Olathe Health
Position Summary
Integrated Nursing Case Manager, under the direction of the Director/Manager of Case Management, provides care and services safely and efficiently for a full range of services to patients of all ages and their families. The primary role is to collaborate, communicate, and facilitate coordination of services during hospitalization and post‑hospitalization as established by the healthcare team. The Integrated Nursing Case Manager concurrently facilitates proactive patient care services to ensure that care is appropriate, timely, and cost‑effective and achieves the desired outcome. The Integrated Nursing Case Manager coordinates the care and service of selected patient populations across the continuum of illness; promotes effective utilization and monitoring of health care resources; and guides all disciplines toward positive quality outcomes.
Job Title Integrated Nursing Case Mgr - PRN
Olathe Hospital
Responsibilities And Essential Job Functions
Accepts responsibility and accountability for achievement of optimal outcomes within scope of practice. Follows policies, procedures, and standards; complies with Corporate Compliance program. Assumes responsibility for risk and safety issues associated with the position. Takes call as required by the department expectations. Performs specific job responsibilities and demonstrates accountability for own actions and decisions.
Acquires and maintains knowledge and competence related to the expectations of the position and practices within scope. Brings ideas and concerns to supervisor, participates in department decision making. Maintains current licensure.
Advocates on behalf of patients and caregivers for identification and access to services. Advocates for the protection of the patient's health, safety and rights. Ensures patient choice and consistently supports a patient‑centered environment.
Identifies and manages other patient needs, making referrals to appropriate personnel; validates that need was addressed.
Identifies patient educational, social and financial needs; refers to appropriate personnel.
Provides spiritual support; refers to Pastoral Care or patron.
Assures prudent utilization of all resources (fiscal, staff resources, environmental, equipment and services) by evaluating options available. Demonstrates ability to balance cost and quality to assure optimal clinical and financial outcomes. Participates in performance improvement activities.
Reviews all assigned Outpatient Observation patients and verifies correct status assignment and develops discharge plan.
Conducts admission and continued stay reviews to evaluate medical necessity of admission/continued stay and appropriateness of treatment plan using screening criteria and benchmark tools as defined by the department. When appropriate confers with the attending physician, department management, physician advisor, and insurance companies to assure justification of admission/continued stay.
Facilitates external payer certification for hospital and discharge needs.
Initiates process to move patient appropriately through the continuum of care.
Minimizes and informs patients of their financial responsibilities.
Ensures compliance with payer rules and regulations.
Monitors, records, and reports all variances related to utilization of resources.
Communicates timely, relevant and accurate information to all parties involved with patient’s care. Communicates effectively and frequently within the multidisciplinary team and patient/family throughout hospitalization.
Facilitates progression of care by advancing care plan to achieve desired outcomes. Monitors patient’s progression toward desired outcome. Facilitates discharge planning, resource referral and patient education.
Uses critical thinking skills to facilitate proactive discharge planning, initial discharge assessment on assigned patient population, establish daily goals, validate medical record documentation of patient’s clinical picture as it relates to the case management process.
Identify discharge needs such as equipment, home health services, nursing home, etc.
Completes education and resource referrals as appropriate.
Facilitates transfers to lower level of care.
Explores discharge options and communicates to patient, family and physician.
Coordinates and facilitates communication among all team members, including community providers.
Integrates work of healthcare team by coordinating resources and services necessary to accomplish agreed‑upon goals and desired discharge plan. Continuously monitors patient through frequent interactions from admission to discharge.
Documents appropriate information in Case Management computer system, progress notes and other required documentation.
Prepares for and participates in daily Interdisciplinary Care Coordination (ICC) Huddles by providing relevant discipline‑specific information to entire team.
Works collaboratively with patients, families, all members of healthcare team, and community partners to make appropriate discharge plan based on identified needs. The Integrated Nursing Case Manager and team are jointly accountable for measurable, cost‑effective outcomes that reflect patient preferences and values. Participates as a member of a team to achieve organizational and departmental goals.
Presents at Weekly Length of Stay (LOS) Meeting on patients reaching or surpassing assigned LOS threshold.
Facilitates care within financial restraints.
Prioritizes daily activities based on payer reimbursement, length of stay, level of care, and charges to date.
Intervenes per hospital/department policy with potential over‑utilization of clinical resources.
Assists in appeal process by proactively requesting reconsideration on all adverse determinations from external payers.
Identifies, escalates, and documents avoidable days for reporting purposes.
