About The Position

In collaboration with the patient and family, physicians, and the interdisciplinary team, the RN Case Manager facilitates the patient's progress through the acute episode of care efficiently and cost-effectively. The role monitors level of care; initiates evidence-based protocols and order sets according to the patient's admission diagnosis; influences the progression of care; facilitates the patient's navigation through the acute care episode; and proposes an appropriate transition plan within 48 hours of admission. The Case Manager serves as an advocate for the patient and family throughout the acute episode of care.

Requirements

  • Bachelor's Degree in Nursing (BSN), or a combination of relevant education and experience in lieu of the degree, with commitment to obtain a BSN within 2 years from date of hire.
  • At least 1 year of experience in an acute care Case Management setting or Utilization Management at an acute care facility and/or insurance company in UR or CM.
  • General experience.
  • PA Registered Nurse License or Multi State Compact RN License.

Nice To Haves

  • General experience and knowledge of InterQual criteria.
  • Certified Case Manager.

Responsibilities

  • Facilitate the patient's progress through the acute episode of care in collaboration with the patient/family, physicians, and interdisciplinary team.
  • Monitor the level of care.
  • Initiate evidence-based protocols and order sets according to the patient's admission diagnosis.
  • Influence the progression of care and facilitate the patient's navigation through the acute care episode.
  • Propose an appropriate transition plan within 48 hours of admission.
  • Advocate for the patient and family throughout the acute episode of care.
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