RN Case Manager - Omaha (FT Days, Mon-Fri)

Are you a difference maker with the heart and commitment to provide world-class patient care? Do you want to be part of a team of the most talented caregivers and clinicians in the healthcare industry? If so, Madonna Rehabilitation Hospitals invites you to join us in our mission to provide groundbreaking rehabilitation care that provides our patients with the hope of being made whole.
At Madonna, you will experience heartfelt hospitality with unmatched innovation and education.  We believe in equipping you for excellence and investing in your success, both inside and outside of work.  While you are providing patients with life-changing care, you will be rewarded with competitive compensation, a comprehensive benefit packet, a generous paid time off plan and wellness offerings as part of Madonnaâ??s commitment to your wellbeing. 
Our culture is based on the core values of Collaboration, Hospitality, Respect, Innovation, Stewardship, and Teaching.  If you are looking for purpose-driven work guided by these values, find your career at Madonna!

RESPONSIBILITIES:

• Responsible for the collaborative team process which assesses plans, implements, coordinates, monitors and evaluates the options and services to meet the patientâ??s health needs, using communication and available resources to promote quality, cost effective outcomes.  These duties include the development of the patientâ??s overall plan of care including the identification, periodic review and revision, and communication of an individualized interdisciplinary plan of care.
• Accountable for meeting quality patient outcomes and service delivery based on (1) appropriate length of stay, (2) effective utilization of resources including program utilization, (3) continuity through a continuum of care, and (4) established standards.
• Serves as a liaison between patient, family, payer, team and physician; facilitation of education and training for patients, families and caregivers; for overall coordination of the patientâ??s program.
• Analyze patients past and current status; assess impairments, disabilities and handicaps in order to plan, coordinate, implement and monitor an effective and efficient plan of care.
• Analyze and monitor patientâ??s need for specialized tests, equipment, transportation, etc., in order to coordinate the provision of and payment for such services.
• Monitor the patientâ??s current status as well as information in the medical record, and assimilate/compare to professional nursing knowledge of disease, trauma or disability to evaluate and ensure the appropriate provision of care.
• Compile, synthesize and enter FIM data into E-rehab in order to facilitate accurate reimbursement and/or program evaluation reporting and analysis.
• Analyze, assess and monitor the principal diagnosis, secondary diagnoses, and procedures assigned to the patient to evaluate and ensure accurate reimbursement in hospital programs.
• Analyze, assess and monitor the Patient Based Income Statement (PBIS) to obtain CMG or DRG length of stay to assist in the management of the patientâ??s length of stay and manage patientsâ?? financial information in order to maximize appropriate utilization of resources.
• Compile, coordinate and analyze patientâ??s program information in accordance with the requirements of third party payers in order to maximize appropriate utilization of patientâ??s financial benefits.
• Mentor, negotiate, instruct and speak with patients and families in order to orient them to the program services, admission and discharge criteria and patient/family responsibilities in order to ensure patient/family active participation in the program.
  
  SKILLS & ABILITIES:
• Knowledge of general rehabilitation principles, community resources, and group dynamics required.
• Effective skills in negotiation, group facilitation, conflict management and consensus building.
• General knowledge of Medicare and Medicaid programs and basic knowledge of indemnity and managed care insurance required.
• Excellent communication skills.
• Ability to learn quickly and adapt to challenging situations.
  
  EDUCATION & EXPERIENCE:
• Registered Nurse with current Nebraska RN licensure.
• Minimum of 18 months clinical experience, one year of which must be in physical rehabilitation.
• CCM preferred.
  
  Madonna provides a professional work environment free from discrimination and harassment, including sexual harassment.  Discrimination or harassment on the basis of a current or potential employee's race, creed, color, religion, sex, sexual orientation, gender identity or gender expression, age, disability, national origin, pregnancy, receipt of public assistance, marital status, Vietnam era veteran status, genetic information, or any other protected class specified under applicable local, state, or federal law is expressly prohibited.