Case Management - RN Case Manager

Wayne Hospital Company•Greenville, OH

11h•Onsite

About The Position

We are in search of a Case Manager to enhance the quality of patient management, maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the full patient care cycle.

Requirements

Currently licensed to practice in the State of Ohio as a Registered Nurse
ASN required
Med/Surg/ICU experience
Excellent knowledge of case management principles
Effective communication skills
Problem solving skills and ability to multi-task.

Nice To Haves

BSN degree preferred
Experience in case management is a plus

Responsibilities

Assessing, planning, implementing, monitoring, and evaluating actions required to meet the client’s health and discharge services needed.
Coordinate and provide care that is safe, timely, effective, efficient, equitable and client centered.
Arrange services necessary for a safe discharge ie: home health, SNF, outpatient services.
Handle case assignments, review cases daily and provide concurrent review.
Submit necessary cases to the appropriate insurance company for authorization of stay.
Develop effective working relations and cooperate with medical team throughout the entire case management process.
Take the extra mile and interact with patients to keep track of their progress and to ensure satisfaction.
Record case information; complete accurately all necessary forms/documentation.
Promote quality and cost-effective interventions and outcomes.
Ability to multi-task, problem solve with excellent written and verbal skills.
Ability to work effectively in a self-directed role.
Prior authorizations.
Run daily reports.
Communicate with insurance companies to obtain authorization for proper reimbursement.
Adhere to professional standards as outline by protocols, rules, and regulations.
All other tasks as assigned.