Case Management - RN Case Manager

Job Description

Job Description

This is a part-time day shift, 32 hours per week position for an RN Case Manager with hospital background. Weekend rotation is required for every 4th Saturday. 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. 

Qualifications:

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

Responsibilities:

• Case Manager duties include 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.