RN-Acute Care Case Manager

divh2Job Title/h2pManages 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./ph3Responsibilities/h3ulliUtilization Review/liliDischarge planning/liliReadmission Reduction Participation/liliPayer Communication and denial reduction/liliCompletes assigned goals./li/ulh3Experience/h3pstrongMinimum Required/strong/pulliRN with at least one (1) year of clinical experience/li/ulpstrongPreferred/Desired/strong/pulliRN with 3 years of clinical experience with Case Management experience in a hospital or payer setting/li/ulh3Education/h3pstrongMinimum Required/strong/pulliDiploma or Associate Degree in Nursing/li/ulpstrongPreferred/Desired/strong/pulliBSN or MSN/li/ulh3Training/h3pstrongMinimum Required/strong/ppstrongPreferred/Desired/strong/pulliCertified Case Manager/li/ulh3Special Skills/h3pstrongMinimum Required/strong/pulliCritical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations./li/ulpstrongPreferred/Desired/strong/pulliCritical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations./li/ulh3Licensure/h3pstrongMinimum Required/strong/pulliRN/li/ulpstrongPreferred/Desired/strong/pulliRN;CCM;ACM/li/ul/div