd Street Kenosha, WI 53144 
 
Division/Department: Housing Assistance Services 
Location: Main Office 
Job Title: PATH Outreach Worker/Case Manager 
Reports To: Homeless Services Program Manager 
Type of Position: Full-time 
Schedule: 40 hours per week or as demanded by the job 
Pay Rate: $22.60 per hour 
 
POSITION SUMMARY 
Provide outreach and case management services for individuals in the community who are experiencing homelessness and living with a severe and persistent mental health issue or co-occurring mental health and substance use disorder who are not service connected. 
RESPONSIBILITIES 
1. Provide outreach in the community. 
 a. Conduct outreach activities in the community where people who are experiencing homelessness and living with mental illness congregate. 
 b. Conduct in reach activities at the local homeless shelters, the ELCA, and Grace Welcome Center. 
 c. Go into the community and search for people who are living outdoors to assess for need and help people connect to appropriate resources. 
 d. Meet with adults with MH/SA issues at places they are familiar with to help them access needed resources and services. 
 e. Conduct appropriate assessment to engage with Kenosha&rsquo;s Coordinated Entry System for information and referral to
 
 f. Inform and assist individuals connect to the services provided by the KHDS Mental Health and Substance Abuse Resource Center. 
 g. Provide advocacy to people with MH/SA issues in receiving needed services. 
 h. Participate in the bi-annual Point-in-Time Event. 
 i. Provide information to staff of community agencies on mental health and substance abuse (MH/SA) to better serve individuals who are at risk of homelessness. 
 j. Utilize HMIS as required to capture data and generate reports to account for services being provided. 
 k. Keep current with all required trainings. 
2. Ensure documentation is complete and accurate. 
 a. Use Client Tracking System to document participant contacts and progress. 
 b. Complete data entry to the Homeless Management Information System (HMIS) as required. 
 c. Complete and maintain participant files and ensure the information matches the data entered in HMIS. 
 d. Complete and file discharge plans appropriately. 
 e. Use the Homeless Assistance Services (HAS) Document to record outreach notes for unknown clients and other non-client activities. 
 
3. Provide individualized case management services to eligible program participants on a regular and consistent basis as determined by the individual&rsquo;s case plan. 
 a. Enroll eligible people into the PATH program in accordance with program requirements. 
 b. Assess, plan, coordinate, implement and evaluate the overall service delivered to the participant. 
 c. Help the participant locate housing and learn to live in housing, maintain their housing in a safe manner, and get along with fellow tenants and the landlord. 
 d. Create a comprehensive service plan with the participant and provide appropriate interventions to assist with goal achievement. 
 e. Help participants create support systems and participate in the community, as they desire. 
 f. Provide individualized budgeting and money management services to program participants as needed. 
 g. Teach basic, intermediate and advanced social skills based on need. 
 h. Collaborate with Landlords and other Community Service Providers. 
 i. Coordinate opportunities for educational advancement, such as GED preparation and attainment, post-secondary training, and vocational education as needed. 
 j. Assist with job preparation and attainment, such as career counseling, job preparation training, dress and grooming, job placement and job maintenance. 
 k. Provide assistance in accessing mainstream benefits, including but not limited to food stamps, SSI/SSDI and health insurance. 
 l. Assist participant in accessing Mental Health, AODA and medical services as needed. 
 m. Ensure participants have access to food and clothing. 
 n. Provide transportation using your own personal vehicle or an available agency vehicle and assist in developing transportation skills. 
 o. Work with the participant to establish a discharge plan prior to program exit and work with that participant intensively to ensure exit to self-sufficiency and housing stability. 
 p. Required to facilitate 10 groups each grant cycle. 
 
QUALIFICATIONS: Bachelor&rsquo;s Degree in a human service-related field and/or experience working with individuals and families living with mental illness and experiencing homelessness. 
1. Ability to effectively communicate, both written and verbally, in the English language 
2. Must have reliable transportation and valid driver&rsquo;s license with good driving record 
3. Must carry own auto insurance with at least 100,000/300,000/100,000 coverage 
4. Ability to maintain records and document case notes daily 
5. Ability to give and accept feedback as a part of a team 
6. Ability to traverse within the workspace and community frequently 
7. Be willing to learn and work with the treatment philosophies 
8. Bilingual in Spanish a plus 
Kenosha Human Development Services is an Equal Opportunity Employer. We do not discriminate on the basis of age, race, color, sex, religion, disability, national origin, veteran status, sexual orientation, sexual identity, or any other status protected under federal, state, and local law. All employment is decided on the basis of qualifications, merit, and business need.
8frlAOIH3Q</div>

