Clinical Case Manager

4 weeks ago


York, Pennsylvania, United States WellSpan Health Full time
Job Summary

WellSpan Health is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in facilitating a patient's progression of care and ensuring the provision of appropriate, cost-effective, and quality healthcare.

Key Responsibilities

Reviews assigned patients for medical necessity, utilization management, and appropriateness of setting for continued hospitalization.
Initiates problem-solving techniques to prevent over and/or under utilization.
Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support continuous quality and cost of care efforts.
Liaisons between utilization management team, third party payers, and the treatment team regarding the identified treatment plan in accordance with contractual guidelines and System policy.
Assists the patient care team with the identification and coordination of alternative treatment settings to provide appropriate care, maintain quality of care, and reduce cost.

Requirements

Associates Degree Required
2 years Recent acute care experience Required
Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred
Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required
Certified in Case Management Preferred

What We Offer

At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email. We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us. WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.

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