Healthcare Advocate RN

3 weeks ago


Philadelphia, Pennsylvania, United States Roxborough Memorial Hospital Full time
Company Overview

Roxborough Memorial Hospital is an award-winning health system headquartered in Ontario, California. With over 300 outpatient locations in 14 states, Prime Healthcare provides more than 2.6 million patient visits annually. The hospital has a strong commitment to quality and excellence, with a team of nearly 50,000 employees and physicians working together to deliver exceptional patient care.

Job Summary

We are seeking a highly skilled and experienced Registered Nurse Case Manager to join our team at Roxborough Memorial Hospital. As a case manager, you will be responsible for the quality and resource management of all patients admitted to the facility, promoting cost containment and demonstrating leadership to integrate healthcare providers and achieve seamless delivery of care.

Responsibilities
  • Conduct comprehensive admission and concurrent reviews of medical records to ensure medical necessity, intensity of service, and severity of illness.
  • Develop and implement individualized care plans to promote optimal patient outcomes.
  • Maintain accurate and up-to-date documentation of patient information, including medical history, treatment plans, and progress notes.
  • Collaborate with healthcare providers to coordinate patient care and services.
Requirements

To be considered for this role, you must have:

  • A minimum of 5 years of work experience post-graduation from an accredited school of nursing and a current state Registered Nurse license.
  • Experience in case management, discharge planning, or nursing management, preferred.
  • Current BCLS certificate, preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria, preferred.
  • Intermediate computer skills.
Benefits

Roxborough Memorial Hospital offers a competitive salary range of $83,200 - $122,100 per year, depending on experience. In addition to a salary, we offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) plan, paid time off, and continuing education opportunities.



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