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Case Manager Registered Nurse
2 months ago
Roxborough Memorial Hospital seeks a skilled Registered Nurse Case Manager to join our team. As a key member of our healthcare management team, you will be responsible for ensuring the quality and resource management of all patients admitted to our facility.
Key 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 cost containment and achieve quality, clinical, and cost-effective outcomes.
- Collaborate with healthcare providers to integrate care and achieve seamless delivery of services.
- Provide patient advocacy and support to ensure the best possible outcomes.
- Minimum 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 is preferred.
- Knowledge of Milliman Criteria and InterQual Criteria is preferred.
- Basic to intermediate computer skills are required.
- Behavioral Violence Prevention Training is required within 3 months of hire.
Roxborough Memorial Hospital is an equal employment opportunity employer and offers a competitive salary and benefits package.
