RN-Case Manager PRN

Overview

Job Summary

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.Responsibilities

Utilization ReviewDischarge planningReadmission Reduction ParticipationPayer Communication and denial reductionCompletes assigned goals.Specifications

Experience

Minimum Required

RN with at least one (1) year of clinical experiencePreferred/Desired

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

Minimum Required

Diploma or Associate Degree in NursingPreferred/Desired

BSN or MSNTraining

Minimum Required

Preferred/Desired

Certified Case ManagerSpecial Skills

.Minimum Required

Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.Preferred/Desired

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

RNMinimum Required

RNPreferred/Desired

RN;CCM;ACM