Case Manager RN - Social Work Services
About The Position
The Case Manager RN is responsible for the quality and resource management of patients admitted to the facility, beginning at admission and continuing across the health care management continuum. The role advocates on behalf of patients, promotes cost containment, and provides leadership to integrate health care providers and support seamless care delivery. The position facilitates quality, clinical, and cost-effective outcomes through holistic, comprehensive admission and concurrent medical-record reviews for medical necessity, intensity of service, and severity of illness.
Requirements
- At least five years of work experience after graduating from an accredited school of nursing.
- Current state Registered Nurse license.
- At least one year of experience in case management, discharge planning, or nursing management.
- Basic to intermediate computer skills.
Nice To Haves
- Five years of acute care nursing experience.
- Certified Case Manager (CCM) certification, or obtain it within one year.
- Knowledge of Milliman Criteria and InterQual Criteria.
- Current BCLS certificate.
Responsibilities
- Manage the quality and resources of patients admitted to the facility from admission throughout the health care management continuum.
- Advocate on behalf of patients and promote cost containment.
- Provide leadership to integrate health care providers and support seamless delivery of care.
- Facilitate quality, clinical, and cost-effective outcomes.
- Conduct holistic, comprehensive admission and concurrent medical-record reviews for medical necessity, intensity of service, and severity of illness.
Benefits
- Paid time off
- 401K retirement plan
- Medical coverage
- Dental coverage
- Vision coverage
- Tuition reimbursement
- Voluntary benefit options
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
