The RN Case Manager monitors and manages patient care to promote continuity of care, optimal outcomes, patient satisfaction, cost efficiency, and regulatory compliance. The role collaborates with the multidisciplinary team, payors, and community resources, and leads discharge planning and utilization review activities. The Case Manager regularly consults with nursing staff and the multidisciplinary team to assess patient status and the appropriateness of care, including admission, length of stay, transfers, and discharge. The position also responds to patient, family, and payor questions and complaints; coordinates transfers and referrals; provides discharge education; and reviews charts to identify issues affecting service delivery, outcomes, satisfaction, compliance, cost, and reimbursement. The Case Manager communicates with providers, payors, and ancillary services to address barriers and support timely care progression, and accurately documents case management activities, plans, and outcomes. The role participates in performance improvement and continuing education, supports department operations by working alternate shifts or units as needed, may be assigned on-call, and performs other duties as assigned. The Case Management team works with physicians, nurses, patients, families, and community resources to coordinate safe, effective care during hospital stays and support transitions, access to services, and patient outcomes. Patient populations served range from neonates through older adults. The position may involve occupational exposure to bloodborne pathogens and access to demographic, clinical, insurance, financial, and complete medical-record information.
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Job Type
Part-time
Career Level
Entry Level
Education Level
Associate degree