RN Case Manager
BJC HealthCare
RN Case Manager
BJC HealthCare
Operates nonprofit hospital network and care
Location:
Barnes-Jewish Hospital
One Barnes Jewish Hospital Plaza
St. Louis, MO 63110
This position is onsite
Additional Preferred Requirements
Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.
The CM Services reports through the division of Patient Care Services lead by the Chief Nursing Executive, Vice President of Patient Care Services. The CM Service is comprised of three departments: Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery, the objectives of the CM Services are for all patients to have access to healthcare through the BJH continuum and appropriate, safe discharge plans. The SW department is open 24 hours/day while the CM department is open 20 hours/day. Both departments provide coverage throughout the hospital including the Emergency Department, Outpatient Clinics, Registration sites, and Health Information Management. The Service employs registered nurses, social workers, a license practical nurse, a customer service representative, and administrative assistants.
Role Purpose
Coordinates, negotiates, procures and manages the care of patients to facilitate achievement of quality cost-effective outcomes. Works collaboratively with physicians and interdisciplinary staff, internal and external to the organization, to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum value for the patient and the reimbursement source.
Responsibilities
Minimum Requirements
Education
Experience
Supervisor Experience
Licenses & Certifications
Preferred Requirements
Education
Experience
BJC Total Rewards
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The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
Operates nonprofit hospital network and care
BJC HealthCare operates a large nonprofit network of hospitals and affiliated care facilities across Missouri and Illinois, delivering inpatient and outpatient medical services. Its approach centers on integrated care delivery: hospitals, clinics, and community programs coordinate services to improve patient health, support education and innovation, and promote healthier habits. The organization uses collaboration, shared knowledge, and evidence-based medicine to provide consistent, high-quality care across its system. Unlike many competitors, it emphasizes nonprofit community-focused work, scale, and coordinated care within a single integrated network. The goal is to improve the health and well-being of people in the communities it serves by offering access to high-level medical care and services with a commitment to excellence.
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