PATH Outreach Worker/Case Manager

Matt Talbot Kitchen and Outreach

General Information:At Matt Talbot Kitchen &amp; Outreach (MTKO), our mission is to relieve hunger, overcome homelessness, address addiction, and provide outreach and advocacy in Lincoln. We are committed to fostering diversity, equity, and inclusion in everything we do.Position Summary:The Outreach and Diversion Case Manger will work with individuals who are recently homeless, or at risk of becoming homeless and assist them to identify and implement strategies that will prevent them from having to enter shelter, and secure permanent housing. This employee will also work with individuals to provide short-term case management services to help them stabilize and secure more long-term assistance, as needed.Essential Job Functions<ul><li>Provide outreach to clients of MTKO which includes, but is not limited to case management, crisis intervention, information, referral, accessing basic and emergency needs, advocacy, encouragement, and compassion.</li><li>Maintain a flexible work schedule and participate in team environment and team-building activities.</li><li>Work with other professionals in the community in an advocacy role on behalf of MTKO clients and guests.</li><li>Maintain professional boundaries in the provision of service.</li><li>In cooperation with the team, assume responsibility for creating a safe, supportive, and positive team environment of hospitality and empowerment.</li><li>Assist with outreach and referral as needed with priority given to case management.</li><li>Respond appropriately to crises, and work in cooperation with the team to develop and implement safety measures and procedures for reporting and ongoing documentation.</li><li>Maintain confidential, updated, and accurate statistics and goal plans for individual clients.</li><li>Attend Community Meetings, as assigned.</li><li>Attend Team Meetings, as required.</li><li>Assist with daily operations to include evenings and weekend on-call coverage.</li><li>Help facilitate RentWise classes.</li><li>Perform other duties as assigned.</li><li>Adhere to all policies and procedures of MTKO.</li></ul>Skills and Education<ul><li>Bachelor&rsquo;s degree in human services, or related field, required.</li><li>Three &ndash; five years of experience in the field of poverty, homelessness, domestic violence, mental health, and/or substance use, required. Personal life and work experience may be substituted for education.</li><li>Proficient in Microsoft Office Suite.</li><li>Genuine interest in and concern for all homeless and near homeless individuals and the ability to advocate for this population with other professionals in the community.</li><li>Knowledge of street culture and comfort in engaging and building rapport with persons who are homeless.</li><li>Ability to maintain a flexible work schedule and participate in a team environment and team-building activities.</li><li>Valid driver&rsquo;s license and proof of insurance, required.</li><li>Excellent organizational skills.</li><li>Excellent knowledge of community resources.</li><li>Ability to communicate verbally and in writing effectively with diverse audiences.</li><li>Knowledge of Clarity/HMIS systems, preferred, and additional training will be provided.</li></ul>Affirming Diversity/Culture<ul><li>Incorporate awareness and inclusion of diversity in all interactions.</li><li>Conduct work with fairness and equity, incorporating best practices concerning difference and inclusion.</li><li>Seek consultation and feedback to advance cultural competence.</li><li>Embrace opportunities for training to advance inclusivity.</li><li>Adhere to MTKO&rsquo;s diversity and inclusion policy.</li></ul>Physical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk, use hands to handle or feel, reach with hands or arms, talk, or hear. The employee must regularly lift and/or move up to 10 pounds. The employee must be able to lift and/or move up to 30 pounds occasionally.Working EnvironmentWhile performing the duties of this job, the employee will be exposed to indoor conditions. The noise level in the work environment is usually moderate.Benefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Retirement plan</li><li>Vision insurance</li></ul>Work Location: In person

Outreach and Diversion Case Manager

St. David's HealthCare

<div>Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at St. David's Healthcare, you&rsquo;ll have all the staffing support, technology and resources you need to deliver safe, high-quality care&mdash;so you can focus on what you do best.
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient&rsquo;s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.
Your responsibilities will include:
<ul><li>Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights</li><li>
Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences</li><li>
Developing and implementing individualized treatment plans that reflect the patient&rsquo;s strengths, needs, and personal recovery goals</li><li>
Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team</li><li>
Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care</li><li>
Promoting HCA Healthcare&rsquo;s values of compassion, respect, and excellence through every patient and family interaction</li></ul>
<h6 class="jobSectionHeader">What qualifications you will need:</h6> 
 
<ul><li>(RN) Registered Nurse</li><li>
Bachelors Degree</li></ul>
Benefits
St. David's Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
<ul><li>Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location
St. David&rsquo;s HealthCare, which is oneof the largest healthcare systems in Texas and the third-largest employer in the Austin area. St.David&rsquo;s HealthCare was formed through a unique partnership between HCA Healthcare and twolocal non-profits &mdash; St. David&rsquo;s Foundation and Georgetown Health Foundation.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for thedelivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot;Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.&quot;
Sammie Mosier, DHA, MA, BSN, NE-BC
Senior Vice President and Chief Nursing Executive, HCA Healthcare
If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse Case Manager Float Pool opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Registered Nurse Case Manager Float Pool

