Registered Nurse (RN) - Case Manager

Lifepoint Health • Roaring Spring, PA

6h

About The Position

Conemaugh Nason Medical Center is part of
Lifepoint Health
[https://lifepointhealth.net/locations], a diversified healthcare delivery
network with facilities coast to coast. We are driven by a profound commitment
to prioritize your well-being so you can provide exceptional care to others. As
a Registered Nurse (RN), joining our team, you’re embracing a vital mission
dedicated to
making communities healthier
®. Join us on this meaningful journey
where your skills, compassion and dedication will make a remarkable difference
in the lives of those we serve.

More about our team

Case management covers ED, Med-Surg, and ICU. Flexible schedule for doctor
appointments, etc. We work together as a team to ensure that time off is
covered.

Requirements

• Applicants should be graduates of an RN program and hold a current nurse’s license in the state of Pennsylvania or a current multistate license (MSL) from compact member states/territories.
• BLS required

Nice To Haves

• Bachelor of Science degree in Nursing or RN with three years of hospital Case Management experience preferred.
• Certification in Case Management preferred

Responsibilities

• Skilled in Case Management functions and care coordination.
• Ensure the efficient and effective deployment of the organizations resources and reviews patient care to safeguard against unnecessary and inappropriate medical care
• Utilize Interqual to determine severity of illness and intensity of service for all patients assigned an acute care bed
• Uses clinical assessment skills to monitor how a patients clinical status responds to treatment and therapies and acts when variance in condition is identified
• Insures that appropriate patient status is documented and correctly registered
• Proactively interacts with patients and families during the admission process to set expectations for the course of stay and discharge planning
• Communicates expected length of stay to the care team
• Communicates findings of inpatient medical necessity screenings and ongoing concurrent review to third party payors
• Proactively analyzes information from the care team to support inpatient admission
• Proactively removes barriers to patient management and discharge planning
• Follows the Care Management policy and procedure for utilizing Physician Advisors
• Interacts with attending physicians, physician advisor and department chairs about any identified quality issues and utilization issues
• Follows CMS and regulatory requirements for Case Management processes
• Coordinates concurrent denial/appeal process for assigned cases

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage — with medical plans starting at just $10 per pay period — tailored benefit options for part-time and PRN employees, and more.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree