Case Manager - Clinical Resource Management

Marshall Health Network•Huntington, WV

About The Position

The Case Manager exercises independent judgment and professional discretion in case management for a select group of patients. The role collaborates with attending physicians and residents and advocates for patients and families as they navigate an acute episode of care. The Case Manager monitors continuing stays for resource utilization and helps prepare patients for safe, timely discharge. The position uses proactive, collaborative problem-solving to meet patients’ and physicians’ needs.

Requirements

  • Bachelor’s Degree in Nursing.
  • RN licensure.
  • At least 5 years of position-related experience, including hospital patient care and direct knowledge of care management, discharge planning, and resource management.
  • Clinical expertise in the area of responsibility and management of patients in that area.
  • Knowledge of utilization management principles.
  • Excellent verbal and written communication skills.
  • Ability to build effective relationships with the healthcare team.
  • Critical-thinking skills.
  • Clinical and leadership skills.
  • Performance-improvement knowledge or skills.
  • Knowledge of DRGs.
  • Analytical skills.

Nice To Haves

  • Master’s Degree.

Responsibilities

  • Collaborate with attending physicians and residents.
  • Advocate for patients and families as they navigate an acute episode of care.
  • Monitor patients’ continuing stays for resource utilization.
  • Help prepare patients for safe and timely discharge.
  • Use collaborative problem-solving to meet patients’ and physicians’ needs.
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