Job Description - RN Case Mgr-Hospital & ED-M-M

About Children’s Minnesota

Children’s Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children’s Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts™ in our region, Children’s Minnesota is regularly ranked by U.S. News & World Report as a top children’s hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org.

Children’s Minnesota is proud to be recognized by Modern Healthcare as one of 2023’s Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry.

Position Summary

The RN case manager promotes efficient and effective service delivery through enhanced
communication and coordination of the patient specific plan of care. Ensures the established
standard of care and expected outcomes are achieved in a timely manner while facilitating
appropriate resource utilization and enhancing customer satisfaction. The case manager proactively communicates with members of the healthcare team to ensure appropriate medical necessity for patients in beds; communicates with payers and patient/family/healthcare team regarding payer information as necessary. Ensures that care moves through the episode of care in a timely and efficient manner.


License/Certification/Registration required:
* Current MN RN license.
* Current BLS certification.
* Case Management certification recommended.

Education:
* BS/BA in nursing or ADN with BS/BA in relevant health care major.

Experience:
* 2 years current nursing experience, pediatric preferred.

Knowledge/Skills/Abilities:
* Demonstrated ability to gather data, evidence, and best practice to be able to present a cogent
argument to physicians and payers related to level of care, continued stay, and plan of care
progression.
* Ability to challenge respectfully and negotiate successfully for optimal patient outcomes.
* Demonstrated problem solving ability which employs anticipation, creativity, resourcefulness and
sound judgment to make recommendations for change/plan based on data and clinical knowledge.
* Demonstrated ability to function as part of a team and form positive, collaborative relationships with
social work, hospital staff, patients, families and post-acute providers.
* Demonstrated critical thinking skills to anticipate needs, establish priorities, meet deadlines, and
effectively manage a caseload of work.
* Demonstrated experience in prioritizing and delegating work.
* Demonstrated ability to engage all staff (nurses, management, physicians and ancillary staff) to
facilitate a collaborative environment.
* Demonstrated ability to coach and mentor colleagues and other disciplines.
* Proficient with computers and programs.

The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. Annual salaries displayed are based on full-time employment (40 standard hrs per week). Annual salaries for part-time positions will be prorated based on the employee’s scheduled weekly hours in relation to the full-time standard. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs.

In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay.

All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification.

Children’s Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
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