Case Manager RN PRN Days
4 days ago
At Saint Francis Healthcare, we are seeking a skilled and compassionate Case Manager RN to join our team. As a Case Manager RN, you will play a vital role in facilitating care along a continuum, ensuring that patients receive the right level of care at the right time.
Key Responsibilities:- Accurate medical necessity screening and submission for Physician Advisor review
- Care coordination and transition planning
- Implementation or oversight of implementation of the transition plan
- Leading and facilitating multi-disciplinary patient care conferences
- Managing concurrent disputes and making appropriate referrals to other departments
- Identifying and referring complex patients to Social Work Services
- Communicating with patients and families about the plan of care
- Collaborating with physicians, office staff, and ancillary departments
- Leading and facilitating Complex Case Review
- Assuring patient education is completed to support post-acute needs
- Timely complete and concise documentation in Case Management system
- Maintenance of accurate patient demographic and insurance information
- Identification and documentation of potentially avoidable days
- Identification and reporting over and underutilization
- Graduate of an accredited school of nursing
- 2 years of acute hospital patient care experience
- Active RN license for state(s) covered
- Academic degree in nursing (bachelor's or master's)
- Accredited Case Manager (ACM)
We are an equal opportunity employer and welcome applications from diverse candidates. We will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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