RN-Acute Care Case Manager

Job Posting

Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation. Performs other duties as assigned.

Utilization Review

Discharge planning

Readmission Reduction Participation

Payer Communication and denial reduction

Completes assigned goals.

Minimum Required Experience:

• RN with at least one (1) year of clinical experience

Preferred/Desired Experience:

• RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting

Minimum Required Education:

• Diploma or Associate Degree in Nursing

Preferred/Desired Education:

• BSN or MSN

Minimum Required Training:

Preferred/Desired Training:

• Certified Case Manager

Minimum Required Skills:

• Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.

Preferred/Desired Skills:

• Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.

Minimum Required Licensure:

• RN

Preferred/Desired Licensure:

• RN;CCM;ACM