Provides crisis intervention as needed/when directed by Case Management Director/Manager. Staff is available “on call” 24‑hours a day, seven days a week. All members of the Department are expected to accept on‑call responsibilities monthly.
Continually participates in study and improvement of process providing health care services to meet needs of patients, organization and department.
Monitors individual patient outcomes and intervenes as necessary.
Identifies opportunities for performance improvement and refers to appropriate person or department.
Identifies opportunities for Medical Staff performance improvement, collects data, reports variances and statistical data to committees.
Assists medical staff department with peer review activities and completion of special studies.
Serves as resource for PI process and is able to lead and facilitate teams.
Completes all Case Management system requirements, and assists in data analysis and identifying opportunities to improve performance.
Monitors outcomes related to financial impact on patient care.
Participates in professional development activities; attends workshops, conferences or seminars suggested by Manager; meets objectives identified on last performance appraisal; identifies professional development needs and pursues educational opportunities; participates in hospital task forces and committees; attends and participates in department meetings.
Acts as preceptor for new team members; assists in training and provides clinical supervision when needed; demonstrates flexibility and teamwork; assists peers in fluctuating census; provides coverage to other services as requested; identifies, monitors, and reports quality and performance improvement opportunities.
Must perform professional, clinical and/or technical competencies of assigned unit or department.
These statements describe essential functions and are not exhaustive; duties may vary by department or unit; other duties may be assigned as required.
Required Education And Experience
High School Graduate
Associate Degree Nursing
Preferred Education And Experience
Bachelor Degree Nursing
2 or more years clinical experience
2 or more years clinical experience in a health care setting
Required Licensure And Certification
Licensed Registered Nurse (LRN) – Single State – State Board of Nursing Registered Nurse in Kansas
Must have current active multistate state RN license in good standing in state where you live OR active single state RN license in good standing in the state you will be working; proof of application for a multistate RN license in the state in which you live.
Staff hired prior to 2/1/2024 are required to obtain a multistate state RN license from the state in which they live at the time of their next RN license renewal by 3/31/2026.
Basic Cardiac Life Support (BLS or BCLS) – American Heart Association (AHA)
Knowledge Requirements
Ability to read and document in electronic medical record.
Basic typing and word processing ability.
High degree of cognitive skill; strong attention to detail.
Time Type Part time
Job Requisition ID R-49290
Important Information For You To Know As You Apply
The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally‑protected status. See also Diversity, Equity & Inclusion.
The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
Employment with the health system is contingent upon agreeing to the health‑system‑dispute‑resolution‑program.pdf and signing the agreement to the DRP.
#J-18808-Ljbffr
Job Title Integrated Nursing Case Mgr - PRN
Olathe Hospital
Responsibilities And Essential Job Functions
Accepts responsibility and accountability for achievement of optimal outcomes within scope of practice. Follows policies, procedures, and standards; complies with Corporate Compliance program. Assumes responsibility for risk and safety issues associated with the position. Takes call as required by the department expectations. Performs specific job responsibilities and demonstrates accountability for own actions and decisions.
Acquires and maintains knowledge and competence related to the expectations of the position and practices within scope. Brings ideas and concerns to supervisor, participates in department decision making. Maintains current licensure.
Advocates on behalf of patients and caregivers for identification and access to services. Advocates for the protection of the patient's health, safety and rights. Ensures patient choice and consistently supports a patient‑centered environment.
Identifies and manages other patient needs, making referrals to appropriate personnel; validates that need was addressed.
Identifies patient educational, social and financial needs; refers to appropriate personnel.
Provides spiritual support; refers to Pastoral Care or patron.
Assures prudent utilization of all resources (fiscal, staff resources, environmental, equipment and services) by evaluating options available. Demonstrates ability to balance cost and quality to assure optimal clinical and financial outcomes. Participates in performance improvement activities.
Reviews all assigned Outpatient Observation patients and verifies correct status assignment and develops discharge plan.
Conducts admission and continued stay reviews to evaluate medical necessity of admission/continued stay and appropriateness of treatment plan using screening criteria and benchmark tools as defined by the department. When appropriate confers with the attending physician, department management, physician advisor, and insurance companies to assure justification of admission/continued stay.
Facilitates external payer certification for hospital and discharge needs.
Initiates process to move patient appropriately through the continuum of care.
Minimizes and informs patients of their financial responsibilities.
Ensures compliance with payer rules and regulations.
Monitors, records, and reports all variances related to utilization of resources.
