Effingham Health System RN Case Manager

7 days ago


Springfield, Georgia, United States Effingham Health System Full time
Job Summary

We are seeking a highly skilled and compassionate Registered Nurse to join our team as a RN Case Manager. This role is responsible for managing patient care and ensuring the best possible outcomes.

About Effingham Health System

At Effingham Health System, we prioritize the well-being of our patients, employees, and community. Our organization values diversity, inclusion, and professional growth, providing a supportive environment for our team members to thrive.

Key Responsibilities
  • Admission review and continued stay reviews of patients using evidence-based clinical guidelines.
  • Contacting insurance companies to provide clinical support for admissions and continued hospital stays.
  • Referring cases to the Physician Advisor for further review and collecting QA and Avoidable Days data as directed.
  • Functioning as an integral member of a collaborative and interdisciplinary team to reassess and adjust the plan for care progression and transition according to the patient's clinical condition.
Requirements
  1. A minimum of two years acute hospital nursing experience required; two years acute hospital Case Management experience preferred.
  2. Utilization review experience preferred with MCG or InterQual guidelines.
  3. Intermediate computer skills with word processing and spreadsheet capabilities.
What We Offer

We offer a competitive salary range of $65,000 - $85,000 per year, depending on experience, in addition to a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) matching, and paid time off.



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