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Nurse Case Manager
1 month ago
ChristianaCare is seeking a skilled Nurse Case Manager to join our team in Utilization Management. As a key member of our healthcare team, you will be responsible for ensuring the delivery of efficient and effective healthcare services.
Key Responsibilities:
- Perform admission and concurrent review to identify medical necessity, level of care, and appropriateness of setting using established criteria and clinical guidelines within 24 hours of admission.
- Review the admission assessment, collaborate with primary nurse and other healthcare providers to ensure a multidisciplinary plan-of-care is in place to meet identified patient care needs and desired outcomes.
- Manage observation level of care and work with the attending physician and/or clinical provider caring for the patient to ensure observation status does not exceed 48 hours.
- Identify system issues that serve as barriers to care. Participate in development and implementation of strategies to remove barriers and facilitate performance improvement measures.
- Monitor efficiencies in scheduling diagnostic procedures and coordination of treatments to facilitate achievement of effective clinical, fiscal, quality, and patient satisfaction goals.
About Us:
ChristianaCare is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs. We are committed to delivering health, not just healthcare, to our community.
What We Offer:
- Competitive salary and benefits package
- Opportunities for professional growth and development
- Collaborative and supportive work environment
- Recognition and rewards for outstanding performance
Requirements:
- Active DE RN licensure or compact state RN licensure
- Bachelor's degree in nursing
- Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting
- Clinical documentation, performance improvement, case management, or utilization management experience desirable
