Mayo Clinic Registered Nurse (RN) Supplemental - Case Manager in Rochester, Minnesota
Position description The RN CASE MANAGER provides ongoing support to Mayo Clinic Rochester and Mayo Clinic Health System medical practices with direct interaction with clinical staff in the hospital setting, including nursing, social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission status and continued stay clinical review; communication with clinical providers to identify quality value based purchasing core measures for hospital bedded patients. Clarification and face to face education to clinical staff regarding quality metrics, and continued admission status review to ensure accurate clinical documentation to support the care provided. This position requires strong independent decision making, assessment, and reasoning while determining the appropriateness of patient admission status following established admission criteria and regulations. This position requires knowledge, understanding, and continued education on current regulatory compliance requirements of Government Payers in relation to Admission Status, Clinical Documentation, and Value Based Purchasing. THE RN CASE MANAGER communicates with physicians, patients, and other clinical staff regarding documentation, Quality, and Admission Status criteria and regulatory requirements and penalties. The RN CASE MANAGER works with Third-Party and Government payers to meet managed care and continued stay requirements. The RN Case Manager participates with interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay.
The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which includes accountability for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The RN Case Manager utilizes the principles of mutual respect, patient/family advocacy and provides leadership within the team of internal partners and outside agencies to facilitate best practices that achieve quality clinical, financial, and patient satisfaction outcomes. The RN Case Manager provides leadership through education on case management/utilization management concepts, committee work, research, and community involvement. The RN Case Manager bridges communication between providers, patients and families, members of the interdisciplinary team, and outside agencies to assure high-quality care that meets the patient’s needs and is delivered in a cost-effective and timely manner. The ANA Nursing: Scope and Standards of Practice and Code of Ethics provide a basis for the practice of the RN. The American Case Manager Association Standards of Practice and Scope of Services for Health Care Delivery System Case Management and Transitions of Care Professionals (2013) are reflected.
Qualifications Student or Graduate of an accredited baccalaureate, associate, or diploma nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN- formerly NLN) or Commission on Collegiate Nursing Education (CCNE). If graduated from a nursing program that was not accredited by ACEN or CCNE, at least one year of RN experience (within the last 5 years) in an applicable care setting is required. If graduation did not occur within the last two years, one year of RN experience in an applicable care setting is required or, effective October 1st, 2017 one year of current LPN experience at Mayo Clinic is required.
All associate degree or diploma registered nurses hired into the Department of Nursing with a RN start date after September 1, 2010, must provide documented evidence of program completion of their baccalaureate degree in nursing from an accredited nursing program within 5 years from the last day of the month of their RN start date.
Additional qualifications Must have in-depth understanding of anatomy, physiology medical terminology and disease processes. Knowledge of CPT coding, resource management systems, electronic medical record and personal computers beneficial. Demonstrated leadership, independent problem solving, conflict resolution, critical thinking skills, and team building skills required. Must be self-motivated and able to work as part of a team with minimal supervision. Must possess the ability to work well within a creative and challenging work environment. Experience in utilization review, ability to navigate medical records, value based purchasing metrics, or pre-certification helpful. Additional nursing experience in specialty area beneficial. Certification in Case Management preferred.
License or certification Must obtain prior to start date: Current RN license by applicable state requirements.
Arizona and Florida: Maintains Basic Life Support (BLS) competency.
Midwest: Basic Cardiac Life Support for healthcare providers- BCLS – certificate of course completion required and must not expire within 3 months after start date. A scanned copy of the certificate of completion or transcripts, including your full name, must be attached to your profile to be considered.
We will only accept certificates of course completion from the following providers:
American Heart Association (Title: BLS for Healthcare Providers or BLS Provider)
Red Cross (Title: CPR/AED for Professional Rescuers and Health Care Providers or BLS for Healthcare Providers)
Military Training Network
Additional specialty certification/training as required by the work area.
Exemption status Exempt
Compensation Detail Education, experience and tenure may be considered along with internal equity when job offers are extended.
Benefits eligible Yes
Schedule Supplemental/On-call/Per Diem
Hours / Pay period Supplemental
Schedule details Monday-Friday; variable exempt schedule
Weekend schedule Occasional weekends
Site description Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Career profile Nursing
Job posting number 138192BR
Recruiter Claudia Kotchick
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
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