Case Manager RN - Utilization Management

Lower Bucks Hospital • Bristol, PA

113d

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Lower Bucks Hospital is a community hospital, serving the Lower Bucks County region with medical, surgical, and emergency care. Located in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery. The hospital has more than 200 physicians on staff, as well as another 700 employees.

Requirements

• Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
• Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker, however, RN Case Manager preferred.
• Five years acute care nursing experience preferred.
• At least one year experience in case management, discharge planning or nursing management preferred.
• Current BCLS (AHA) certificate preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Experience and knowledge in basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hires and maintain current.

Responsibilities

• Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
• Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
• Facilitates and ensures the achievement of quality, clinical and cost effective outcomes.
• Performs a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees