RN ED Case Manager per diem
Core
RN Case Manager acting as a patient advocate to coordinate care, manage complex patients, and facilitate cost-effective outcomes for SSH&EC clients.
Role type
Registered Nurse Case Manager
Builds
Safe and timely discharge plans and care coordination for inpatient and observation patients
Domain
Healthcare / Hospital Case Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, discharge planning, resource coordination, medical necessity review, insurance coverage verification, interdisciplinary collaboration, regulatory compliance, data analysis, patient advocacy, cost management
Preferred skills
Case management certification, InterQual certification, Lean principles knowledge, ACO relationship management
Technologies
eDischarge, EHR, Interqual, MCCM, Epic, Workday
Responsibilities
Review medical records to determine medical necessity for admission and continued stays; coordinate discharge planning and arrange referrals to sub-acute settings; communicate with physicians regarding insurance coverage and non-coverage notices; facilitate multidisciplinary care rounds and patient care conferences; process referrals to continuum of care providers; maintain knowledge of payer requirements and community resources
Seniority
Individual Contributor, Mid-to-Senior level