CASE MANAGER - Part Time

Premier Health • Dayton, OH

7d • Onsite

About The Position

The Case Manager is a registered nurse responsible for individualized patient assessment and care coordination, and transition planning to promote maximal outcomes in relation to appropriate length of stay, effective use of resources and established guidelines of care. Additional responsibilities include facilitation of interdisciplinary team collaboration, liaison between the patient, physician, payor, family/significant others in regards to care coordination and transitional care needs. This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management, transition planning and process, resource allocation, team management and communication skills. Promotes care coordination and effective utilization of resources through the assessment of patient care needs during the hospitalization and across the health care continuum. Success is measured against achievement of targeted goals and outcomes as generated by defined expectations through care team collaboration.

Requirements

• Registered nurse with valid Ohio license
• Minimum of three years of relevant clinical experience in area of patient population within last five years
• Basic computer skills

Nice To Haves

• Certification in area of clinical specialty
• Expertise in healthcare reimbursement, transition planning and case management
• Experience with a clinical documentation management program
• Knowledge of performance improvement process
• Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrated Care Team members
• Negotiation skills
• Conflict resolution skills
• Assertive communication skills
• Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements

Responsibilities

• Individualized patient assessment
• Care coordination
• Transition planning
• Facilitation of interdisciplinary team collaboration
• Liaison between patient, physician, payor, family/significant others
• Assessment of patient care needs during hospitalization and across the healthcare continuum
• Gathering information, monitoring indicators and feedback mechanisms

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level