Jobs · Healthcare · New Mexico

Nurse (Case Management) Discharge Planner

Indian Health Service · Zuni, NM · 1 wk ago
HealthcareFull-time

About the role

This position is the Nurse (Case Management) Discharge Planner for the Division of Nursing Services in Zuni, New Mexico. The incumbent reports to the Inpatient Supervisory Nurse. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Responsibilities

  • Helps inpatient case management, utilization management and discharge planning.
  • Initiates the case management process upon admission and conducts a comprehensive inpatient assessment.
  • Makes sure the discharge plan is monitored and adjusted throughout the episode of care.
  • Applies approved clinical review criteria (e.g., InterQual, MCG) to evaluate and document the appropriateness of admission status and continued stay, submitting timely and accurate clinical reviews to payers to secure authorization for admission, continued stay, and post-acute services.
  • Facilitates the transition of care from acute inpatient to outpatient or post-acute settings.
  • Communicates accurate and complete continued care needs, including discharge summary, medication list, and ongoing service requirements.
  • Uses professional nursing knowledge and clinical judgment to conduct bedside and chart-based assessments of assigned inpatients.

Requirements

  • U.S. Citizenship is required.
  • Selectees may be subject to a probationary period.
  • Must possess a current, active, full and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
  • At least a 12 month service agreement will be required.

Qualifications

  • A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required.
  • Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field is preferred.
  • Experience in initiating case management process upon admission and conducting comprehensive inpatient assessments, managing caseloads with complex, multi-system, or non-routine care needs, and developing and implementing discharge plans for cases where established protocols may not fully address the clinical or social complexity presented.

Skills

  • Professional nursing knowledge and clinical judgment.
  • Ability to communicate accurately and complete discharge summaries, medication lists, and ongoing service requirements.
  • Ability to facilitate transitions of care between acute inpatient and outpatient or post-acute settings.

Benefits

  • Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov)

Pay

  • Details on pay structure are available on IHS's website.

Schedule

  • Details on shift schedules are available on IHS's website.

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