Clinical Case Manager RN
5 hours ago
At Northeast Georgia Health System Inc, we are seeking a highly skilled Registered Nurse Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the best possible outcomes for our patients.
Job Summary:The Registered Nurse Case Manager is responsible for providing comprehensive assessment, planning, implementation, and evaluation of individual patient needs. This includes working collaboratively with physicians, patients, families, nursing, utilization review, and other members of the healthcare team to ensure patient management aligns with patient needs, using resources to meet quality, clinical, and cost-effective outcomes.
Key Responsibilities:- Monitor patients on assigned units to ensure appropriate use of resources and interventions while managing patient length of stay based on working DRG/admitting diagnosis.
- Communicate with physicians, patients, families, and other disciplines the expected length of stay, along with patient progress towards discharge.
- Provide coordination and facilitation oversight of patient care to ensure required interventions occur in proper sequence and processes occur in a timely manner without delays.
- Assess, coordinate, and facilitate patient discharge plans to ensure post-acute needs are arranged and secured prior to discharge.
- Maintain knowledge of reimbursement methodologies and general coverage guidelines for all levels of inpatient and outpatient care.
- Coordinate and communicate with Utilization Review Nurse on a daily basis to ensure patients are in the right status and level of care.
- Licensed to practice as an RN in Georgia.
- Associate degree or higher in nursing.
- Three to five years of experience in direct patient care and/or case management.
- Financial and discharge planning experience.
- CCM (Case Management Certification) or ACM (American Case Management Certification) preferred.
- Bachelor's degree in nursing or related field.
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and compassionate individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.
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