Manager - RN - Case Management - FT - Days - MRH
Core
Manages Access, Care Coordination, and Discharge Planning functions to optimize clinical outcomes and ensure financial reimbursement.
Role type
Manager - Case Management (Nursing)
Builds
Efficient, effective, timely, patient-centered care strategies and departmental operations.
Domain
Healthcare / Hospital Case Management
Required skills
Budget management, audit coordination, multi-disciplinary collaboration, staffing management, performance improvement, regulatory compliance, clinical decision making, process improvement, data assessment, staff development
Preferred skills
Case Management certification
Technologies
Interqual, Milliman guidelines, hospital information systems (e.g., Logician, IDX)
Responsibilities
Prepare and evaluate departmental budgets; coordinate internal/external audits; manage staffing levels, assignments, and performance reviews; collaborate with payers and community agencies; develop case management goals and standards; lead clinical performance improvement activities.
Seniority
Manager, hands-on leadership