Case Manager, RN
About The Position
The Case Manager is responsible for case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes. This role involves the coordination of care, utilization review, and acting as a resource to patients, family, significant others, and staff. The Case Manager will make referrals to clinical social workers for psycho-social issues and complicated discharge planning, oversee coordination of post-hospital care needs, and interact with insurance companies, medical groups, and community resources to ensure timely and efficient use of all services.
Requirements
- Current CA RN license
- Current BLS provider card
- Diploma RN or BSN degree
- Two years as a Case Manager in a behavioral health inpatient setting and/ or three years acute care experience
- Strong interpersonal skills
- Leadership skills
- Negotiation skills
- Good leadership talent
- Knowledge of hospital operations
- General knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice
- Excellent organizational skills
- Ability to problem solve
Nice To Haves
- CMGT-BC certification preferred
Responsibilities
- Case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes
- Coordination of care
- Utilization review
- Acting as a resource to patients, family and/or significant others and staff
- Referrals to clinical social worker for psycho-social issues and complicated discharge planning issues
- Overseeing coordination of post-hospital care needs
- Interacting with insurance companies, medical groups, and community resources to ensure timely, efficient use of all services
- Develops, maintains, and models professional, objective and value-oriented interpersonal skills
- Continuously promotes a patient-centered philosophy
- Maintains positive and proactive communication with patients, families, staff members, and physicians
- Fosters team-building relationships
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What This Job Offers
Career Level
Mid Level
Number of Employees
501-1,000 employees
