Care Coordination Specialist

4 weeks ago


Derry, Pennsylvania, United States Grand View Hospital Full time
Grand View Hospital offers a competitive salary of $75,000 - $90,000 per year and comprehensive benefits to part-time and full-time employees including medical, dental, and vision insurance available 1st of the month after start date. The registered nurse case manager is responsible for the overall coordination of care for an assigned caseload. Key responsibilities include advocating for patients by expediting post-acute placement and discharge logistics, confirming receipt of electronic referrals, and obtaining necessary forms and authorizations. Collaborate with interdisciplinary teams to implement post-acute placements and prioritize discharge requests. Utilization review and departmental support activities also involve reviewing in-house observation patients and providing Medicare Outpatient Observation Notices (MOON), documenting completion in electronic software as applicable. To be successful in this role, you will need knowledge of utilization review, case management, DC planning, care coordination, and precertification of hospital days and post-acute care services. This role requires an Associate's Degree in Nursing, required, and Bachelor's Degree in Nursing, preferred. Over 3 years to 5 years of acute care experience is preferred.

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