Williamson Health

<div>ABOUT WILLIAMSON HEALTH | Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with more than 2,300 employees across more than 30 locations and more than 860 physicians and advanced care practitioners offering exceptional healthcare across 60-plus specialties and subspecialties close to home. The flagship facility, Williamson Medical Center, which recently opened its new Boyer-Bryan West Tower, offers extensive women&rsquo;s services, state-of-the-art cardiology services, advanced surgical technologies, an award-winning obstetrics and NICU, leading-edge orthopaedics, outpatient imaging services, and distinct comprehensive emergency and inpatient services for both adult and pediatric patients. Other Williamson Health service providers include the Bone and Joint Institute of Tennessee, The Turner-Dugas Breast Health Center, Monroe Carell Jr. Children&rsquo;s Hospital Vanderbilt at Williamson Medical Center, Williamson Health physician practices that are strategically located throughout the community, countywide Emergency Medical Services that include 18 rapid response units, Williamson Health Foundation, and multiple joint venture Vanderbilt Health and Williamson Medical Center Walk-In Clinics in Williamson County. Learn more about our many specialized services at WilliamsonHealth.org.
Williamson Health is a system where your talents will be valued and your skillset expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We&rsquo;re committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee.
Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being. 
o Medical, Dental, Vision 
o PTO 
o Retirement Matching 
o Tuition reimbursement 
o Discount programs 
o FSA (Flexible Spending Accounts) 
o Identity Theft Protection 
o Legal Aid
Williamson Health is an equal-opportunity employer and a drug-free workplace. 

POSITION SUMMARY
To perform the activities of Case Management and Utilization Management to facilitate the collaborative management for an entire episode of care for all patients with the multidisciplinary health care team, focusing on resource management and discharge planning. Performs timely review and delivery of necessary clinical information according to governmental regulations and insurance guidelines for approval of hospital care and correct admission status optimizing appropriate reimbursement for services, while supporting the mission of Williamson Health.
POSITION REQUIREMENTS
Formal Education / Training:
<div><ul><li>Must be currently licensed by the State of Tennessee as a Registered Nurse.</li></ul>
<ul><li>Emergency Room and or Critical Care preferred</li></ul>
<ul><li>Case Management Certification preferred/required within 3 years of employment</li></ul>
<ul><li>Earned a nursing diploma or degree from a college or university</li></ul>
</div>
Workplace Experience: 
Recent minimum 5 years related experience in hospital or managed care setting. 
Prior utilization/case management experience is preferred.
Equipment and Skills Training: 
Demonstrated clinical knowledge base in medical/surgical nursing and or critical care. 
Demonstrated organization, time management, problem-solving and critical thinking skills. 
Able to perform independently and in team situations under the supervision of a Director/Manager. 
Demonstrated effective verbal and written communication skills. 
Efficient review and interpretation of the medical record. 
Familiar with Meditech, Allscripts Care Management, Fax, Copier, basic computer skills preferred. 
General knowledge of Governmental and Insurance guidelines related to case management compliance, reimbursement, DRG system and Interqual Criteria preferred. 
Positive attitude with a willingness to learn new processes and adjusts well to change. 
Required Weekend Rotation
Physical Environment: 
Office and Clinical environment. 
Possible exposure to airborne pathogens.
Physical Effort: 
Telephone and computer use for extended periods of time. 
Able to walk/stand, up to 2 hours/day. 
Clear legible handwriting 
Clear understandable voice. 
 
PERFORMANCE STANDARDS 

<div><ul><li>Consistently sets priorities and exhibits efficient time management skills with assigned workload within the confinements of scheduled shift.</li></ul>
<ul><li>Timely reviews patients within 24 hours or next business day after admission and at a minimum of every 2 days thereafter for continued stay, applying appropriate criteria (Interqual&reg;) and facilitating reimbursement for services with third payer parties, obtaining and entering authorization number/approval status and notes in Meditech.</li></ul>
<ul><li>Completes assessments and initial status revision within 24 hours or next business day, documenting in Meditech/Allscripts.</li></ul>
<ul><li>Maintains precise, timely, and appropriate documentation in Allscripts and Meditech. Maintains legible, pertinent documentation on the patient&rsquo;s hard copy face sheet</li></ul>
<ul><li>Maintains knowledge of assigned patient&rsquo;s clinical condition, plan of care, discharge plan and payer source information as demonstrated in group and individual discussions</li></ul>
<ul><li>Timely delivery of the Initial and Follow-up Important Message Notification according to departmental policy for 75% of assigned and appropriate patients.</li></ul>
<ul><li>Assists in patient conversations and delivery of information related to discharge choices/discharge appeals and actively facilitates in the Discharge Appeals process.</li></ul>
<ul><li>Initiates peer to peer and initial appeal process as shown by consistent, clear communication to the physician and denials/appeals coordinator within 24 hours or next business day of notification of denial and documentation in Meditech/Allscripts &amp;/or BAR.
</li></ul><ul><li>Accurate and timely completion of all steps of the code 44 process after referral to E HR for those patients not meeting admission criteria. Complete documentation which includes hard copy forms, ensuring the status order is entered and correct in the Medical Record followed by documentation in Meditech, BAR and condition code is entered.
</li></ul><ul><li>Timely notification to Physician, social worker, and patient of NOTA status with delivery of ABN, HINN-1 or HINN-10 when appropriate</li></ul>
<ul><li>Collects and enters avoidable days, saved days and denied days in Allscripts, reporting trends to Director/Manager
</li></ul></div> 
Location: Williamson Medical Center &middot; WMC CASE MANAGEMENT 
Schedule: Full Time, Days, 8-4:30</div>

Registered Nurse - Case Manager Full Time Days

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