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Job Details

Description

Position Summary: The RN Case Manager coordinates the care and service of patient populations from admission through discharge. He/she clinically assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual’s health needs to facilitate a safe and timely discharge to the next appropriate level of care. The Case Manager collaborates with inter-disciplinary teams to build a comprehensive case management plan through effective care coordination and utilization of healthcare resources in order to achieve desired clinical and financial goals. The Case Manager Care Coordinator’s key responsibilities are to partner with the healthcare team to ensure all aspects of the patient’s needs, clinical, psychosocial and financial are adequately addressed in the transition of the care plan and to manage the patient’s timely progression of care and safe transition to the next most appropriate level of care.

Experience

Education

License and Credentials

Skills:

Required: Current sound clinical knowledge; knowledge of medical literature, research methodology, financial/ reimbursement issues. Strong collaboration, communication and interpersonal skills. Excellent organizational and time management skills. Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams. Current knowledge of discharge planning, resource management, and care coordination in an acute care setting. Knowledge of CMS, commercial payer requirements and hospital financial/reimbursement processes. Excellent written/verbal communication skills, critical thinking skills, creative problem solving skills, good organizational and planning skills. Must be self-directed, have the ability to tolerate frequent interruption and work in a fast-paced work environment. Knowledge of funding, resources, services, clinical standards, care coordination processes and outcomes is preferred. Weekend, Holiday and on call may be required.

Preferred: N/A

Bi-Weekly Hours: 80

Work Schedule: M - F Days 8-4:30 (weekends, holidays and on call may be required)

Qualifications