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    Duties

    Summary

    Incentives are not authorized for this position

    The Utilization Management/Discharge Coordinator is responsible and accountable to the Chief of Community Care Services. The RN Case manager is responsible to facilitate care along the continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.

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    Responsibilities

    The RN Case Manager will provide clinical care of Veterans who are inpatient at Joint Venture and Contracted health care facilities including, but not limited to, William Beaumont Army Medical Center and Community Care sites. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This will require coordination of and referrals to various levels of care including non- institutional care and home and community-based services. The RN is responsible for monitoring veteran status while inpatient, determination of coverage following eligibility criteria. Documenting in CPRS, FBCS, and tracking admissions and discharges. Educating providers if needed. Communicating with Chief of Medicine regarding transfers to Inpatient Rehab/L TAC for patients meeting criteria. Applying and implementing lnterQual, VHA and EPVAHCS approved criteria for coverage determination. Documents admission, changes in care to the point of discharge.

    Work Schedule: Monday-Friday 8:00am-4:45pm
    Financial Disclosure Report: Not required
    Note: This is a bargaining unit position

    Travel Required

    Not required

    Supervisory status

    No

    Promotion Potential

    None

  • Job family (Series)

    0610 Nurse

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/555399500. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.