Registered Nurse, RN, Case Manager

2 weeks ago


Sellersville Pennsylvania, United States Grand View Hospital Full time

Responsibilities:
The Patient Care Coordinator is responsible for the overall coordination of care for an assigned case load. Concurrent and retrospective clinical review of inpatient medical records to evaluate the utilization of acute care services.

Specific reviews are determined both internally and by requirements/requests of external payers or regulatory agencies, and play a significant role in obtaining reimbursement for acute care services.

Goal is to collaborate with patients, families and health care providers to promote health and manage illness.

Facilitates the use of assessment, coordination and education to achieve quality patient care outcomes while coordinating Interdisciplinary comprehensive and cost effective care across the Continuum.


Needs knowledge of:
Utilization Review, Case Management, DC Planning, Care Coordination, Precertification of hospital days and post acute care services. prefer 3- 5 years of acute care hospital experience and 2 years of Acute Care Case Management experience

Qualifications:

EDUCATION AND EXPERIENCE:
Associate's Degree Nursing required

Over 3 years to 5 years

  • Three years of acute care experience preferred

SKILLS AND ABILITIES:

  • Demonstrated analytical skills, required
  • Demonstrated problem solving skills, required
  • Ability to listen to others. , required
  • Effective interpersonal skills, required
  • Ability to maintain the strictest levels of confidentiality. , required
  • Self directed. , required
  • Excellent organizational skills, required
  • Ability to simultaneously handle multiple priorities, required
  • Quickly troublseshoots and resolves problems, required
  • Possesses strong technical aptitude, required

LICENSES AND CERTIFICATIONS:
Registered Nurse in PA – Licensed, Upon hire, required

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