RN Case Manager PRN

Nuvance Health•Norwalk, CT

24d•$52

About The Position

The Clinical Care Coordinator - Unit is responsible for providing direction and leadership to the clinical team regarding the patient level of care and discharge transition plan. Acts as principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate status is assigned. Assures patient progression of care is efficient and transition plans are executed to the appropriate level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure accurate and complete documentation of the patients' diagnoses and procedures. Ensures documentation accurately reflects quality of care, severity of illness and risk of mortality to support correct coding, reimbursement, and quality initiatives.

Requirements

Associate Degree in Nursing
minimum of three years job-related experience
Registered Nurse license State of CT with minimum of one year as an acute Care Coordinator
Knowledge and expertise with use of electronic medical record and use of both Interqual and Milliman screening criteria
Excellent collaborator and team member who is able to work closely with physicians and all members of the health care team to procure the right level of care, correct order for hospitalization, optimal plan of care , and facilitation of services
Knowledge and expertise in both CMS and insurance industry standards as well as guidelines pertaining to appropriate coverage notifications
Ability to be flexible, resourceful and creative in problem solving
Excellent communication skills both oral and written