About The Position

We are seeking an exceptionally skilled RN Case Manager to join our dedicated Case Management team. This position offers an outstanding opportunity to work in a dynamic inpatient setting where you will plan and coordinate patient care from pre-hospitalization through discharge. You will hold a meaningful role in ensuring flawless care and treatment, collaborating closely with all members of the health care team.

Responsibilities

  • Perform evaluations and assessments within the established timeframes
  • Detail appropriate reviews for assigned patients using our utilization review tool
  • Provide telephonic reviews for identified contracted/private patients and collaborate with on-site and/or outside reviewers
  • Keep patients informed of progress and provide information related to disease progression
  • Collaborate with discharge planners to make orders and arrange for home care equipment and healthcare needs
  • Work with third-party payers to validate orders
  • Educate patients and families on all aspects of hospitalization and continuing care
  • Assume responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers
  • Interact professionally with patients, families, and caregivers, involving them in the formation of the plan of care and discharge needs
  • Coordinate with the multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient
  • Ensure documentation meets current standards and policies
  • Maintain department cleanliness and safety
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