Managing Consultant - Case Management RN

Salary depends on experience
Posted on 06/29/18
Less than 5 years experience
Professional, Scientific & Technical Services
Salary depends on experience
Posted on 06/29/18

Practice Information

Navigant’s Performance Excellence practice specializes in large-scale operations improvement, post-merger integration, and business transformation work for academic medical centers and large health systems and community hospitals. Our solutions are tailored with skilled teams to collaborate with client departments on implementing processes and creating efficiencies to withstand changes in the industry. Areas of expertise include: clinical process improvement, labor and non-labor expense reduction and corporate expense assessment. 
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Responsibilities

  • RN with Case Management, Utilization Management expertise
  • Must have hands-on prior clinical case management experience in a provider or comparable healthcare setting
  • A thorough understanding of provider/hospital/clinical operations
  • Considered a subject matter specialist and would work nationally with healthcare providers in all aspects of clinical operations that impact patient access, care coordination and discharge planning
  • Ability to conduct length-of-stay and/or patient flow assessments for large community hospitals, academic medical organizations and/or large physician practices
  • Able to assess nursing department operations and their role in the management of patients from a care coordination and flow perspective
  • Able to assess and recommend leading practices related to case management, utilization management, social work, physicians, nursing and multi-disciplinary roles and responsibilities relative to care coordination across the continuum of care
  • Ability to assess or participate in the assessment of medical staff structure, roles and responsibilities relative to care coordination, patient throughput and discharge processes
  • Ability to partner with medical staff leaders, such as a physician advisor to the case management function or the Chief Medical Officer assigned to this role
  • Successful, data driven track record in redesign and/or implementation efforts in the areas of case management/nursing, utilization review, patient placement, discharge planning and/or clinical documentation, patient flow systems
  • Ability to effect change through team structures and achieve measurable outcomes relative to length of stay, denials management, expense reduction, additional capacity or other key throughput processes
  • Ability to work with, and use data to effective change

Qualifications

  • Current Registered Nurse/RN license
  • Graduate degree from an accredited college or university, preferably in Business, Healthcare Administration, Nursing or Industrial Engineering
  • Two years of consulting experience in the provider setting and/or subject matter described above preferred
  • Three to five years (minimum) of experience in clinical operations, care management/care coordination, bed management and/or throughput experience in a provider setting
  • A minimum of two years of management experience
  • Proficient in Excel, Word, and PowerPoint skills and ability to independently produce documents or aptitude to develop this level of skill within a defined period of time
  • Flexible, positive, clear interpersonal and communication skills with ability to facilitate the exchange of information within all levels of NCI as well as a provider based, client organization, including, but not limited to, surgeons, anesthesiologists, hospital executives, and other professional and ancillary staff
  • Analytical skills related to independently interpreting, preparing and analyzing budget and workload data, LOS information, comparisons with relevant federal and/or other performance based data
  • Ability to develop and monitor performance metrics at all levels of the Care Management and Throughput flow processes
  • Knowledge of and familiarity with IT solutions and data bases which are integral to enabling efficient and appropriate to the Capacity Management, Care Management and Patient Throughput
  • Knowledge of and ability to ensure and promote, consistent, quality oriented, national leading practices, in all Clinical Operations and Throughput Services recommendations
  • Capacity to adapt and lead others to understand and accept values, strategies, goals and plans in response to changing business conditions
  • Ability and willingness to travel full time.

Mental/Physical Requirements

  • Frequently communicates with clients and coworkers and must be able to share information effectively
  • Strong conceptual, as well as quantitative and qualitative analytical skills
  • Work as a member of a team as well as be a self-motivator with ability to work independently 
  • Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously
  • Able to travel via airplane with minimal assistance to client sites across the US and potentially internationally
  • Usually remains stationary for the majority of the day
  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data
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