Communicates timely, relevant and accurate information to all parties involved with patient’s care. Communicates effectively and frequently within the multidisciplinary team and patient/family throughout hospitalization.
Facilitates progression of care by advancing care plan to achieve desired outcomes. Monitors patient’s progression toward desired outcome. Facilitates discharge planning, resource referral and patient education.
Uses critical thinking skills to facilitate proactive discharge planning, initial discharge assessment on assigned patient population, establish daily goals, validate medical record documentation of patient’s clinical picture as it relates to the case management process.
Identify discharge needs such as equipment, home health services, nursing home, etc.
Completes education and resource referrals as appropriate.
Facilitates transfers to lower level of care.
Explores discharge options and communicates to patient, family and physician.
Coordinates and facilitates communication among all team members, including community providers.
Integrates work of healthcare team by coordinating resources and services necessary to accomplish agreed‑upon goals and desired discharge plan. Continuously monitors patient through frequent interactions from admission to discharge.
Documents appropriate information in Case Management computer system, progress notes and other required documentation.
Prepares for and participates in daily Interdisciplinary Care Coordination (ICC) Huddles by providing relevant discipline‑specific information to entire team.
Works collaboratively with patients, families, all members of healthcare team, and community partners to make appropriate discharge plan based on identified needs. The Integrated Nursing Case Manager and team are jointly accountable for measurable, cost‑effective outcomes that reflect patient preferences and values. Participates as a member of a team to achieve organizational and departmental goals.
Presents at Weekly Length of Stay (LOS) Meeting on patients reaching or surpassing assigned LOS threshold.
Facilitates care within financial restraints.
Prioritizes daily activities based on payer reimbursement, length of stay, level of care, and charges to date.
Intervenes per hospital/department policy with potential over‑utilization of clinical resources.
Assists in appeal process by proactively requesting reconsideration on all adverse determinations from external payers.
Identifies, escalates, and documents avoidable days for reporting purposes.
Provides crisis intervention as needed/when directed by Case Management Director/Manager. Staff is available “on call” 24‑hours a day, seven days a week. All members of the Department are expected to accept on‑call responsibilities monthly.
Continually participates in study and improvement of process providing health care services to meet needs of patients, organization and department.
Monitors individual patient outcomes and intervenes as necessary.
Identifies opportunities for performance improvement and refers to appropriate person or department.
Identifies opportunities for Medical Staff performance improvement, collects data, reports variances and statistical data to committees.
Assists medical staff department with peer review activities and completion of special studies.
Serves as resource for PI process and is able to lead and facilitate teams.
Completes all Case Management system requirements, and assists in data analysis and identifying opportunities to improve performance.
Monitors outcomes related to financial impact on patient care.
Participates in professional development activities; attends workshops, conferences or seminars suggested by Manager; meets objectives identified on last performance appraisal; identifies professional development needs and pursues educational opportunities; participates in hospital task forces and committees; attends and participates in department meetings.
Acts as preceptor for new team members; assists in training and provides clinical supervision when needed; demonstrates flexibility and teamwork; assists peers in fluctuating census; provides coverage to other services as requested; identifies, monitors, and reports quality and performance improvement opportunities.
Must perform professional, clinical and/or technical competencies of assigned unit or department.
These statements describe essential functions and are not exhaustive; duties may vary by department or unit; other duties may be assigned as required.
Required Education And Experience
High School Graduate
Associate Degree Nursing
Preferred Education And Experience
Bachelor Degree Nursing
2 or more years clinical experience
2 or more years clinical experience in a health care setting
Required Licensure And Certification
Licensed Registered Nurse (LRN) – Single State – State Board of Nursing Registered Nurse in Kansas
Must have current active multistate state RN license in good standing in state where you live OR active single state RN license in good standing in the state you will be working; proof of application for a multistate RN license in the state in which you live.
Staff hired prior to 2/1/2024 are required to obtain a multistate state RN license from the state in which they live at the time of their next RN license renewal by 3/31/2026.
Basic Cardiac Life Support (BLS or BCLS) – American Heart Association (AHA)
Knowledge Requirements
Ability to read and document in electronic medical record.
Basic typing and word processing ability.
High degree of cognitive skill; strong attention to detail.
Time Type Part time
Job Requisition ID R-49290
Important Information For You To Know As You Apply
The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally‑protected status. See also Diversity, Equity & Inclusion.
The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
Employment with the health system is contingent upon agreeing to the health‑system‑dispute‑resolution‑program.pdf and signing the agreement to the DRP.
#J-18808-Ljbffr