Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Core
Provides care coordination services, evaluates options to meet individual health care needs, and promotes cost-effective, quality outcomes by integrating utilization management, quality management, discharge planning, and post-hospital care coordination.
Role type
Registered Nurse (RN) Case Manager
Builds
Discharge plans, care coordination strategies, and cost-effective treatment options for patient populations.
Domain
Healthcare / Hospital Case Management
Required skills
Clinical assessment, care coordination, interdisciplinary collaboration, discharge planning, resource management, data analysis, problem solving, multi-tasking
Preferred skills
Bachelor's degree in Nursing, case management or utilization review experience
Technologies
InterQual assessments, Medicare One Day Stay forms, TARs, Work list, M drive
Responsibilities
Manage a caseload of 18-20 patients; initiate discharge planning within 24 hours of admission; perform InterQual assessments upon admission, change in level of care, every three days, and discharge; collaborate with physicians, social workers, and the healthcare team; educate the healthcare team on observation status and reimbursement issues; participate in quality improvement processes; advocate for patients and families; propose alternative treatment options to ensure cost-effectiveness.
Seniority
Mid-level, hands-on IC