Case Manager, Registered Nurse

Lifepoint HealthBeckley, WV
5hOnsite

About The Position

Raleigh General is a 300 bed hospital located in Beckley, WV, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone—your experience matters. At Raleigh General Hospital, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you’re not just valued as an employee, but as a person. As a registered nurse (RN) joining our team, you’re embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. Responsible for the coordination and daily operations of the quality management process. Monitors care of patients within case groups to ensure high quality and cost effective care is provided. Works with other hospital personnel to assure appropriate and timely discharge planning.

Requirements

  • Graduate of a Program in Discipline Required
  • Graduate from an accredited school of nursing BSN Preferred
  • Current RN to practice/work in the state of WV
  • Basic Life Support (BLS) - to be obtained within 30 days
  • Two years recent related clinical experience preferred in Utilization Review, Quality Improvement and Case Management preferred.
  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.

Responsibilities

  • Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and appropriateness of medical care, including admission, length of stay, transfer and discharge.
  • Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care.
  • Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.
  • Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
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