Case Manager Registered Nurse - Full Time
Core
Coordinates interdisciplinary care plans for patients from admission to discharge, acting as a liaison between patients, families, healthcare personnel, and insurers to ensure quality care and facilitate transitions.
Role type
Registered Nurse Case Manager
Builds
Discharge plans and transition strategies for patients
Domain
Healthcare / Hospital Case Management
Deliverable
client delivery
Required skills
Patient assessment, Medical terminology, Care plan development, Insurance authorization, Regulatory compliance, Discharge planning, Risk factor identification, Clinical pathway improvement
Preferred skills
Experience with hospital case management, Knowledge of insurance reimbursement policies
Technologies
Electronic Health Records (implied via chart review), Insurance systems
Responsibilities
Monitor patient care and evaluate plans via chart review and interviews, Educate patients and families on care progression, Facilitate insurance authorization for continued stays, Identify patient care issues and suggest clinical pathway revisions, Coordinate interdisciplinary care plans, Ensure compliance with medical advice and unit policies