Care Manager (RN) - Inpatient

The Ohio State University

3d • Onsite

About The Position

The Patient Care Resource Manager (PCRM) is a nurse case manager responsible for facilitating patients through the healthcare system. This includes pre-admission through post-discharge coordination of care, resources, and services using the nursing process. The PCRM monitors and coordinates the patient plan of care to improve the timeliness of patient care decisions and throughput, enhance care quality and efficiency, and ensure efficient resource utilization. The PCRM identifies and removes barriers to the progression of the plan of care for each patient. The PCRM collaborates with physicians, nurses, and other healthcare workers to manage the patient's transition to the next level of care. The PCRM serves as the central information source for third-party payers, communicating the plan of care and medical necessity, and gaining approval for post-discharge care. Through the use of evidence-based criteria, the PCRM assists physicians in ensuring the appropriate level of care for each patient.

Requirements

• Bachelor’s degree
• RN licensure
• Five years recent clinical experience applicable to the population preferred
• Knowledge of clinical practice guidelines, computer data bases, and payer protocols desired.

Nice To Haves

• Masters preferred
• Five years recent clinical experience applicable to the population
• Knowledge of clinical practice guidelines, computer data bases, and payer protocols

Responsibilities

• Facilitates patients through the health care system from pre-admission through post discharge coordination of care, resources and services utilizing the nursing process.
• Monitors and coordinates the patient plan of care to enhance the timeliness of patient care decisions and throughput and to enhance care quality and efficiency and ensure efficient resource utilization.
• Identifies and removes barriers to progression of the plan of care for each patient.
• Collaborates with physicians, nurses and other health care workers to manage the patient transition to the next level of care.
• Serves as the central information source for third party payers, communicating the plan of care, medical necessity, and gaining approval for post discharge care.
• Assists physicians in ensuring the appropriate level of care for each patient through the use of evidence-based criteria.

Benefits

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level