RN Hospice Nurse - Marshall - Fute Global LLC

    Fute Global LLC
    Fute Global LLC Marshall

    3 days ago

    $65,000 - $105,000 (USD) per year *
    Description

    The Registered Nurse will be responsible for coordinating hospice services for managed care patients which includes establishing and maintaining the patient's plan of care, establishing and maintaining positive relationships with managed care customers and related referral sources, and negotiating service agreements.

    Essential Job Functions/ Responsibilities

    • Coordinates hospice services for managed care patients, assists with the establishment of the plan of care in coordination with the physician and insurance Case Managers, and ensures a seamless transition to hospice.
    • Collaborates with inpatient utilization review departments and managed care organizations to facilitate safe, early inpatient discharge.
    • Works with Clinical Supervisors and staff clinicians to gather, collate, and report patient care summary information to managed care Case Managers.
    • Promotes maximum third party reimbursement through price negotiations with managed care organizations within the established financial, credit, and contractual parameters.
    • Maintains comprehensive working knowledge of managed care contractual relationships and ensures that patients are admitted and services are delivered in accordance with contract provisions.
    • Works with members of the billing team to ensure that managed care customers are billed according to managed care organization agreements.
    • Establishes and maintains positive working relationships with current and potential managed care customers.
    • Promptly responds to managed care customer's requests and concerns.
    • Assists in building community, customer, payer and patient perceptions of Harmony At Home Hospice as a high quality provider of services.
    • Maintains comprehensive working knowledge in the field of managed care and shares information with appropriate organization personnel.
    • Maintains comprehensive working knowledge of community resources and assists customers in accessing community resources should services not be provided by Harmony At Home Hospice.
    Qualifications

    • Bachelor's degree in Nursing and is licensed in the state.
    • At least three (3) years' experience in health care managed care coordination preferably in hospice or similar operation.
    • Complies with acceptable professional standards and practice.
    • Ability to market aggressively and deal tactfully with customers and the community.
    • Knowledge of corporate business management and managed care environment.
    • Demonstrates good communications, negotiation, and public relations skills.
    • Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.
    Qualifications
    Patient assessment and direct patient care skills
    Medication administration and healthcare team collaboration skills
    Strong communication and patient education abilities
    Experience in clinical settings and working with diverse patient populations
    Current Registered Nurse licensure in Michigan
    Ability to work effectively in a fast-paced environment
    Knowledge of healthcare regulations and best practices
    Experience in geriatric or palliative care is a plus
    * This salary range is an estimation made by beBee
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