CASE MANAGER - RN

Case Manager - RN

Job Summary: The Case Managers are experienced Registered Nurses who interact with the patient, families, physicians and other members of the interdisciplinary team to facilitate quality and cost effective care. An essential component to all roles includes the evaluation of medical necessity and intensity of service of each admission to arrive at decisions regarding medical appropriateness for the requested level of care. Communicates with the various payers/insurance companies to authorize services and ensure appropriate reimbursement to the facility. Actively promotes collaboration among all interdisciplinary care providers, including physicians to effectively identify needs for continued inpatient care or appropriate alternate levels of care. There is coordination to affect an appropriate discharge plan with the Case Managers ensuring arrangements of placement/services upon discharge. Assist to identify and make efforts to correct delays in services, fragmentation of care and gaps in communication. Patient outcome monitoring and participation in continuous performance improvement are also requirements in this role.

Education Minimum: Graduate of a Registered Nurse Program Preferred: Bachelor Degree in Nursing Registration/Certification/Licensure: Current PA RN license Preferred: Healthcare Provider CPR Experience Minimum: Three years recent clinical experience. Preferred: Managed care or previous Case Management/Utilization Review experience. Other Requirements: Excellent communication skills and skills in customer service. Demonstrates leadership ability. Commitment to the delivery of quality patient care with the ability to develop and maintain effective, professional relationships with all members of the health care team.

Physical Requirements: Standing, Walking, Sitting, Stooping, Bending, Twisting, Climbing, Kneeling, Squatting, Crouching, Crawling, Reaching Horizontal, Reaching Overhead, Grasping, Finger Manipulation, Seeing, Hearing, Repetitive Upper Extremity Use, Repetitive Lower Extremity Use, Pushing, Pulling, Lift, Carry, Working alone, Working in cramped quarters, Constant interruptions, Exposure to radiant energy, Working with bloodborne pathogens. As relates to this position: Sedentary to Light.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.