Urgently Hiring: RN Case Manager
Seeking a new challenge? This is the perfect opportunity to grow as a RN Case Manager! We offer a flexible, hybrid Remote arrangement for this position. This position requires a strong and diverse skillset in relevant areas to drive success. The compensation for this role is benchmarked at a competitive salary. Â Â Current Employees:
If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the Career icon on your homepage.
Primary Location
Rapid City, SD USA
Department
RCH Care Management
Scheduled Weekly Hours
40
Starting Pay Rate Range
$32.40 - $40.50
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
It starts with heart. That is what you will do each day. As a Case Manager at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and most importantly a life-changing career. You will make a difference. Every day.
As a Case Manager, you will be responsible for the collaboration of medical staff, patients, family, and the Healthcare team by assessing, facilitating, planning, and advocating for the health needs of a patient resulting in quality, cost-effective outcomes. You will establish goals and priorities consistent with the mission and goals of Monument Health as well as work to meet the individualized plan of care for the patients of our communities.
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope youÂll join us.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
 Supportive work culture
 Medical, Vision and Dental Coverage
 Retirement Plans, Health Savings Account, and Flexible Spending Account
 Instant pay is available for qualifying positions
 Paid Time Off Accrual Bank
 Opportunities for growth and advancement
 Tuition assistance/reimbursement
 Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)
 Flexible scheduling
Job Description
Essential Functions:
 Coordination of services for hospitalized patients whose care needs range from observation level of care to emergent/urgent higher level of care transitions to include facilitation of payer authorization and transportation.
 Patient triage for hospitalized patients to ensure transitions to other appropriate settings which range from post-acute care to acute care transitions.
 Uses critical thinking skills to assist providers in establishing plan of care recommendations for hospitalized patients.
 Partners with providers and Physician Advisors/Medical Directors to escalate cases for review on complex cases in compliance with Conditions or Participation and Escalation standards.
 Optimize care coordination with hospital, ER, nursing homes, assisted living facilities, physicians and community resources as necessary. Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care.
 Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
 Supports the Medical Staff Quality Review process by identification of issues related to quality indicators set forth by the Medical Staff.
 Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
 Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the Healthcare team and patient/family in decision making.
 Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care to include offering guidance to patients / families regarding applications for funding, guardianship and charity care programs as needed.
 Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition.
 Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patientÂs Healthcare needs based on the best practice standards to ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines and True North metrics.
 All other duties as assigned.
Additional Requirements
Required:
Education - Completion of a nursing education program that is approved by a board of nursing
Certification - Registered Nurse (RN) - South Dakota Board of Nursing
Preferred:
Education - Bachelors in Nursing
Experience - 2+ years of Acute Experience; 2+ years of Registered Nurse Experience
Certification - Commission for Case Management Certification (CCMC) - Accredited University or accredited training professionals
Physical Requirements:
Medium work - Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
Job Category
Patient Services
Job Family
Care Coordination10 Monument Health Rapid City Hospital, Inc.
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. Apply Job! We Encourage You to Apply!Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team.
Apply Now
If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the Career icon on your homepage.
Primary Location
Rapid City, SD USA
Department
RCH Care Management
Scheduled Weekly Hours
40
Starting Pay Rate Range
$32.40 - $40.50
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
It starts with heart. That is what you will do each day. As a Case Manager at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and most importantly a life-changing career. You will make a difference. Every day.
As a Case Manager, you will be responsible for the collaboration of medical staff, patients, family, and the Healthcare team by assessing, facilitating, planning, and advocating for the health needs of a patient resulting in quality, cost-effective outcomes. You will establish goals and priorities consistent with the mission and goals of Monument Health as well as work to meet the individualized plan of care for the patients of our communities.
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope youÂll join us.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
 Supportive work culture
 Medical, Vision and Dental Coverage
 Retirement Plans, Health Savings Account, and Flexible Spending Account
 Instant pay is available for qualifying positions
 Paid Time Off Accrual Bank
 Opportunities for growth and advancement
 Tuition assistance/reimbursement
 Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)
 Flexible scheduling
Job Description
Essential Functions:
 Coordination of services for hospitalized patients whose care needs range from observation level of care to emergent/urgent higher level of care transitions to include facilitation of payer authorization and transportation.
 Patient triage for hospitalized patients to ensure transitions to other appropriate settings which range from post-acute care to acute care transitions.
 Uses critical thinking skills to assist providers in establishing plan of care recommendations for hospitalized patients.
 Partners with providers and Physician Advisors/Medical Directors to escalate cases for review on complex cases in compliance with Conditions or Participation and Escalation standards.
 Optimize care coordination with hospital, ER, nursing homes, assisted living facilities, physicians and community resources as necessary. Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care.
 Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
 Supports the Medical Staff Quality Review process by identification of issues related to quality indicators set forth by the Medical Staff.
 Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
 Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the Healthcare team and patient/family in decision making.
 Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care to include offering guidance to patients / families regarding applications for funding, guardianship and charity care programs as needed.
 Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition.
 Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patientÂs Healthcare needs based on the best practice standards to ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines and True North metrics.
 All other duties as assigned.
Additional Requirements
Required:
Education - Completion of a nursing education program that is approved by a board of nursing
Certification - Registered Nurse (RN) - South Dakota Board of Nursing
Preferred:
Education - Bachelors in Nursing
Experience - 2+ years of Acute Experience; 2+ years of Registered Nurse Experience
Certification - Commission for Case Management Certification (CCMC) - Accredited University or accredited training professionals
Physical Requirements:
Medium work - Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
Job Category
Patient Services
Job Family
Care Coordination10 Monument Health Rapid City Hospital, Inc.
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. Apply Job! We Encourage You to Apply!Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team.
Apply Now