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Manager Case Management RN

1 month ago

Hartford, United States Trinity Health Full time

Employment Type:

Full time

Shift:

Day Shift

Description:

Position Purpose

At Saint Francis Hospital the Case Management Department helps patients coordinate and navigate through their Health care needs while determining how to provide that care efficiently to control costs.

What you will do:

  • Provide patient Centered Leadership while ensuring effective utilization management, compliance with Medicare requirements, and the development of initiatives to reduce readmissions.

  • Maintain and monitor operating statistics for the Department adjusting staffing, supplies or capital expenditures.

  • Recommend the annual capital, salary and non-salary budget for the Department of Care Management.

Minimum Qualfications:

  • Education : Bachelors in Nursing - Master's Degree Preferred

  • Licensure : Current Licensure as a registered nurse (RN) in Connecticut

  • Experience : Five or more years of progressive experience in a hospital/health system setting in a leadership role in case management or a related role

  • Must be knowledgeable regarding state and federal health regulations, reporting requirements and health care reimbursement systems.

  • Basic knowledge and application of statistical analysis, DRG's/ICD9/10, Medical Necessity criteria, JCAHO and CMS requirements for discharge planning and utilization management

Position Highlights and Benefits

  • Work hours/Shift: 40 hours Full time Days

Ministry/Facility Information

Saint Francis Hospital has been an anchor institution in Connecticut since 1897. Saint Francis, a member of Trinity Health Of New England and Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation. Saint Francis Hospital, a Level 1 Trauma Center, is a 617 bed hospital and a major teaching hospital. Other Saint Francis entities include the Comprehensive Women's Health Center, the Connecticut Joint Replacement Institute, and the Smilow Cancer Hospital.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran